CPT® Code 21338

The CPT® Code 21338 refers to the open treatment of a nasoethmoid fracture without the use of external fixation. This procedure is performed to address fractures located in the nasoethmoid region, which is the area where the nasal bones and the ethmoid bone of the skull meet. The physician employs various surgical incisions to gain access to the fractured bones, allowing for direct visualization and manipulation. Rigid reduction techniques are utilized to stabilize the fractured bones in their correct anatomical position, ensuring proper alignment for optimal healing. To achieve this stabilization, the physician may use various fixation devices such as wires, plates, or screws. In some cases, portions of bone may need to be excised to facilitate the repositioning of the fractured segments. If the medial canthal ligaments, which are important for the structural integrity of the eye and surrounding tissues, are found to be detached during the procedure, they must be reattached. This reattachment is considered a separately reportable service. Once the procedure is completed, all incisions made during the surgery are meticulously closed to promote healing and minimize complications. It is important to code 21338 specifically when external fixation is not required; if external fixation is utilized, the appropriate code would be 21339.