21406 Opn treatment orbit fracture without implant
Also known as: orbital fracture open reduction, open orbit fixation
Open treatment of orbit fracture without implant placement. Direct visualization and reduction of orbital bone fractures managed surgically without insertion of prosthetic material.
In Plain Language
eye socket bone break surgery; eye socket fracture repair
Clinical Context
Used for orbital fractures requiring open surgical approach when patient has displacement or instability that cannot be managed conservatively. Common after blunt facial trauma or high-energy injuries.
RVU Breakdown
| Work RVU | 7.23 |
| Total RVU | 7.23 |
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 7.23, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21406?
CPT 21406 (Opn treatment orbit fracture without implant) is a Surgery code. Open treatment of orbit fracture without implant placement. Direct visualization and reduction of orbital bone fractures managed surgically without insertion of prosthetic material.
What is the wRVU value for CPT 21406?
The work RVU for CPT 21406 is 7.23. This code is primarily used by Ophthalmology, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 21406 used?
Used for orbital fractures requiring open surgical approach when patient has displacement or instability that cannot be managed conservatively. Common after blunt facial trauma or high-energy injuries.
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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.