21154 Rcnstj mdfc lefort iii without i
Also known as: Le Fort III, bipartition osteotomy, facial advancement
Reconstruction of the midface using Le Fort III osteotomy without maxillary involvement, advancing the entire facial skeleton above the Le Fort I level.
In Plain Language
Advancing the upper face without jaw changes; Midface surgery without maxilla changes
Clinical Context
Used for severe midface hypoplasia, Crouzon syndrome, Apert syndrome, or other craniofacial deficiency.
RVU Breakdown
| Work RVU | 30.51 |
| Total RVU | 30.51 |
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 30.51, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21154?
CPT 21154 (Rcnstj mdfc lefort iii without i) is a Surgery code. Reconstruction of the midface using Le Fort III osteotomy without maxillary involvement, advancing the entire facial skeleton above the Le Fort I level.
What is the wRVU value for CPT 21154?
The work RVU for CPT 21154 is 30.51. This code is primarily used by Maxillofacial Surgery, Craniofacial Surgery, Orthognathic Surgery. It has a 90-day global period.
When is CPT 21154 used?
Used for severe midface hypoplasia, Crouzon syndrome, Apert syndrome, or other craniofacial 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.