CPT® Code 21360

The procedure described by CPT® Code 21360 involves the open treatment of a depressed malar fracture, which specifically includes the zygomatic arch and the malar tripod. A malar fracture refers to a break in the cheekbone area, which can lead to cosmetic and functional issues if not properly addressed. In this procedure, the physician performs the treatment in an open surgical environment, meaning that the area is directly accessed through incisions rather than through minimally invasive techniques. Notably, this procedure does not utilize internal fixation methods, which are often used in other types of fracture repairs. Instead, the physician creates incisions around the facial area, including an intraoral incision through the maxillary buccal vestibule, allowing for direct access to the fractured bones. The reduction of the fracture, which is the process of realigning the broken bone to its normal anatomical position, is achieved using instruments such as the Carroll-Girard screw, which assists in lifting the fractured bones back into place. Additionally, manual reduction techniques are employed on the malar complex to ensure proper alignment. After the fracture has been successfully reduced, all incisions made during the procedure are meticulously closed to promote healing and minimize scarring.