21366 Opn treatment complx malar with graft
Also known as: complex malar with graft, malar fracture reconstruction
Open treatment of complex malar fracture with the addition of bone graft material for reconstruction and structural support.
In Plain Language
Complex cheekbone surgery with bone graft
Clinical Context
Used for complex malar fractures with bone loss requiring graft reconstruction.
RVU Breakdown
| Work RVU | 18.14 |
| Total RVU | 18.14 |
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 18.14, this code ranks in the 79th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21366?
CPT 21366 (Opn treatment complx malar with graft) is a Surgery code. Open treatment of complex malar fracture with the addition of bone graft material for reconstruction and structural support.
What is the wRVU value for CPT 21366?
The work RVU for CPT 21366 is 18.14. This code is primarily used by Maxillofacial Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 21366 used?
Used for complex malar fractures with bone loss requiring graft reconstruction.
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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.