21433 Optx cranfcl sep complicated mlt
Also known as: complex Le Fort with multiple fixation, craniofacial separation complex ORIF
Open treatment of craniofacial separation with multiple internal fixation elements. Comprehensive surgical reconstruction of complex craniofacial separation involving multiple fracture sites with extensive fixation of multiple bone segments.
Clinical Context
Indicated for highly complex craniofacial separations with multiple fracture lines, severe comminution, and bone loss. Requires advanced fixation techniques, often with combined approaches for maxilla, nasal complex, and orbital rims.
RVU Breakdown
| Work RVU | 25.63 |
| Practice Expense RVU | 15.31 |
| Malpractice RVU | 4.76 |
| Total RVU | 45.70 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.