CPT® Code 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

The CPT® Code 21340 refers to the percutaneous treatment of a nasoethmoid complex fracture, which is a type of facial fracture involving the nasal and ethmoid bones. This procedure is performed using a minimally invasive approach, where the physician accesses the fracture site through the skin without making large incisions. The primary goal of this treatment is to stabilize the fractured bones and restore their proper alignment. During the procedure, the physician may utilize percutaneous pins or screws that are anchored to stable bone structures, along with external fixation devices, to achieve a stable reduction of the fracture. In cases where the medial canthal ligaments, which are crucial for the support of the eyelids, are detached due to the fracture, the physician will reattach them to ensure proper function and aesthetics. Additionally, if the nasolacrimal apparatus, responsible for tear drainage, is compromised, it will be repaired using sutures and tubing to restore its integrity. After the necessary repairs are completed, all incisions made during the procedure are meticulously closed to promote healing and minimize scarring.