21143 Rcnstj mdface lefort i 3/>pc
Also known as: Le Fort I segmental, Le Fort I 3+ piece, complex midface
Reconstruction of the midface using Le Fort I osteotomy as three or more pieces for maximum flexibility in repositioning severely deformed facial structures.
In Plain Language
Complex upper face surgery with multiple cuts; Advanced midface reconstruction; Severe facial reconstruction
Clinical Context
Used for severe midface trauma, deformities, or asymmetries requiring independent positioning of multiple segments.
RVU Breakdown
| Work RVU | 20.52 |
| Total RVU | 20.52 |
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 20.52, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21143?
CPT 21143 (Rcnstj mdface lefort i 3/>pc) is a Surgery code. Reconstruction of the midface using Le Fort I osteotomy as three or more pieces for maximum flexibility in repositioning severely deformed facial structures.
What is the wRVU value for CPT 21143?
The work RVU for CPT 21143 is 20.52. This code is primarily used by Maxillofacial Surgery, Orthognathic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 21143 used?
Used for severe midface trauma, deformities, or asymmetries requiring independent positioning of multiple segments.
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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.