40845 Reconstruction of mouth
Also known as: complex free flap reconstruction, maximal oral reconstruction, extensive flap surgery
Surgical reconstruction of the oral cavity and lips with the most extensive tissue transfer including free flaps with complex microvascular repairs.
Clinical Context
Used for the most extensive oral defects involving multiple structures requiring complex free flap reconstruction with microvascular anastomosis. Common in massive cancer resection, extensive trauma, and severe burns.
RVU Breakdown
| Work RVU | 18.88 |
| Practice Expense RVU | 22.59 |
| Malpractice RVU | 2.75 |
| Total RVU | 44.22 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.