CPT^® 21390, Under Fracture and/or Dislocation Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21390 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Head.

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Summary

The provider repairs the floor of the orbit, the bony structure that holds the eyes, to restore function and appearance to the face after a blowout fracture, the result of blunt force trauma. He accesses the orbital floor through a skin incision over the fracture area and applies an alloplastic, or synthetic, implant.

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Orbital Medpor Graft

I guess another question could be is this still in the global for the initial fracture surgery? It may be worth taking a look at fracture codes if that is the case with a 78 modifier. Maybe a 52 wit... [ Read More ]

Orbital Fixation Plate

I work in an Ophthalmology practice where one of the surgeons does reconstructive surgeries for trauma patients. I need help finding a code for removal and replacement of an orbital fixation plate. Pa... [ Read More ]

Implant code ?21390

WE also have one for BLUE Cross, no carve out,-WHAT a joke SO Medicaid I will bill Just BILL CPT code 21390, Blue cross I WILL bill 21390 with L8610(wHICH they probably wont pay ),What A LOSS:mad... [ Read More ]

Implant code ?21390

Hello ASC coders , I think the ASC where I work at may have to eat this cost. First let me say this is a MEDICAID insurance. Doc did A procedure of OPEN REDUCTION of RIGHT ORBITAL fRACTURE with ... [ Read More ]

Modifiers -59 vs -50

I've always billed with a 59: 21390-RT 21390-59,LT Some insurers will deny but pay after I send a written appeal with the OP note. I recently attended a Medicare webinar on modifiers (I'm in PA) & ... [ Read More ]

Modifiers -59 vs -50

well, after a bit more research on the actual procedure itself - it does appear (at least to me) that there isn't a RT/LT or "bilateral" to this procedure - it is simply - the orbital floor (periorbit... [ Read More ]

Modifiers -59 vs -50

we have tried billing on 2 lines and 1 with a 59 mod we have also tried billing on 2 lines and 1 w/ a -51,LT mod & the other w/ just the RT Is this CPT 21390 considered a bilateral already?... [ Read More ]

Modifiers -59 vs -50

[QUOTE="lindaskin, post: 45212, member: 3969"]When billing 21390 for both orbital floor blowout fractures, what modifier is appropriate? According to Medicare the -50 modifier is not valid.[/QUOTE] Is... [ Read More ]

Modifiers -59 vs -50

21390 has a status indicator of "0" in the bilateral column. "0" means - bilateral surgery rules do not apply, do not use modifier 50. how about RT/LT?... [ Read More ]

Modifiers -59 vs -50

When billing 21390 for both orbital floor blowout fractures, what modifier is appropriate? According to Medicare the -50 modifier is not valid.... [ Read More ]

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