21196 Reconst lower jaw with fixation
Also known as: fixed jaw reconstruction, ORIF jaw, plated jaw reconstruction
Reconstruction of the lower jaw with internal fixation devices (plates, screws, bars) to stabilize the reconstructed or repositioned jaw.
In Plain Language
Jaw reconstruction with plates or screws; Stabilized jaw repair
Clinical Context
Used for significant mandibular defects or malunions requiring rigid stabilization during healing.
RVU Breakdown
| Work RVU | 20.31 |
| Total RVU | 20.31 |
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 20.31, this code ranks in the 83rd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21196?
CPT 21196 (Reconst lower jaw with fixation) is a Surgery code. Reconstruction of the lower jaw with internal fixation devices (plates, screws, bars) to stabilize the reconstructed or repositioned jaw.
What is the wRVU value for CPT 21196?
The work RVU for CPT 21196 is 20.31. This code is primarily used by Maxillofacial Surgery, Oral Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 21196 used?
Used for significant mandibular defects or malunions requiring rigid stabilization during healing.
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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.