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21086 Impres & prep auricular prosthesis

Surgery Global 90d

Also known as: ear prosthesis, auricular prosthesis

Impression making and preparation for auricular prosthesis.

In Plain Language

making artificial ear prosthesis; custom ear replacement prosthesis

Clinical Context

Creation of custom auricular prosthetics for patients with ear deformities or loss.

RVU Breakdown

Work RVU24.26
Total RVU24.26

Est. Medicare Payment

$810.28

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 24.26, this code ranks in the 88th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

ProsthodonticsOtolaryngologyPlastic Surgery

Frequently Asked Questions

What is CPT code 21086?

CPT 21086 (Impres & prep auricular prosthesis) is a Surgery code. Impression making and preparation for auricular prosthesis.

What is the wRVU value for CPT 21086?

The work RVU for CPT 21086 is 24.26. This code is primarily used by Prosthodontics, Otolaryngology, Plastic Surgery. It has a 90-day global period.

When is CPT 21086 used?

Creation of custom auricular prosthetics for patients with ear deformities or loss.

Track This Code in RVU Edge

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.