21407 Opn treatment orbit fracture with implant
Also known as: orbital fracture with implant, open orbit reduction with plate
Open treatment of orbit fracture with implant placement. Direct surgical visualization and reduction of orbital fractures with insertion of prosthetic material for structural support.
In Plain Language
eye socket fracture repair with implant; orbital bone surgery with support device
Clinical Context
Used when orbital fractures require implant reconstruction for stability. Indicated for significant comminution or when bone loss necessitates prosthetic support for restoration of orbital volume and projection.
RVU Breakdown
| Work RVU | 8.79 |
| Total RVU | 8.79 |
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 8.79, this code ranks in the 54th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21407?
CPT 21407 (Opn treatment orbit fracture with implant) is a Surgery code. Open treatment of orbit fracture with implant placement. Direct surgical visualization and reduction of orbital fractures with insertion of prosthetic material for structural support.
What is the wRVU value for CPT 21407?
The work RVU for CPT 21407 is 8.79. This code is primarily used by Ophthalmology, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 21407 used?
Used when orbital fractures require implant reconstruction for stability. Indicated for significant comminution or when bone loss necessitates prosthetic support for restoration of orbital volume and projection.
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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.