21436 Optx crnfcl sep complicated mlt int
Also known as: complex Le Fort multi-fixation, craniofacial separation complex multi-site fixation
Open treatment of craniofacial separation with complex internal fixation of multiple sites. Surgical reconstruction addressing craniofacial separation with sophisticated multi-point internal fixation addressing maxilla, nasal complex, and orbital elements.
Clinical Context
Indicated for most complex craniofacial separations with involvement of orbital rims, nasal bones, and pterygoid plates requiring reconstruction at multiple anatomic levels. Highest morbidity case representing severe facial trauma.
RVU Breakdown
| Work RVU | 29.54 |
| Practice Expense RVU | 19.00 |
| Malpractice RVU | 5.49 |
| Total RVU | 54.03 |
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.