CPT® Code 21347

The procedure described by CPT® Code 21347 involves the open treatment of a nasomaxillary complex fracture, specifically classified as a LeFort II type fracture. This type of fracture is often referred to as a pyramidal fracture due to its characteristic shape. In this surgical intervention, the physician performs the repair in an open environment, which allows for direct visualization and access to the fractured area. The procedure necessitates multiple incisions to adequately access the fracture site, enabling the physician to manipulate and realign the fractured bones to their proper anatomical position. To ensure stability at the fracture site, the physician employs various fixation devices, including screws, wires, and/or plates. After the fracture has been stabilized, all 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 is essential for restoring function and aesthetics in patients with complex nasomaxillary injuries.