21188 Reconstruction of midface
Also known as: midface defect reconstruction, midface repair
Reconstruction of the midface region following tumor resection or significant defect, restoring bony and soft tissue contours.
In Plain Language
Repairing midface damage; Facial reconstruction after tumor removal
Clinical Context
Used for midface defects from tumor, trauma, or disease. May involve bone, soft tissue, or combined reconstruction.
RVU Breakdown
| Work RVU | 22.57 |
| Total RVU | 22.57 |
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 22.57, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21188?
CPT 21188 (Reconstruction of midface) is a Surgery code. Reconstruction of the midface region following tumor resection or significant defect, restoring bony and soft tissue contours.
What is the wRVU value for CPT 21188?
The work RVU for CPT 21188 is 22.57. This code is primarily used by Maxillofacial Surgery, Plastic Surgery, Head and Neck Surgery. It has a 90-day global period.
When is CPT 21188 used?
Used for midface defects from tumor, trauma, or disease. May involve bone, soft tissue, or combined reconstruction.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.