21453 Cltx mndblr fracture ntrdntl fixation
Also known as: interdental wiring mandible, closed reduction with arch bars
Closed treatment of mandibular fracture with interdental fixation. Non-surgical stabilization using interdental wiring or arch bars to maintain proper occlusal relationship during fracture healing.
In Plain Language
jaw fracture stabilization with wires; tooth-to-tooth wiring for jaw fracture
Clinical Context
Used for mandibular fractures requiring non-operative stabilization through interdental fixation. Relies on establishing and maintaining proper occlusion during healing. Common for simple uncomplicated fractures.
RVU Breakdown
| Work RVU | 6.47 |
| Total RVU | 6.47 |
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 6.47, this code ranks in the 43rd percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21453?
CPT 21453 (Cltx mndblr fracture ntrdntl fixation) is a Surgery code. Closed treatment of mandibular fracture with interdental fixation. Non-surgical stabilization using interdental wiring or arch bars to maintain proper occlusal relationship during fracture healing.
What is the wRVU value for CPT 21453?
The work RVU for CPT 21453 is 6.47. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 21453 used?
Used for mandibular fractures requiring non-operative stabilization through interdental fixation. Relies on establishing and maintaining proper occlusion during healing. Common for simple uncomplicated fractures.
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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.