21395 Opn treatment orbit periorbt with graft
Also known as: orbital fracture with graft, orbital reconstruction with bone
Open treatment of orbital fracture with periorbital bone graft insertion for reconstruction and structural restoration of orbital walls.
In Plain Language
Eye socket surgery with bone graft
Clinical Context
Used for orbital fractures with bone loss requiring bone graft reconstruction for restored bony anatomy.
RVU Breakdown
| Work RVU | 14.33 |
| Total RVU | 14.33 |
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 14.33, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21395?
CPT 21395 (Opn treatment orbit periorbt with graft) is a Surgery code. Open treatment of orbital fracture with periorbital bone graft insertion for reconstruction and structural restoration of orbital walls.
What is the wRVU value for CPT 21395?
The work RVU for CPT 21395 is 14.33. This code is primarily used by Maxillofacial Surgery, Oculoplastic Surgery. It has a 90-day global period.
When is CPT 21395 used?
Used for orbital fractures with bone loss requiring bone graft reconstruction for restored bony anatomy.
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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.