21142 Rcnstj midface lefort i 2pcs
Also known as: Le Fort I 2-piece, segmental Le Fort I, two-piece midface
Reconstruction of the midface using Le Fort I osteotomy as a two-piece separation of the maxilla for greater flexibility in positioning.
In Plain Language
Upper jaw reconstruction in 2 pieces; Complex midface repositioning; Advanced face surgery
Clinical Context
Used when two-piece separation allows superior positioning control in severe deformities or asymmetry.
RVU Breakdown
| Work RVU | 19.77 |
| Total RVU | 19.77 |
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 19.77, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21142?
CPT 21142 (Rcnstj midface lefort i 2pcs) is a Surgery code. Reconstruction of the midface using Le Fort I osteotomy as a two-piece separation of the maxilla for greater flexibility in positioning.
What is the wRVU value for CPT 21142?
The work RVU for CPT 21142 is 19.77. This code is primarily used by Maxillofacial Surgery, Orthognathic Surgery. It has a 90-day global period.
When is CPT 21142 used?
Used when two-piece separation allows superior positioning control in severe deformities or asymmetry.
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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.