21385 Opn treatment orbit fracture transantral
Also known as: orbital fracture transantral, transantral orbitotomy
Open treatment of orbital fracture via transantral approach, accessing the orbit through the maxillary sinus for reduction and fixation.
In Plain Language
Surgery through upper jaw to fix eye socket
Clinical Context
Used for orbital floor or medial wall fractures accessible via transantral approach. Preserves external facial incisions.
RVU Breakdown
| Work RVU | 9.33 |
| Total RVU | 9.33 |
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 9.33, this code ranks in the 56th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21385?
CPT 21385 (Opn treatment orbit fracture transantral) is a Surgery code. Open treatment of orbital fracture via transantral approach, accessing the orbit through the maxillary sinus for reduction and fixation.
What is the wRVU value for CPT 21385?
The work RVU for CPT 21385 is 9.33. This code is primarily used by Maxillofacial Surgery, Otolaryngology, Oculoplastic Surgery. It has a 90-day global period.
When is CPT 21385 used?
Used for orbital floor or medial wall fractures accessible via transantral approach. Preserves external facial incisions.
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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.