21145 Rcnstj mdfc lefort i 1 with grf
Also known as: Le Fort I with graft, midface reconstruction with augmentation
Reconstruction of the midface using Le Fort I osteotomy as a single piece with the addition of bone graft material.
In Plain Language
Upper face surgery with bone added; Midface reconstruction and augmentation; Upper jaw surgery with bone graft
Clinical Context
Used when Le Fort I advancement requires additional volume or augmentation, particularly in severe skeletal deficiency.
RVU Breakdown
| Work RVU | 23.34 |
| Total RVU | 23.34 |
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 23.34, this code ranks in the 87th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21145?
CPT 21145 (Rcnstj mdfc lefort i 1 with grf) is a Surgery code. Reconstruction of the midface using Le Fort I osteotomy as a single piece with the addition of bone graft material.
What is the wRVU value for CPT 21145?
The work RVU for CPT 21145 is 23.34. This code is primarily used by Maxillofacial Surgery, Orthognathic Surgery. It has a 90-day global period.
When is CPT 21145 used?
Used when Le Fort I advancement requires additional volume or augmentation, particularly in severe skeletal deficiency.
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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.