21146 Rcnstj mdfc lefort i 2 with grf
Also known as: Le Fort I 2-piece with graft, segmental Le Fort I with augmentation
Reconstruction of the midface using Le Fort I osteotomy as two pieces with the addition of bone graft material.
In Plain Language
Two-piece upper jaw surgery with bone graft; Complex midface with bone augmentation
Clinical Context
Used for two-piece Le Fort I requiring additional skeletal volume or fill for optimal contour.
RVU Breakdown
| Work RVU | 24.25 |
| Total RVU | 24.25 |
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 24.25, this code ranks in the 88th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21146?
CPT 21146 (Rcnstj mdfc lefort i 2 with grf) is a Surgery code. Reconstruction of the midface using Le Fort I osteotomy as two pieces with the addition of bone graft material.
What is the wRVU value for CPT 21146?
The work RVU for CPT 21146 is 24.25. This code is primarily used by Maxillofacial Surgery, Orthognathic Surgery. It has a 90-day global period.
When is CPT 21146 used?
Used for two-piece Le Fort I requiring additional skeletal volume or fill for optimal contour.
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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.