30580 Repair upper jaw fistula
Also known as: oronasal fistula repair, oroantral fistula repair, jaw fistula repair
Repair of oronasal or oroantral fistula involving the upper jaw/maxilla, performed to close abnormal communication between oral cavity and nasal structures.
In Plain Language
mouth-to-nose hole repair
Clinical Context
Indicated for oral-antral communication following tooth extraction, trauma, or other causes; prevents infection and restores normal anatomy.
RVU Breakdown
| Work RVU | 6.71 |
| Total RVU | 6.71 |
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 6.71, this code ranks in the 44th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 30580?
CPT 30580 (Repair upper jaw fistula) is a Surgery code. Repair of oronasal or oroantral fistula involving the upper jaw/maxilla, performed to close abnormal communication between oral cavity and nasal structures.
What is the wRVU value for CPT 30580?
The work RVU for CPT 30580 is 6.71. This code is primarily used by Otolaryngology, Oral and Maxillofacial Surgery. It has a 90-day global period.
When is CPT 30580 used?
Indicated for oral-antral communication following tooth extraction, trauma, or other causes; prevents infection and restores normal anatomy.
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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.