CPT® Code 21445

The CPT® Code 21445 refers to the open treatment of fractures occurring in the mandibular or maxillary alveolar ridge, classified as a separate procedure. This surgical intervention is typically performed to address fractures that affect the bony structures of the jaw, which are crucial for dental support and overall oral function. The procedure involves the physician making incisions in the buccal vestibule of the maxilla, which is the area inside the mouth adjacent to the gums. Through these incisions, the physician can access the fractured site directly. The manipulation of the fractured bone is essential to realign the fragments properly, ensuring that they are positioned correctly for optimal healing. To stabilize the fracture, various fixation devices such as plates, screws, and wires are employed. In some cases, the use of arch bars and dental wire may be necessary to provide additional support. Alternative methods for stabilization can include intermaxillary fixation, which involves securing the upper and lower jaws together, or the creation of a custom acrylic splint to maintain the alignment of the jaw during the healing process. After the necessary stabilization techniques are applied, all incisions made during the procedure are carefully closed to promote healing and minimize complications.