21470 Optx complicated mndblr fracture
Also known as: complex mandible fracture ORIF, complicated jaw fracture surgery
Open treatment of complicated mandibular fracture. Surgical reduction and fixation of complex mandibular fractures involving multiple fracture lines, severe comminution, or associated injuries requiring advanced reconstruction.
In Plain Language
major lower jaw fracture surgery; complex jaw reconstruction
Clinical Context
Used for highly complex mandibular injuries including those with multiple fracture sites, severe bone loss, severe soft tissue trauma, or associated injuries. Represents highest complexity mandibular fracture requiring advanced technique.
RVU Breakdown
| Work RVU | 17.10 |
| Total RVU | 17.10 |
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 17.10, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21470?
CPT 21470 (Optx complicated mndblr fracture) is a Surgery code. Open treatment of complicated mandibular fracture. Surgical reduction and fixation of complex mandibular fractures involving multiple fracture lines, severe comminution, or associated injuries requiring advanced reconstruction.
What is the wRVU value for CPT 21470?
The work RVU for CPT 21470 is 17.10. This code is primarily used by Oral Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 21470 used?
Used for highly complex mandibular injuries including those with multiple fracture sites, severe bone loss, severe soft tissue trauma, or associated injuries. Represents highest complexity mandibular fracture requiring advanced technique.
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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.