CPT® Code 21275

The CPT® Code 21275 refers to the procedure known as secondary revision of orbitocraniofacial reconstruction. This surgical intervention is performed when a patient requires a follow-up surgery to address previous reconstructive efforts involving the orbits and facial structures. The term 'orbitocraniofacial' encompasses the bones and tissues surrounding the eyes and the facial skeleton, indicating the complexity and precision required in such procedures. During this operation, the surgeon accesses the affected bones through various types of incisions, which may include approaches through the lower eyelid, eyebrow, or maxillary vestibule, depending on the specific anatomical considerations and the extent of the reconstruction needed. In this procedure, the surgeon may utilize grafts harvested from the patient's own body, such as from the hip, rib, or skull, to aid in the reconstruction process. The use of grafts is essential for filling any defects that may arise from repositioning the bones. The surgical technique involves the use of specialized instruments, including drills and saws, to create precise incisions in the orbitocraniofacial bones. Once the bones are repositioned to achieve the desired alignment and contour, they are secured in place using various fixation methods, such as wires, plates, and screws. Finally, the surgeon meticulously closes all incisions to promote optimal healing and aesthetic outcomes. This procedure is critical for restoring both function and appearance in patients who have undergone previous facial reconstructive surgeries.