21195 Reconst lower jaw without fixation
Also known as: non-fixed jaw reconstruction, soft tissue stabilized reconstruction
Reconstruction of the lower jaw without internal fixation devices, relying on tissue support and healing for stability.
In Plain Language
Jaw reconstruction without plates or screws
Clinical Context
Used for limited defects where internal fixation is not necessary or cannot be employed.
RVU Breakdown
| Work RVU | 18.68 |
| Total RVU | 18.68 |
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 18.68, 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 21195?
CPT 21195 (Reconst lower jaw without fixation) is a Surgery code. Reconstruction of the lower jaw without internal fixation devices, relying on tissue support and healing for stability.
What is the wRVU value for CPT 21195?
The work RVU for CPT 21195 is 18.68. This code is primarily used by Maxillofacial Surgery, Oral Surgery. It has a 90-day global period.
When is CPT 21195 used?
Used for limited defects where internal fixation is not necessary or cannot be employed.
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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.