Overview of CPT Code 21345:Repair of facial fracture

Overview of CPT Code 21345:Repair of facial fracture

CPT Code 21345 refers to the surgical repair of facial fractures, which are breaks in the bones of the face. This procedure is typically performed to restore the normal anatomy and function of the facial structure.

When CPT Code 21345 is Used?

This code is applicable in various clinical scenarios.

• Fractures resulting from trauma, such as car accidents or falls.
• Fractures caused by sports injuries.
• Fractures due to physical altercations.
• Fractures associated with other facial injuries.

Symptoms Indicating This Procedure

Patients may present with several symptoms that indicate the need for surgical intervention.

• Visible deformity of the face.
• Swelling and bruising around the affected area.
• Pain and tenderness in the facial region.
• Difficulty in chewing or opening the mouth.
• Numbness or tingling in the face.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Traumatic injuries from accidents.
• Sports-related injuries.
• Assaults or physical violence.
• Certain medical conditions that weaken bones.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to assess the extent of the injury.

• X-rays to visualize the fracture.
• CT scans for detailed imaging of complex fractures.
• MRI if soft tissue damage is suspected.

Procedure Description

The surgical procedure involves several key steps.

• Administer anesthesia to ensure patient comfort.
• Make an incision to access the fractured area.
• Realign the fractured bones to their normal position.
• Use plates, screws, or wires to stabilize the bones.
• Close the incision with sutures or staples.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

• Avoid eating or drinking for a specified period before surgery.
• Discuss any medications with the healthcare provider.
• Arrange for transportation to and from the procedure.
• Follow any specific instructions provided by the surgeon.

Recovery and Aftercare

Post-operative care is crucial for healing.

• Rest and limit physical activity for several weeks.
• Follow up with the surgeon for wound checks.
• Manage pain with prescribed medications.
• Keep the surgical site clean and dry.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Nonunion or malunion of the fracture.
• Nerve damage leading to numbness.
• Scarring or cosmetic deformity.

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Post-Procedure Follow-Up

Regular follow-up is important for monitoring recovery.

• Initial follow-up within one week post-surgery.
• Subsequent visits every few weeks to monitor healing.
• X-rays may be taken to assess bone alignment.

Alternative Treatments

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

• Observation for minor fractures.
• Use of a facial splint or brace.
• Pain management with medications.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Apply ice packs to reduce swelling.
• Keep the head elevated to minimize swelling.
• Avoid strenuous activities until cleared by the doctor.
• Follow a nutritious diet to support healing.

Patient Education & Prevention

Education is key to preventing future injuries.

• Wear protective gear during sports.
• Practice safety measures to prevent falls.
• Avoid risky behaviors that could lead to facial injuries.

Billing and Coding Information

CPT Code: 21345

Category: Surgery

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.
• Insurance may cover a significant portion of the cost.
• Out-of-pocket expenses depend on the insurance plan.

Related CPT Codes

• 21310 - Excision of benign lesion, face, ears, scalp, neck
• 21320 - Excision of benign skin lesion, face, ears, scalp, neck
• 21330 - Excision of benign lesion, face, ears, scalp, neck
• 21335 - Excision of benign skin lesion, face, ears, scalp, neck
• 21350 - Excision of benign skin lesion, face

References and Sources

• American Academy of Facial Plastic and Reconstructive Surgery
• National Institute of Dental and Craniofacial Research