CPT® Code 21249

The procedure described by CPT® Code 21249 involves the complete reconstruction of the mandible or maxilla using an endosteal implant, which can be in the form of a blade or cylinder. This surgical intervention is typically indicated for patients who have lost teeth and require structural support for dental prosthetics. The physician performs the reconstruction by making an incision in the area of the jaw where teeth are absent, allowing for direct access to the underlying bone. The bone is meticulously exposed to facilitate the insertion of the implant. Pre-drilled precision holes are created in the bone to ensure accurate placement of the implant. Once the implant is positioned, the surrounding tissue is carefully arranged and sutured around the implant post, ensuring stability and proper healing. In the case of blade-style implants, the tissue is sutured around the implant, while cylindrical implants require the tissue to be closed over the top of the posts. It is important to note that a subsequent surgical procedure will be necessary to attach the dental prosthesis to the implants, completing the restoration of function and aesthetics for the patient. All incisions made during the procedure are ultimately closed to promote healing and recovery.