21812 Treatment of rib fracture
Also known as: rib fracture ORIF, open rib fixation
Open treatment of rib fracture with fixation. Surgical open reduction and fixation of rib fractures using plates, screws, or other devices for restoration of chest wall mechanics.
In Plain Language
rib fracture surgery with plates; surgical rib fracture repair
Clinical Context
Used for displaced rib fractures causing pain, instability, or flail chest unresponsive to conservative care. Surgical fixation restores chest wall mechanics and reduces pulmonary complications from instability.
RVU Breakdown
| Work RVU | 12.68 |
| Total RVU | 12.68 |
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 12.68, 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 21812?
CPT 21812 (Treatment of rib fracture) is a Surgery code. Open treatment of rib fracture with fixation. Surgical open reduction and fixation of rib fractures using plates, screws, or other devices for restoration of chest wall mechanics.
What is the wRVU value for CPT 21812?
The work RVU for CPT 21812 is 12.68. This code is primarily used by Thoracic Surgery, Trauma Surgery.
When is CPT 21812 used?
Used for displaced rib fractures causing pain, instability, or flail chest unresponsive to conservative care. Surgical fixation restores chest wall mechanics and reduces pulmonary complications from instability.
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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.