21125 Augmentation mndblr prostc
Also known as: mandibular augmentation, jaw implant, mandibular prosthesis
Augmentation of the mandible using a prosthetic implant to enhance bone projection or correct mandibular hypoplasia.
In Plain Language
Enlarging the lower jaw with an implant; Jaw augmentation surgery; Adding bone to the lower jaw
Clinical Context
Used for mandibular hypoplasia, post-traumatic defects, or aesthetic improvement. Non-surgical approach to augmentation.
RVU Breakdown
| Work RVU | 10.53 |
| Total RVU | 10.53 |
Est. Medicare Payment
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 10.53, this code ranks in the 60th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21125?
CPT 21125 (Augmentation mndblr prostc) is a Surgery code. Augmentation of the mandible using a prosthetic implant to enhance bone projection or correct mandibular hypoplasia.
What is the wRVU value for CPT 21125?
The work RVU for CPT 21125 is 10.53. This code is primarily used by Maxillofacial Surgery, Plastic Surgery. It has a 90-day global period.
When is CPT 21125 used?
Used for mandibular hypoplasia, post-traumatic defects, or aesthetic improvement. Non-surgical approach to augmentation.
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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.