CPT^® 21461, Under Fracture and/or Dislocation Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21461 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 treats a fracture of the mandible, or lower jaw bone, to repair damage caused by blunt force trauma to the face. He accesses the fracture through an incision.

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MODIFIERS
ICD-10-CM

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21453 and 21462 during same surgical encounter

May I suggest you use Modifier 59 on 21453, you need to tell them it a separate procedure and you could also include Mod. 51 as a 2nd modifier. Also, make sure you are using the correct ICD10 dx code... [ Read More ]

MULTIPLE MANDIBLE FRACTURES

[B]You may want to consider CPT 21470 if the operative note supports it. See the "Tips" at the end. CPT 21470[/B] - Open treatment of complicated mandibular fracture by multiple surgical approaches ... [ Read More ]

Mandible fracture

Good morning, Does anyone have any experience with CPT coding for Mandible fracture repairs? I have been given this assignment and need a little guidance. I have cases where the patient has closed,... [ Read More ]

Mandibular Fractures

Please help, I need help in coding the surgery for the fracture repair. DX: 1. left mandibular angle fracture - S02.652A 2. right parasymphysis mandibular fracture - S02.69XA Procedures: 1. Open re... [ Read More ]

Mandible fracture guidance

21461 has a MUE of one. Make sure your documentation clearly supports all three repairs. Claims with units that exceed the MUE's are often denied/reviewed.... [ Read More ]

Mandible fracture guidance

I have a surgeon that wants to report 21461 three times. I cannot find any guidance to say sure we can code per fracture in one bone or sorry, this is a complex fracture (which it sounds to me like a... [ Read More ]

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