21151 Rcnstj mdfc lefrtii with bone grf
Also known as: Le Fort II with graft, midface advancement with augmentation
Reconstruction of the midface using Le Fort II osteotomy with the addition of bone graft material for augmentation.
In Plain Language
Upper face and nose surgery with bone graft; Midface reconstruction with augmentation
Clinical Context
Used when Le Fort II advancement requires additional volume or fill, particularly with significant soft tissue deficiency.
RVU Breakdown
| Work RVU | 28.29 |
| Total RVU | 28.29 |
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 28.29, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21151?
CPT 21151 (Rcnstj mdfc lefrtii with bone grf) is a Surgery code. Reconstruction of the midface using Le Fort II osteotomy with the addition of bone graft material for augmentation.
What is the wRVU value for CPT 21151?
The work RVU for CPT 21151 is 28.29. This code is primarily used by Maxillofacial Surgery, Orthognathic Surgery. It has a 90-day global period.
When is CPT 21151 used?
Used when Le Fort II advancement requires additional volume or fill, particularly with significant soft tissue 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.