CPT® Code 21348

The procedure described by CPT® Code 21348 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 affects the midface and involves the maxilla and nasal bones. The open treatment approach allows the physician to directly access the fracture site through multiple surgical incisions, facilitating a thorough examination and repair of the damaged structures. During the procedure, the physician obtains a bone graft, which is a piece of bone taken from another part of the patient's body, such as the hip, rib, or skull. This graft is essential for filling in the defect areas created by the fracture, promoting healing and stability. The fractured bones are realigned through careful manipulation, and the physician employs various fixation methods, including screws, wires, and plates, to stabilize the fracture site effectively. After the repair, all incisions are meticulously closed to promote optimal healing. In some cases, intermaxillary fixation may be required to maintain the proper alignment of the jaw during the recovery process.