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21089 Unlisted maxlfcl prosthesis procedures

Surgery

Also known as: unlisted maxfacial prosth, maxfacial prosth NEC

Unlisted maxillofacial prosthetic procedure, used for billing purposes when a specific maxillofacial prosthetic service does not fit into other defined codes.

In Plain Language

Specialized facial prosthetic work; Custom facial restoration procedure

Clinical Context

Assigned to novel or complex maxillofacial prosthetic procedures not otherwise classified. Requires detailed operative report.

RVU Information

CPT 21089 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Surgery category, 3% of codes share this characteristic.

Specialties

Maxillofacial SurgeryProsthodontics

Frequently Asked Questions

What is CPT code 21089?

CPT 21089 (Unlisted maxlfcl prosthesis procedures) is a Surgery code. Unlisted maxillofacial prosthetic procedure, used for billing purposes when a specific maxillofacial prosthetic service does not fit into other defined codes.

What is the wRVU value for CPT 21089?

The work RVU for CPT 21089 is 0.00. This code is primarily used by Maxillofacial Surgery, Prosthodontics.

When is CPT 21089 used?

Assigned to novel or complex maxillofacial prosthetic procedures not otherwise classified. Requires detailed operative report.

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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.