21159 Reconstruction mdfc lfrtiii advm wo i
Also known as: advanced Le Fort III monobloc, facial monobloc, bipartition monobloc
Reconstruction of the midface using advanced Le Fort III osteotomy with monobloc advancement (facial bipartition) without concurrent maxillary adjustment.
In Plain Language
Advanced facial reconstruction without jaw changes; Comprehensive upper face advancement
Clinical Context
Used for severe craniofacial syndromes (Crouzon, Apert) with significant midface retrusion requiring maximal advancement.
RVU Breakdown
| Work RVU | 42.06 |
| Total RVU | 42.06 |
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 42.06, this code ranks in the 98th percentile among Surgery codes — 5.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21159?
CPT 21159 (Reconstruction mdfc lfrtiii advm wo i) is a Surgery code. Reconstruction of the midface using advanced Le Fort III osteotomy with monobloc advancement (facial bipartition) without concurrent maxillary adjustment.
What is the wRVU value for CPT 21159?
The work RVU for CPT 21159 is 42.06. This code is primarily used by Craniofacial Surgery, Maxillofacial Surgery, Orthognathic Surgery. It has a 90-day global period.
When is CPT 21159 used?
Used for severe craniofacial syndromes (Crouzon, Apert) with significant midface retrusion requiring maximal advancement.
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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.