CPT® Code 21346

The procedure described by CPT® Code 21346 involves the open treatment of a nasomaxillary complex fracture, specifically classified as a LeFort II type fracture. This type of fracture, often referred to as a pyramidal fracture, typically occurs in the midface region and can result from significant trauma. The physician performs the repair in an open surgical environment, which allows for direct visualization and manipulation of the fractured bones. Access to the fracture site is achieved through an incision made in the cheek area, providing the surgeon with the necessary access to realign the fractured components accurately. During the procedure, the physician carefully manipulates the fractured area to restore its normal anatomical position. To ensure stability and proper healing of the fracture, various fixation methods are employed, including the use of screws, wires, and/or plates. Once the fracture is stabilized, the incisions made during the procedure are meticulously closed. In some cases, intermaxillary fixation may be required to maintain the alignment of the jaw during the healing process. This comprehensive approach aims to restore function and aesthetics to the midface region following a significant injury.