31230 Removal of upper jaw
Also known as: total maxillectomy, extensive maxillectomy, radical maxillectomy
Surgical removal of maxillary bone with comprehensive resection including alveolar process and involved tissues, typically for extensive tumor or disease.
In Plain Language
extensive upper jaw bone surgery
Clinical Context
Extensive maxillectomy including tooth-bearing alveolar process for advanced tumors or severe disease. Requires planning for reconstruction and prosthetic rehabilitation.
RVU Breakdown
| Work RVU | 30.05 |
| Total RVU | 30.05 |
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 30.05, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 31230?
CPT 31230 (Removal of upper jaw) is a Surgery code. Surgical removal of maxillary bone with comprehensive resection including alveolar process and involved tissues, typically for extensive tumor or disease.
What is the wRVU value for CPT 31230?
The work RVU for CPT 31230 is 30.05. This code is primarily used by Head and Neck Surgery, Otolaryngology. It has a 90-day global period.
When is CPT 31230 used?
Extensive maxillectomy including tooth-bearing alveolar process for advanced tumors or severe disease. Requires planning for reconstruction and prosthetic rehabilitation.
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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.