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.
In Plain Language
major upper face fracture surgery; complex facial separation with extensive reconstruction
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 |
| Total RVU | 25.63 |
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 25.63, this code ranks in the 89th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21433?
CPT 21433 (Optx cranfcl sep complicated mlt) is a Surgery code. 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.
What is the wRVU value for CPT 21433?
The work RVU for CPT 21433 is 25.63. This code is primarily used by Oral Surgery, Otolaryngology, Plastic Surgery. It has a 90-day global period.
When is CPT 21433 used?
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.
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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.