21198 Reconstruction lower jaw segment
Also known as: mandibular segment reconstruction, partial jaw reconstruction
Reconstruction of a single segment of the lower jaw, typically involving a portion of the mandible without full continuity restoration.
In Plain Language
Partial lower jaw reconstruction; Rebuilding part of the jaw
Clinical Context
Used for limited segmental defects affecting a portion of the mandible.
RVU Breakdown
| Work RVU | 15.32 |
| Total RVU | 15.32 |
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 15.32, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21198?
CPT 21198 (Reconstruction lower jaw segment) is a Surgery code. Reconstruction of a single segment of the lower jaw, typically involving a portion of the mandible without full continuity restoration.
What is the wRVU value for CPT 21198?
The work RVU for CPT 21198 is 15.32. This code is primarily used by Maxillofacial Surgery, Oral Surgery. It has a 90-day global period.
When is CPT 21198 used?
Used for limited segmental defects affecting a portion of the mandible.
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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.