21268 Revise eye sockets
Also known as: orbital revision with implant and graft
Revision of the eye socket (orbital walls) with combined implant and bone graft for comprehensive orbital reconstruction.
In Plain Language
Complex eye socket surgery
Clinical Context
Used for extensive orbital defects requiring both bony restoration and structural augmentation.
RVU Breakdown
| Work RVU | 26.39 |
| Total RVU | 26.39 |
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 26.39, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21268?
CPT 21268 (Revise eye sockets) is a Surgery code. Revision of the eye socket (orbital walls) with combined implant and bone graft for comprehensive orbital reconstruction.
What is the wRVU value for CPT 21268?
The work RVU for CPT 21268 is 26.39. This code is primarily used by Oculoplastic Surgery, Maxillofacial Surgery. It has a 90-day global period.
When is CPT 21268 used?
Used for extensive orbital defects requiring both bony restoration and structural augmentation.
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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.