21261 Revise eye sockets
Also known as: orbital revision with implant, eye socket reconstruction with implant
Revision of the eye socket (orbital walls) with insertion of implant material to improve contour or fill defects.
In Plain Language
Eye socket surgery with implant; Repairing eye socket with added material
Clinical Context
Used when orbital wall defects require implant placement for structural support and aesthetic improvement.
RVU Breakdown
| Work RVU | 33.22 |
| Total RVU | 33.22 |
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 33.22, this code ranks in the 94th percentile among Surgery codes — 4.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21261?
CPT 21261 (Revise eye sockets) is a Surgery code. Revision of the eye socket (orbital walls) with insertion of implant material to improve contour or fill defects.
What is the wRVU value for CPT 21261?
The work RVU for CPT 21261 is 33.22. This code is primarily used by Oculoplastic Surgery, Maxillofacial Surgery. It has a 90-day global period.
When is CPT 21261 used?
Used when orbital wall defects require implant placement for structural support and aesthetic improvement.
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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.