CPT® Code 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

The CPT® Code 21345 refers to the closed treatment of a nasomaxillary complex fracture, specifically classified as a LeFort II type fracture. This type of fracture is often described as a pyramidal fracture due to its characteristic shape and involves the upper jaw and surrounding facial structures. In this procedure, the physician performs the repair without making any external incisions, which is what is meant by "closed treatment." The stabilization of the fracture is achieved through the use of interdental wire fixation, or alternatively, fixation methods such as dentures or splints. These fixation techniques are crucial for maintaining the proper alignment of the fractured bones during the healing process, ensuring that the facial structure regains its integrity and function. The closed nature of this treatment minimizes trauma to the surrounding tissues, which can lead to a quicker recovery and reduced risk of complications associated with open surgical procedures.