21206 Reconstruct upper jaw bone
Also known as: maxillary reconstruction, upper jaw reconstruction
Reconstruction of the upper jaw (maxilla) following bone loss or significant defect, restoring maxillary structure and function.
In Plain Language
Upper jaw reconstruction; Repairing the upper jaw bone
Clinical Context
Used for maxillary defects from tumor resection, trauma, or disease. Essential for restoring mastication and speech.
RVU Breakdown
| Work RVU | 15.20 |
| Total RVU | 15.20 |
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 15.20, this code ranks in the 73rd 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 21206?
CPT 21206 (Reconstruct upper jaw bone) is a Surgery code. Reconstruction of the upper jaw (maxilla) following bone loss or significant defect, restoring maxillary structure and function.
What is the wRVU value for CPT 21206?
The work RVU for CPT 21206 is 15.20. This code is primarily used by Maxillofacial Surgery, Head and Neck Surgery, Oral Surgery. It has a 90-day global period.
When is CPT 21206 used?
Used for maxillary defects from tumor resection, trauma, or disease. Essential for restoring mastication and speech.
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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.