21263 Revise eye sockets
Also known as: orbital revision with graft, eye socket reconstruction with graft
Revision of the eye socket (orbital walls) with bone graft insertion to restore bony continuity and improve contour.
In Plain Language
Eye socket surgery with bone graft; Repairing eye socket with bone
Clinical Context
Used for orbital wall defects requiring bony restoration. Graft integrates with host bone for durable repair.
RVU Breakdown
| Work RVU | 30.23 |
| Total RVU | 30.23 |
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 30.23, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21263?
CPT 21263 (Revise eye sockets) is a Surgery code. Revision of the eye socket (orbital walls) with bone graft insertion to restore bony continuity and improve contour.
What is the wRVU value for CPT 21263?
The work RVU for CPT 21263 is 30.23. This code is primarily used by Oculoplastic Surgery, Maxillofacial Surgery. It has a 90-day global period.
When is CPT 21263 used?
Used for orbital wall defects requiring bony restoration. Graft integrates with host bone for durable repair.
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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.