CPT^® 21435, Under Fracture and/or Dislocation Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21435 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 treats a fracture resulting in separation of the cranium, or skull, from the facial bones, to repair injuries to the nasal bridge or upper jaw following severe trauma to the face. He accesses the fracture through an incision and applies internal and or external fixation devices to hold the fracture in place as it heals.

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Lefort ? really need help

[QUOTE="fish4codes, post: 468620, member: 400219"] To clarify the modifier use for the coding I provided, refer to the National Fee Schedule RVU, the code 21435 is priced as bilateral so -50 would not... [ Read More ]

Lefort ? really need help

To clarify the modifier use for the coding I provided, refer to the National Fee Schedule RVU, the code 21435 is priced as bilateral so -50 would not be appropriate, 21387 would use Lt/Rt or 50, and 2... [ Read More ]

Lefort ? really need help

[QUOTE="tiaralady6466, post: 468546, member: 228256"] I reviewed 21435 and it doesn't seem to include the multiple approaches and doesn't seem to encompass all the work he did [/QUOTE] You are correct... [ Read More ]

Lefort ? really need help

[QUOTE="tiaralady6466, post: 468545, member: 228256"] Yes, we billed 21320 (paid) and 21433 denied not documented [/QUOTE] I reviewed 21435 and it doesn't seem to include the multiple approaches and d... [ Read More ]

Lefort ? really need help

[QUOTE="haraml7, post: 468530, member: 251159"] What about 21435-50? Did you get a denial, and were any other codes coded with you mentioned procedure code 21433? [/QUOTE] Yes, we billed 21320 (paid)... [ Read More ]

Lefort ? really need help

What about 21435-50? Did you get a denial, and were any other codes coded with you mentioned procedure code 21433?... [ Read More ]

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