1. Open reduction internal fixation of left mandibular angle fracture - CPT code 21470 2. Open reduction internal fixation of right parasymphysis mandibular fracture - CPT code 21461 The doctor wants to use both codes for the surgery. But from my research, it looks like I can use the CPT code 21470, that will include both fractures.
Open reduction internal fixation of left mandibular angle fracture - CPT code 21470 2. Open reduction internal fixation of right parasymphysis mandibular fracture - CPT code 21461 The doctor wants to use both codes for the surgery. But from my research, it looks like I can use the CPT code 21470, that will include both fractures.
The ability to treat fracture with open reduction (OR) and internal fixation (IF) has dramatically revolutionized the approach to mandible fracture. Traditionally, OR/IF has required a period of postoperative mandibular immobilization by rigid maxillomandibular fixation (MMF) for up to 6 weeks for satisfactory healing.
2. Open reduction internal fixation of right parasymphysis mandibular fracture - CPT code 21461 The doctor wants to use both codes for the surgery. But from my research, it looks like I can use the CPT code 21470, that will include both fractures.
ICD-10 code Z47. 2 for Encounter for removal of internal fixation device is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
S02. 609A - Fracture of mandible, unspecified [initial encounter for closed fracture]. ICD-10-CM.
0NNC0ZZRelease Sphenoid Bone, Open Approach0NQV3ZZRepair Left Mandible, Percutaneous Approach0NQV4ZZRepair Left Mandible, Percutaneous Endoscopic Approach0NQX0ZZRepair Hyoid Bone, Open Approach0NQX3ZZRepair Hyoid Bone, Percutaneous Approach241 more rows
92XB: Unspecified fracture of facial bones, initial encounter for open fracture.
Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. It may result in a decreased ability to fully open the mouth. Often the teeth will not feel properly aligned or there may be bleeding of the gums.
The mandible is composed of the body and the ramus and is located inferior to the maxilla. The body is a horizontally curved portion that creates the lower jawline. The rami are two vertical processes located on either side of the body; they join the body at the angle of the mandible.
Maxillomandibular Fixation (MMF) is a fundamental component in the management of facial trauma, reconstruction and orthognathic surgery. This is done to ensure the interrelationship of the dental occlusion, which is necessary in the reduction of traumatic or surgically induced segments of the mandible and maxilla.
Coding Guideline B3. 15 states “Reduction of a displaced fracture is coded to the root operation, Reposition. Treatment of a nondisplaced fracture is coded to the procedure performed.” Index: Reposition.
It's all in how you dissect the operative report.Review the header of the report.Review the CPT® codebook (start in the Index).Review the report/documentation.Make a preliminary code selection.Review the guidelines (for the preliminary codes).Review policies and eliminate the extras.Add any needed modifiers.
Code 11011 is used to report debride- ment of an open fracture and/or dislocation of skin, subcutaneous tissue, muscle fascia, and muscle.
What makes a fracture “compound” or “open” is when the broken bone pierces your skin. If you happen to fall from a ladder and land on your arm, breaking it, you'll know it's a compound fracture if you can see the bone. “Simple” or “closed” fractures don't break through your skin.
ICD-10-CM guidelines specify a fracture not indicated as open or closed is coded as closed, and a fracture not indicated as displaced or not displaced is coded as displaced. An additional code may be required for an open wound with a fracture or dislocation.