Overview of CPT Code 21083: Open reduction of fractured mandible

CPT Code 21083 refers to the surgical procedure for the open reduction of a fractured mandible, which involves realigning and stabilizing broken jaw bones to restore function and aesthetics.

When CPT Code 21083 is Used?

This procedure is indicated in various clinical scenarios.

Severe mandibular fractures that cannot be aligned properly with closed methods.
Fractures associated with significant displacement of the bone.
Fractures resulting from trauma, such as motor vehicle accidents or falls.
Fractures that involve the joint area of the mandible.

Symptoms Indicating This Procedure

Patients may present with several symptoms that necessitate this surgical intervention.

Severe pain in the jaw area.
Swelling and bruising around the jaw.
Inability to open or close the mouth properly.
Visible deformity of the jaw.
Numbness or tingling in the lower lip or chin.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

Traumatic injuries from accidents or physical altercations.
Sports injuries, particularly in contact sports.
Bone diseases that weaken the jaw structure.
Previous jaw surgeries that may predispose to fractures.

Diagnostic Tests Before Procedure

Several diagnostic tests are essential for confirming the need for surgery.

X-rays to visualize the fracture.
CT scans for detailed imaging of complex fractures.
Panoramic radiographs to assess the entire jaw structure.

Procedure Description

The open reduction procedure involves several key steps.

Administer general anesthesia to the patient.
Make an incision inside the mouth or under the chin to access the fractured area.
Realign the fractured bone segments to their normal position.
Use plates, screws, or wires to stabilize the bone.
Close the incision with sutures and apply dressings as needed.

Preparation for the Procedure

Proper preparation is crucial for a successful outcome.

Avoid eating or drinking for at least 8 hours before surgery.
Discuss any medications with your doctor, especially blood thinners.
Arrange for transportation to and from the surgical facility.
Follow any specific instructions provided by your healthcare team.

Recovery and Aftercare

Post-operative care is vital for healing.

Expect swelling and bruising; ice packs can help reduce discomfort.
Follow a soft diet for several weeks to avoid strain on the jaw.
Take prescribed pain medications as directed.
Attend follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur.

Infection at the surgical site.
Nerve damage leading to numbness.
Nonunion or malunion of the fractured bone.
Persistent pain or discomfort.

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Post-Procedure Follow-Up

Regular follow-up is essential for recovery.

Initial follow-up within one week post-surgery.
Subsequent visits at 2 weeks, 6 weeks, and 3 months to assess healing.
X-rays may be taken during follow-ups to ensure proper alignment.

Alternative Treatments

In some cases, non-surgical options may be considered.

Closed reduction for non-displaced fractures.
Use of splints or braces to stabilize the jaw.
Physical therapy to improve jaw function post-injury.

Home Care Tips

Patients can take several steps to aid recovery at home.

Keep the surgical area clean and dry.
Use prescribed mouth rinses to prevent infection.
Avoid strenuous activities that may stress the jaw.
Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Education is key to preventing future injuries.

Wear protective gear during sports and activities.
Practice safe driving to reduce accident risk.
Seek immediate care for any jaw injuries.

Billing and Coding Information

CPT Code: 21083

Category: Surgical Procedures

Common Modifiers:

50 (bilateral procedure)
RT (right side)
LT (left side)

Average Cost and Insurance Coverage

Costs can vary based on several factors.

Average cost ranges from $5,000 to $15,000 depending on facility and complexity.
Most insurance plans cover the procedure if deemed medically necessary.
Out-of-pocket costs may vary based on deductible and co-insurance.