21386 Opn treatment orbit fracture periorbital
Also known as: orbital fracture periorbital, direct orbital approach
Open treatment of orbital fracture via periorbital approach, using direct incisions around the orbit for reduction and fixation.
In Plain Language
Direct surgery around the eye socket
Clinical Context
Used for orbital fractures (particularly lateral wall or superior orbital) requiring direct periorbital exposure.
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 21386?
CPT 21386 (Opn treatment orbit fracture periorbital) is a Surgery code. Open treatment of orbital fracture via periorbital approach, using direct incisions around the orbit for reduction and fixation.
What is the wRVU value for CPT 21386?
The work RVU for CPT 21386 is 9.33. This code is primarily used by Oculoplastic Surgery, Maxillofacial Surgery. It has a 90-day global period.
When is CPT 21386 used?
Used for orbital fractures (particularly lateral wall or superior orbital) requiring direct periorbital exposure.
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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.