CPT^® 21365, Under Fracture and/or Dislocation Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21365 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Head.

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Summary

The provider surgically repairs a complex fracture of the cheekbone area, usually the result of blunt force trauma, using incisions in different areas.

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open treatment zygomatic arch fracture

from our optum encoder; 21360 Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Lay Description (Code): The physician reduces a fracture of the malar complex.... [ Read More ]

freeing eye muscle from scar tissue

Physician performed the folloiwng procedures: 1. repair of orbital floor fracture with implant, right side 2. open reduction and internal fixation of malar fracture, greater than one apporach- right s... [ Read More ]

21365 with orbitotomy

help please.... can he bill both 67450 and 21365? is there enough documentation to support the orbitotomy or should this be included in the 21365 as this states "multiple approaches" and he was alrea... [ Read More ]

Arch bar removal/open fracture

My doctor charged for a CPT #21365 and a #21462. Then he charged for CPT #20670, arch bar removal. Does anyone know whether we can charge for this or is included in the other charges. Or can anyo... [ Read More ]

Two surgeons

I have a physician that worked with another physician in the OR but I am unsure on how to bill. The codes are 21365 and 21406. Do both physicians bill with modifier 62? How does the insurance pay each... [ Read More ]

Need help with surgery code orbital zygomatic fx

codes that I picked are: 21356 and 21387 or 21365 not sure which one I should use DX: Left orbital blowout fracture. Displaced zygomatic fracture with extension to the anterior walls, comminuted ... [ Read More ]

Need help with surgery code tripod fx

Not sure if this is the right code 21365.........need help!! Dx: Left tripod fx with extension to the antral wall Procedure: Open reduction and internal fixation of a left tripod fracture with ext... [ Read More ]

Quadramalar cheek fracture

:confused:What code would you use? The doctors office says 21365... PREOPERATIVE DIAGNOSIS: Comminuted displaced right quadramalar cheek fracture. POSTOPERATIVE DIAGNOSIS: Displaced comminuted ri... [ Read More ]

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