21630 Radical resection sternum
Also known as: sternal resection radical, extensive sternal removal
Radical resection of sternum. Extensive surgical removal of large sternal segment for malignancy or extensive infection, often requiring reconstruction.
In Plain Language
major breastbone surgery; extensive sternal cancer surgery
Clinical Context
Used for sternal malignancy or extensive osteomyelitis requiring wide resection. Often followed by reconstruction with soft tissue or prosthetic material. High morbidity reflecting extensive thoracic surgery.
RVU Breakdown
| Work RVU | 18.70 |
| Total RVU | 18.70 |
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 18.70, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21630?
CPT 21630 (Radical resection sternum) is a Surgery code. Radical resection of sternum. Extensive surgical removal of large sternal segment for malignancy or extensive infection, often requiring reconstruction.
What is the wRVU value for CPT 21630?
The work RVU for CPT 21630 is 18.70. This code is primarily used by Thoracic Surgery, General Surgery. It has a 90-day global period.
When is CPT 21630 used?
Used for sternal malignancy or extensive osteomyelitis requiring wide resection. Often followed by reconstruction with soft tissue or prosthetic material. High morbidity reflecting extensive thoracic surgery.
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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.