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21175 Reconstruction bfrnt sp orb rm & lw fhd

Surgery Global 90d

Also known as: bifrontal orbital reconstruction, anterior orbit repair, superior orbit reconstruction

Reconstruction of the bifrontal and superior orbital areas with removal and repositioning of orbital contents for anterior orbital repair.

In Plain Language

Repairing the front and top of eye socket; Anterior orbital wall reconstruction

Clinical Context

Used for extensive frontal and superior orbital injuries, tumors, or deformities. More extensive than superolateral reconstruction.

RVU Breakdown

Work RVU32.72
Total RVU32.72

Est. Medicare Payment

$1,092.85

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 32.72, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Oculoplastic SurgeryCraniofacial SurgeryMaxillofacial Surgery

Frequently Asked Questions

What is CPT code 21175?

CPT 21175 (Reconstruction bfrnt sp orb rm & lw fhd) is a Surgery code. Reconstruction of the bifrontal and superior orbital areas with removal and repositioning of orbital contents for anterior orbital repair.

What is the wRVU value for CPT 21175?

The work RVU for CPT 21175 is 32.72. This code is primarily used by Oculoplastic Surgery, Craniofacial Surgery, Maxillofacial Surgery. It has a 90-day global period.

When is CPT 21175 used?

Used for extensive frontal and superior orbital injuries, tumors, or deformities. More extensive than superolateral reconstruction.

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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.