21194 Reconst lower jaw with graft
Also known as: mandibular reconstruction with graft, jawbone graft
Reconstruction of the lower jaw with the addition of bone graft material to restore mandibular continuity and structure.
In Plain Language
Lower jaw reconstruction with bone graft; Jaw repair with added bone
Clinical Context
Used for significant mandibular defects requiring bony reconstruction. Essential for restoring jaw continuity after ablative surgery.
RVU Breakdown
| Work RVU | 21.27 |
| Total RVU | 21.27 |
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 21.27, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21194?
CPT 21194 (Reconst lower jaw with graft) is a Surgery code. Reconstruction of the lower jaw with the addition of bone graft material to restore mandibular continuity and structure.
What is the wRVU value for CPT 21194?
The work RVU for CPT 21194 is 21.27. This code is primarily used by Maxillofacial Surgery, Oral Surgery, Head and Neck Surgery. It has a 90-day global period.
When is CPT 21194 used?
Used for significant mandibular defects requiring bony reconstruction. Essential for restoring jaw continuity after ablative surgery.
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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.