21387 Opn treatment orbit fracture combined
Also known as: orbital fracture combined approach, combined orbital access
Open treatment of orbital fracture using combined approaches (transantral and periorbital) for comprehensive access and reduction.
In Plain Language
Multi-approach eye socket surgery
Clinical Context
Used for complex orbital fractures requiring exposure from multiple approaches for optimal reduction.
RVU Breakdown
| Work RVU | 9.86 |
| Total RVU | 9.86 |
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 9.86, this code ranks in the 58th 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 21387?
CPT 21387 (Opn treatment orbit fracture combined) is a Surgery code. Open treatment of orbital fracture using combined approaches (transantral and periorbital) for comprehensive access and reduction.
What is the wRVU value for CPT 21387?
The work RVU for CPT 21387 is 9.86. This code is primarily used by Maxillofacial Surgery, Oculoplastic Surgery. It has a 90-day global period.
When is CPT 21387 used?
Used for complex orbital fractures requiring exposure from multiple approaches for optimal reduction.
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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.