21408 Opn treatment orbit fracture with bone graft
Also known as: orbital fracture with bone graft, open orbit reduction with bone reconstruction
Open treatment of orbit fracture with bone graft. Direct surgical repair of orbital fractures with harvesting and placement of autogenous or allogeneic bone graft for structural reconstruction.
In Plain Language
eye socket fracture repair with bone graft; orbital reconstruction with donor bone
Clinical Context
Used for complex orbital fractures with significant bone loss or comminution requiring biological reconstruction. More extensive than implant-only repair; indicated when bone graft will optimize orbital volume and contour.
RVU Breakdown
| Work RVU | 12.46 |
| Total RVU | 12.46 |
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 12.46, this code ranks in the 66th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21408?
CPT 21408 (Opn treatment orbit fracture with bone graft) is a Surgery code. Open treatment of orbit fracture with bone graft. Direct surgical repair of orbital fractures with harvesting and placement of autogenous or allogeneic bone graft for structural reconstruction.
What is the wRVU value for CPT 21408?
The work RVU for CPT 21408 is 12.46. This code is primarily used by Ophthalmology, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 21408 used?
Used for complex orbital fractures with significant bone loss or comminution requiring biological reconstruction. More extensive than implant-only repair; indicated when bone graft will optimize orbital volume and contour.
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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.