CPT 21256
Reconstruction of orbit
CPT 21256 at a glance
- Code
- 21256
- Code type
- CPT/HCPCS
- Short descriptor
- Reconstruction of orbit
- Category
- ASC Surgical
- ASC payment status
- Payable in an ASC (surgical)
- CMS addendum
- AA (Surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is CPT code 21256?
CPT 21256 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Reconstruction of orbit". In the ASC context it is grouped under ASC Surgical.
Is CPT 21256 payable in an ambulatory surgery center (ASC)?
CPT 21256 appears on Medicare's ASC Covered Procedures List (CMS Addendum AA), so Medicare reimburses it when the surgery is performed in a certified ambulatory surgery center.
Where is CPT 21256 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Which specialties use CPT 21256?
CPT 21256 is most associated with General Surgery, Oral & Maxillofacial Surgery, Orthopaedic Surgery.
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.