21260 Revise eye sockets
Also known as: orbital revision, eye socket revision
Revision of the eye socket (orbital walls) following defect, trauma, or inadequate prior reconstruction to restore function and contour.
In Plain Language
Revising eye socket surgery; Correcting eye socket problems
Clinical Context
Used for enophthalmos, eye malposition, or inadequate prior orbital reconstruction. Restores normal eye position and function.
RVU Breakdown
| Work RVU | 17.45 |
| Total RVU | 17.45 |
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 17.45, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21260?
CPT 21260 (Revise eye sockets) is a Surgery code. Revision of the eye socket (orbital walls) following defect, trauma, or inadequate prior reconstruction to restore function and contour.
What is the wRVU value for CPT 21260?
The work RVU for CPT 21260 is 17.45. This code is primarily used by Oculoplastic Surgery, Maxillofacial Surgery. It has a 90-day global period.
When is CPT 21260 used?
Used for enophthalmos, eye malposition, or inadequate prior orbital reconstruction. Restores normal eye position and function.
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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.