21465 Optx mndblr cndylr fracture
Also known as: condyle fracture open reduction, TMJ condyle ORIF
Open treatment of mandibular condylar fracture. Surgical reduction and fixation of fractures involving the mandibular condyle, the articulating surface critical for temporomandibular joint function.
In Plain Language
jaw joint fracture surgery; mandibular joint bone repair
Clinical Context
Used for displaced or unstable mandibular condylar fractures affecting temporomandibular joint function. Requires careful technique to restore proper occlusion and joint mechanics. Often challenging due to anatomic complexity.
RVU Breakdown
| Work RVU | 12.79 |
| Total RVU | 12.79 |
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 12.79, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21465?
CPT 21465 (Optx mndblr cndylr fracture) is a Surgery code. Open treatment of mandibular condylar fracture. Surgical reduction and fixation of fractures involving the mandibular condyle, the articulating surface critical for temporomandibular joint function.
What is the wRVU value for CPT 21465?
The work RVU for CPT 21465 is 12.79. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 21465 used?
Used for displaced or unstable mandibular condylar fractures affecting temporomandibular joint function. Requires careful technique to restore proper occlusion and joint mechanics. Often challenging due to anatomic complexity.
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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.