CPT® Code 21339

The CPT® Code 21339 refers to the open treatment of a nasoethmoid fracture, specifically when external fixation is utilized. This procedure involves a surgical approach where the physician makes various incisions to gain access to the fractured bones in the nasoethmoid region, which is located between the nose and the ethmoid bone of the skull. The primary goal of this treatment is to achieve rigid reduction, a technique that stabilizes the fractured bones in their correct anatomical position. To ensure proper alignment and stabilization, the physician may employ various fixation devices such as wires, plates, or screws. In some cases, portions of the fractured bone may need to be excised to facilitate the repositioning of the bones. Additionally, 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 note that if external fixation is not required, the appropriate code to use would be CPT® Code 21338.