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21160 Reconstruction mdfc lfrtiii advm with i

Surgery Global 90d

Also known as: advanced Le Fort III with maxilla, facial monobloc with maxilla

Reconstruction of the midface using advanced Le Fort III osteotomy with monobloc advancement and concurrent maxillary adjustment or Le Fort I.

In Plain Language

Advanced facial and jaw reconstruction; Comprehensive multi-level face surgery

Clinical Context

Used for severe craniofacial syndromes requiring maximal advancement of all facial levels for optimal respiratory and functional outcomes.

RVU Breakdown

Work RVU46.01
Total RVU46.01

Est. Medicare Payment

$1,536.73

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 46.01, this code ranks in the 98th percentile among Surgery codes — 5.8x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Craniofacial SurgeryMaxillofacial SurgerySleep Medicine

Frequently Asked Questions

What is CPT code 21160?

CPT 21160 (Reconstruction mdfc lfrtiii advm with i) is a Surgery code. Reconstruction of the midface using advanced Le Fort III osteotomy with monobloc advancement and concurrent maxillary adjustment or Le Fort I.

What is the wRVU value for CPT 21160?

The work RVU for CPT 21160 is 46.01. This code is primarily used by Craniofacial Surgery, Maxillofacial Surgery, Sleep Medicine. It has a 90-day global period.

When is CPT 21160 used?

Used for severe craniofacial syndromes requiring maximal advancement of all facial levels for optimal respiratory and functional outcomes.

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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.