21451 Cltx mndblr fracture with mnpj
Also known as: mandible fracture closed reduction, jaw fracture manipulation
Closed treatment of mandibular fracture with manipulation. Non-surgical reduction and stabilization of mandibular fractures using manual manipulation to achieve proper alignment, typically with guiding of occlusion.
In Plain Language
lower jaw fracture realignment without surgery; jaw positioning treatment
Clinical Context
Used for mandibular fractures that require realignment but are stable enough for non-operative management. Patient relies on maintained proper occlusion through elastic traction or intermaxillary fixation devices.
RVU Breakdown
| Work RVU | 5.51 |
| Total RVU | 5.51 |
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 5.51, this code ranks in the 37th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21451?
CPT 21451 (Cltx mndblr fracture with mnpj) is a Surgery code. Closed treatment of mandibular fracture with manipulation. Non-surgical reduction and stabilization of mandibular fractures using manual manipulation to achieve proper alignment, typically with guiding of occlusion.
What is the wRVU value for CPT 21451?
The work RVU for CPT 21451 is 5.51. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 21451 used?
Used for mandibular fractures that require realignment but are stable enough for non-operative management. Patient relies on maintained proper occlusion through elastic traction or intermaxillary fixation devices.
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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.