21249 Reconstruction of jaw
Also known as: jaw asymmetry correction, facial asymmetry surgery
Reconstruction of the jaw with correction of asymmetry, involving surgical repositioning to balance facial proportions bilaterally.
In Plain Language
Balancing uneven jaw; Correcting facial imbalance
Clinical Context
Used for mandibular or maxillary asymmetry from trauma, disease, or congenital conditions. May require bilateral adjustments.
RVU Breakdown
| Work RVU | 18.30 |
| Total RVU | 18.30 |
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 18.30, this code ranks in the 79th 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 21249?
CPT 21249 (Reconstruction of jaw) is a Surgery code. Reconstruction of the jaw with correction of asymmetry, involving surgical repositioning to balance facial proportions bilaterally.
What is the wRVU value for CPT 21249?
The work RVU for CPT 21249 is 18.30. This code is primarily used by Orthognathic Surgery, Maxillofacial Surgery. It has a 90-day global period.
When is CPT 21249 used?
Used for mandibular or maxillary asymmetry from trauma, disease, or congenital conditions. May require bilateral adjustments.
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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.