CPT^® 21196, Under Repair, Revision, and/or Reconstruction Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21196 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Head.

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Summary

A provider performs surgical reconstruction of the body of the mandible, or lower jaw, and or its perpendicular portions, or rami, to correct facial deformities, often the result of trauma.

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Orthognathic surgery lefort maxillofacial oral surgery orthognathic surgery osteotomy

When billing for ortho surgery and using an assistant, does the 80 go on 21141? Or does the assistant get his own code with 80? I would think the 80 is amended to the original procedure code. We're... [ Read More ]

CPT codes not compatible with POS 22

I am having several surgery codes (21141, 21196, 21142, 21145) being denied if the POS is 22. The surgeons I work with perform the procedures with the patient admitted as a 23 hour observation, theref... [ Read More ]

Code help - mandibular ramus osteotomies w/ internal device

MD wants to code 21195, 21195-59, 20692-59 and 20692-59. The 20692 is for external fixation and the documentation states internal. The CPT 21195 codes reads ?Rami? so that leads me to believe code i... [ Read More ]

New to coding, please help!

CPT codes listed with a status indicator [B][U]C [/U][/B] are deemed inpatient procedures only. [U]C Inpatient Procedures Not paid under OPPS. Admit patient. Bill as inpatient[/U]. [url]http://www.c... [ Read More ]

New to coding, please help!

OP procedure: 1. Internal vertical ramus osteotomies bilaterally with placement of maxilla mandibular fixation. 2. Implant reconstruction, left maxilla with bone graft and pericardia freeflap graft.... [ Read More ]

New to coding, please help!

Im getting a denial from Tricare, stating 21196 is only for inpatient, but this was an outpatient surgery. Is there any other code I could use to get it paid? Our facility did receive an authorizati... [ Read More ]

Guidance for newbie needed for 21196 and 21110

[QUOTE="awillis52, post: 157456, member: 131588"]Thanks Brandi -1st claim 21196 was billed on 1st line with modifier LT and 21196 was billed on 2nd line with modifier RT, 2nd claim 21110 was billed on... [ Read More ]

Guidance for newbie needed for 21196 and 21110

Thanks Brandi -1st claim 21196 was billed on 1st line with modifier LT and 21196 was billed on 2nd line with modifier RT, 2nd claim 21110 was billed on 1st line with no modifier and 21110 was billed o... [ Read More ]

Guidance for newbie needed for 21196 and 21110

[QUOTE="awillis52, post: 156812, member: 131588"]Are services related to the Rt and Lt sides in orthognathic procedures considered separate operatvie areas payable at 100% or should they be bilateral ... [ Read More ]

Guidance for newbie needed for 21196 and 21110

Are services related to the Rt and Lt sides in orthognathic procedures considered separate operatvie areas payable at 100% or should they be bilateral with the 1st paid at 100% and 2nd reduced to 50%.... [ Read More ]

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