21245 Reconstruction of jaw
Also known as: maxillary advancement, Le Fort I advancement
Reconstruction of the jaw with maxillary advancement, moving the upper jaw forward to correct skeletal Class III malocclusion or midface deficiency.
In Plain Language
Moving upper jaw forward; Upper jaw surgery
Clinical Context
Used for maxillary retrognathia, midface deficiency, or combined Class III correction with mandibular setback.
RVU Breakdown
| Work RVU | 12.79 |
| Total RVU | 12.79 |
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 12.79, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21245?
CPT 21245 (Reconstruction of jaw) is a Surgery code. Reconstruction of the jaw with maxillary advancement, moving the upper jaw forward to correct skeletal Class III malocclusion or midface deficiency.
What is the wRVU value for CPT 21245?
The work RVU for CPT 21245 is 12.79. This code is primarily used by Orthognathic Surgery, Maxillofacial Surgery. It has a 90-day global period.
When is CPT 21245 used?
Used for maxillary retrognathia, midface deficiency, or combined Class III correction with mandibular setback.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.