CPT® Code 21330

The CPT® Code 21330 refers to the open treatment of a complicated nasal fracture, which involves the use of internal and/or external skeletal fixation. This procedure is indicated when a nasal fracture is not straightforward and requires more extensive intervention than simpler cases. The process begins with the physician making an incision along the nasal septum to gain access to the fractured bone(s). This incision allows for direct visualization of the injury, which is crucial for effective treatment. In cases classified as complicated, additional incisions may be necessary to adequately address the fracture. The physician employs specialized instruments such as forceps and nasal elevators to carefully reposition the fractured bones back into their proper alignment. In some instances, portions of the bone may need to be excised to facilitate this reduction. Once the bones are properly aligned, the physician may use various fixation devices, including screws, plates, and/or wires, to stabilize the fracture internally. After the fixation is complete, all incisions are meticulously closed to promote healing. Additionally, external splints may be applied to provide further stabilization and support during the recovery process.