21422 Optx palatal/max fracture
Also known as: maxilla open reduction, palate open reduction internal fixation, ORIF maxilla
Open treatment of palatal and maxillary fracture. Direct surgical visualization and fixation of palatal and maxillary bone fractures using plates, screws, or other internal fixation devices.
In Plain Language
upper jaw surgery for fracture; palate fracture surgery with plates and screws
Clinical Context
Indicated for displaced, comminuted, or unstable palatal and maxillary fractures requiring direct visualization. Restores proper occlusion, facial projection, and nasal airway patency. Common after high-energy facial trauma.
RVU Breakdown
| Work RVU | 8.51 |
| Total RVU | 8.51 |
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 8.51, this code ranks in the 52nd 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 21422?
CPT 21422 (Optx palatal/max fracture) is a Surgery code. Open treatment of palatal and maxillary fracture. Direct surgical visualization and fixation of palatal and maxillary bone fractures using plates, screws, or other internal fixation devices.
What is the wRVU value for CPT 21422?
The work RVU for CPT 21422 is 8.51. This code is primarily used by Oral Surgery, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 21422 used?
Indicated for displaced, comminuted, or unstable palatal and maxillary fractures requiring direct visualization. Restores proper occlusion, facial projection, and nasal airway patency. Common after high-energy facial trauma.
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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.