31225 Removal of upper jaw
Also known as: maxillectomy, partial maxillectomy, upper jaw removal
Surgical removal of maxillary bone (partial or total resection of upper jaw), typically for tumor, infection, or severe disease via external approach.
In Plain Language
upper jaw bone surgery
Clinical Context
Major surgical procedure for maxillary tumors, chronic infection, or trauma. Weber-Ferguson or other external incision provides comprehensive surgical access.
RVU Breakdown
| Work RVU | 26.03 |
| Total RVU | 26.03 |
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 26.03, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31225?
CPT 31225 (Removal of upper jaw) is a Surgery code. Surgical removal of maxillary bone (partial or total resection of upper jaw), typically for tumor, infection, or severe disease via external approach.
What is the wRVU value for CPT 31225?
The work RVU for CPT 31225 is 26.03. This code is primarily used by Head and Neck Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 31225 used?
Major surgical procedure for maxillary tumors, chronic infection, or trauma. Weber-Ferguson or other external incision provides comprehensive surgical access.
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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.