21390 Opn treatment orbit periorbtl implant
Also known as: orbital fracture with implant, orbitofacial reconstruction
Open treatment of orbital fracture with periorbital implant insertion to support and reconstruct the orbital wall.
In Plain Language
Eye socket surgery with implant
Clinical Context
Used for orbital fractures with significant wall defects requiring implant placement for structural support.
RVU Breakdown
| Work RVU | 10.95 |
| Total RVU | 10.95 |
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 10.95, this code ranks in the 62nd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21390?
CPT 21390 (Opn treatment orbit periorbtl implant) is a Surgery code. Open treatment of orbital fracture with periorbital implant insertion to support and reconstruct the orbital wall.
What is the wRVU value for CPT 21390?
The work RVU for CPT 21390 is 10.95. This code is primarily used by Maxillofacial Surgery, Oculoplastic Surgery. It has a 90-day global period.
When is CPT 21390 used?
Used for orbital fractures with significant wall defects requiring implant placement for structural support.
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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.