21435 Optx crnfc sep complicated int and/or xtr
Also known as: Le Fort with external fixator, craniofacial separation ORIF with external fixation
Open treatment of craniofacial separation with both internal and external fixation. Surgical management of complex craniofacial separation combining intraoral internal fixation with extraoral external fixation devices for maximum stability.
Clinical Context
Used for severely comminuted or contaminated craniofacial separations where combined fixation provides optimal stability. External fixation aids reduction and maintains alignment during healing while internal fixation addresses specific fracture sites.
RVU Breakdown
| Work RVU | 19.75 |
| Practice Expense RVU | 14.36 |
| Malpractice RVU | 3.66 |
| Total RVU | 37.77 |
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.