21147 Rcnstj mdfc lefort i 3/>grf
Also known as: Le Fort I segmental with graft, complex Le Fort I with augmentation
Reconstruction of the midface using Le Fort I osteotomy as three or more pieces with the addition of bone graft material.
In Plain Language
Multi-piece upper face surgery with bone graft; Advanced midface reconstruction with augmentation
Clinical Context
Used for severe midface deformities or defects requiring both segmental repositioning and bony augmentation.
RVU Breakdown
| Work RVU | 25.81 |
| Total RVU | 25.81 |
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 25.81, this code ranks in the 89th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21147?
CPT 21147 (Rcnstj mdfc lefort i 3/>grf) is a Surgery code. Reconstruction of the midface using Le Fort I osteotomy as three or more pieces with the addition of bone graft material.
What is the wRVU value for CPT 21147?
The work RVU for CPT 21147 is 25.81. This code is primarily used by Maxillofacial Surgery, Orthognathic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 21147 used?
Used for severe midface deformities or defects requiring both segmental repositioning and bony augmentation.
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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.