21445 Optx mndblr/max alv ridge fracture
Also known as: alveolar ridge fracture open reduction, dentoalveolar fracture ORIF
Open treatment of mandibular and maxillary alveolar ridge fracture. Direct surgical visualization and fixation of tooth-bearing alveolar bone fractures of both jaws with plates, screws, or other internal fixation.
In Plain Language
tooth socket fracture surgery; dental bone fracture with plates and screws
Clinical Context
Indicated for complex or displaced alveolar ridge fractures requiring direct visualization for anatomic reduction. Ensures proper tooth alignment and restoration of dental functional dimensions. Often performed in conjunction with other jaw surgery.
RVU Breakdown
| Work RVU | 6.10 |
| Total RVU | 6.10 |
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 6.10, this code ranks in the 41st percentile among Surgery codes — 1.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21445?
CPT 21445 (Optx mndblr/max alv ridge fracture) is a Surgery code. Open treatment of mandibular and maxillary alveolar ridge fracture. Direct surgical visualization and fixation of tooth-bearing alveolar bone fractures of both jaws with plates, screws, or other internal fixation.
What is the wRVU value for CPT 21445?
The work RVU for CPT 21445 is 6.10. This code is primarily used by Oral Surgery, Dentistry. It has a 90-day global period.
When is CPT 21445 used?
Indicated for complex or displaced alveolar ridge fractures requiring direct visualization for anatomic reduction. Ensures proper tooth alignment and restoration of dental functional dimensions. Often performed in conjunction with other jaw surgery.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.