CPT® Code 21355

The CPT® Code 21355 refers to the percutaneous treatment of fractures in the malar area, which encompasses the zygomatic arch and the malar tripod. This procedure is specifically designed for cases where there is a fracture in these facial structures, which are critical for maintaining the integrity of the facial skeleton and aesthetics. The term "percutaneous" indicates that the treatment is performed through the skin, minimizing the need for larger incisions and reducing recovery time. During the procedure, the physician creates a small stab wound in the cheek area, allowing access to the fractured bone. Using specialized instruments such as a rod or bone hook, the physician carefully manipulates the fractured segments back into their proper alignment. Once the bone is repositioned, the instrument is withdrawn, and the small incision is closed, typically with sutures or adhesive strips. This method is advantageous as it often results in less trauma to the surrounding tissues, reduced pain, and quicker healing compared to more invasive surgical techniques.