CPT® Code 21180

The procedure described by CPT® Code 21180 involves the reconstruction of the entire or majority of the forehead and/or supraorbital rims using an autograft, which includes the process of obtaining the grafts. This surgical intervention is typically performed to correct skeletal deformities in the facial region. The procedure is conducted under general anesthesia to ensure the patient is completely unconscious and free from pain during the operation. The surgeon makes various incisions, which may include those in the eyelid and scalp areas, to access the underlying bone structures effectively. Once access is achieved, the surgeon reshapes and repositions the bones to restore their proper anatomical alignment. Autografts, which are grafts taken from the patient's own body, are then inserted into the desired locations to augment the forehead or supraorbital rims, enhancing both function and aesthetics. In cases where an allograft or prosthetic material is used instead of an autograft, a different code (CPT® Code 21179) is applicable. Additionally, fixation devices such as wires, plates, and screws may be employed to maintain the structural integrity and shape of the facial bones during the healing process. Finally, the incisions made during the procedure are carefully closed to promote optimal recovery and minimize scarring.