21141 Rcnstj midface lefort i 1pc
Also known as: Le Fort I, midface reconstruction, maxillary advancement
Reconstruction of the midface using Le Fort I osteotomy as a single-piece advancement or repositioning of the maxilla.
In Plain Language
Moving forward the upper jaw and face; Upper face reconstruction; Midface surgery with one cut
Clinical Context
Used for midface deficiency, Class III malocclusion, or severe maxillary hypoplasia. Provides significant vertical and sagittal changes.
RVU Breakdown
| Work RVU | 19.08 |
| Total RVU | 19.08 |
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 19.08, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21141?
CPT 21141 (Rcnstj midface lefort i 1pc) is a Surgery code. Reconstruction of the midface using Le Fort I osteotomy as a single-piece advancement or repositioning of the maxilla.
What is the wRVU value for CPT 21141?
The work RVU for CPT 21141 is 19.08. This code is primarily used by Maxillofacial Surgery, Orthognathic Surgery, Plastic Surgery. It has a 90-day global period.
When is CPT 21141 used?
Used for midface deficiency, Class III malocclusion, or severe maxillary hypoplasia. Provides significant vertical and sagittal changes.
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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.