21432 Optx cranfcl sep with wiring
Also known as: Le Fort open reduction, craniofacial separation ORIF with wiring
Open treatment of craniofacial separation with interdental wiring and internal fixation. Surgical exposure and fixation of maxillomalar complex separation from cranial base using direct visualization and stabilization techniques.
In Plain Language
upper face fracture surgery with fixation; facial separation surgical repair
Clinical Context
Indicated for displaced craniofacial separations requiring direct visualization for anatomic reduction. Uses combination of internal fixation and interdental wiring to restore facial height, projection, and occlusion.
RVU Breakdown
| Work RVU | 8.60 |
| Total RVU | 8.60 |
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 8.60, this code ranks in the 53rd 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 21432?
CPT 21432 (Optx cranfcl sep with wiring) is a Surgery code. Open treatment of craniofacial separation with interdental wiring and internal fixation. Surgical exposure and fixation of maxillomalar complex separation from cranial base using direct visualization and stabilization techniques.
What is the wRVU value for CPT 21432?
The work RVU for CPT 21432 is 8.60. This code is primarily used by Oral Surgery, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 21432 used?
Indicated for displaced craniofacial separations requiring direct visualization for anatomic reduction. Uses combination of internal fixation and interdental wiring to restore facial height, projection, and occlusion.
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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.