CPT® Code 21335

The procedure described by CPT® Code 21335 refers to the open treatment of a nasal fracture that occurs alongside the open treatment of a fractured septum. This surgical intervention is necessary when there is a significant displacement of the nasal bones and the septum, which is the cartilage and bone structure dividing the nasal cavity. The open treatment approach involves making an incision along the nasal septum, allowing the physician to gain direct access to the fractured areas. This access is crucial for visualizing the fractured bone and cartilage, which is essential for effective realignment and stabilization. In uncomplicated cases, the physician employs tools such as forceps and nasal elevators to reposition the bones back into their proper alignment. However, in more complicated scenarios, additional incisions may be required, and some bone or cartilage may need to be excised to facilitate proper reduction. The stabilization of the fractures can involve the use of various internal fixation devices, including screws, plates, and wires. After the procedure, all incisions are meticulously closed, and external splints may be applied to provide additional support and stabilization during the healing process.