21454 Optx mndblr fracture external fixation
Also known as: open reduction external fixation mandible, ORIF mandible with external fixator
Open treatment of mandibular fracture with external fixation. Surgical exposure combined with external fixation devices to stabilize mandibular fractures, typically used for severe trauma or contamination.
In Plain Language
jaw surgery with external stabilization; open jaw fracture repair with external device
Clinical Context
Used for complex mandibular fractures where open reduction is needed combined with external fixation for stability. Appropriate for severely comminuted, contaminated, or pathologic fractures requiring both visualization and external stabilization.
RVU Breakdown
| Work RVU | 7.18 |
| Total RVU | 7.18 |
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 7.18, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21454?
CPT 21454 (Optx mndblr fracture external fixation) is a Surgery code. Open treatment of mandibular fracture with external fixation. Surgical exposure combined with external fixation devices to stabilize mandibular fractures, typically used for severe trauma or contamination.
What is the wRVU value for CPT 21454?
The work RVU for CPT 21454 is 7.18. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 21454 used?
Used for complex mandibular fractures where open reduction is needed combined with external fixation for stability. Appropriate for severely comminuted, contaminated, or pathologic fractures requiring both visualization and external stabilization.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national 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.