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21295 Revision of jaw muscle/bone

Surgery Global 90d

Also known as: jaw muscle revision, minor jaw revision

Revision of jaw muscles and/or jaw bone for minor corrections, addressing muscular dysfunction or subtle skeletal malposition.

In Plain Language

Adjusting jaw muscles or bones slightly

Clinical Context

Used for minor functional or aesthetic issues with jaw muscles or skeletal position.

RVU Breakdown

Work RVU1.85
Total RVU1.85

Est. Medicare Payment

$61.79

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 1.85, this code ranks in the 12th percentile among Surgery codes — 4.3x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Maxillofacial SurgeryOral Surgery

Frequently Asked Questions

What is CPT code 21295?

CPT 21295 (Revision of jaw muscle/bone) is a Surgery code. Revision of jaw muscles and/or jaw bone for minor corrections, addressing muscular dysfunction or subtle skeletal malposition.

What is the wRVU value for CPT 21295?

The work RVU for CPT 21295 is 1.85. This code is primarily used by Maxillofacial Surgery, Oral Surgery. It has a 90-day global period.

When is CPT 21295 used?

Used for minor functional or aesthetic issues with jaw muscles or skeletal position.

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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.