21811 Optx of rib fracture with fixation scope
Also known as: rib fracture ORIF with scope, endoscopic rib fixation
Open treatment of rib fracture with fixation and endoscopic visualization. Surgical fixation of rib fractures using plates or screws with endoscopic assistance for reduction and plate placement.
In Plain Language
rib fracture surgery with camera; rib fracture repair with visualization
Clinical Context
Used for rib fractures causing significant pain, instability, or flail chest that benefit from surgical stabilization. Endoscopic assistance aids in reduction and minimizes soft tissue trauma compared to open fixation alone.
RVU Breakdown
| Work RVU | 10.52 |
| Total RVU | 10.52 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 10.52, this code ranks in the 60th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 21811?
CPT 21811 (Optx of rib fracture with fixation scope) is a Surgery code. Open treatment of rib fracture with fixation and endoscopic visualization. Surgical fixation of rib fractures using plates or screws with endoscopic assistance for reduction and plate placement.
What is the wRVU value for CPT 21811?
The work RVU for CPT 21811 is 10.52. This code is primarily used by Thoracic Surgery, Trauma Surgery.
When is CPT 21811 used?
Used for rib fractures causing significant pain, instability, or flail chest that benefit from surgical stabilization. Endoscopic assistance aids in reduction and minimizes soft tissue trauma compared to open fixation alone.
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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.