21365 Opn treatment complx malar fracture
Also known as: complex malar fracture, comminuted cheekbone
Open treatment of complex malar fracture involving significant comminution, orbital involvement, or instability requiring fixation.
In Plain Language
Surgery for complex cheekbone fracture
Clinical Context
Used for complex malar fractures with multiple fragments or orbital involvement requiring extensive surgical management.
RVU Breakdown
| Work RVU | 16.35 |
| Total RVU | 16.35 |
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 16.35, this code ranks in the 76th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21365?
CPT 21365 (Opn treatment complx malar fracture) is a Surgery code. Open treatment of complex malar fracture involving significant comminution, orbital involvement, or instability requiring fixation.
What is the wRVU value for CPT 21365?
The work RVU for CPT 21365 is 16.35. This code is primarily used by Maxillofacial Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 21365 used?
Used for complex malar fractures with multiple fragments or orbital involvement requiring extensive surgical management.
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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.