21193 Reconst lower jaw without graft
Also known as: mandibular reconstruction without graft, soft tissue jaw reconstruction
Reconstruction of the lower jaw without the use of bone graft material, utilizing soft tissue flaps or primary closure of defects.
In Plain Language
Lower jaw reconstruction without bone graft; Jaw repair using soft tissue
Clinical Context
Used for limited mandibular defects or when autogenous bone is not available or appropriate.
RVU Breakdown
| Work RVU | 18.43 |
| Total RVU | 18.43 |
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 18.43, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21193?
CPT 21193 (Reconst lower jaw without graft) is a Surgery code. Reconstruction of the lower jaw without the use of bone graft material, utilizing soft tissue flaps or primary closure of defects.
What is the wRVU value for CPT 21193?
The work RVU for CPT 21193 is 18.43. This code is primarily used by Maxillofacial Surgery, Oral Surgery, Plastic Surgery. It has a 90-day global period.
When is CPT 21193 used?
Used for limited mandibular defects or when autogenous bone is not available or appropriate.
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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.