21139 Rdctj forehead cntrg & setback
Also known as: forehead reduction with setback, complex forehead-jaw reconstruction
Reduction-contouring of the forehead combined with sagittal split and setback of the upper jaw and facial structures.
In Plain Language
Comprehensive facial reconstruction involving forehead and jaw; Major forehead and jaw reshaping; Complex facial bone surgery
Clinical Context
Used for severe frontal bossing with maxillary protrusion. Requires coordinated orthognathic and contouring procedures.
RVU Breakdown
| Work RVU | 14.64 |
| Total RVU | 14.64 |
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 14.64, this code ranks in the 72nd percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21139?
CPT 21139 (Rdctj forehead cntrg & setback) is a Surgery code. Reduction-contouring of the forehead combined with sagittal split and setback of the upper jaw and facial structures.
What is the wRVU value for CPT 21139?
The work RVU for CPT 21139 is 14.64. This code is primarily used by Maxillofacial Surgery, Plastic Surgery, Orthognathic Surgery. It has a 90-day global period.
When is CPT 21139 used?
Used for severe frontal bossing with maxillary protrusion. Requires coordinated orthognathic and contouring procedures.
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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.