CPT^® 21453, Under Fracture and/or Dislocation Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21453 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 of the mandible, or lower jaw bone, to repair damage caused by blunt force trauma to the face. He uses a device that connects to the teeth to secure the fracture in place while it heals.

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21453 and 21462 during same surgical encounter

May I suggest you use Modifier 59 on 21453, you need to tell them it a separate procedure and you could also include Mod. 51 as a 2nd modifier. Also, make sure you are using the correct ICD10 dx code... [ Read More ]

21453 and 21462 during same surgical encounter

I've had to code a few fractured mandible procedures. There is an open fracture on one side and a closed fracture on the opposite side of the mandible. Both procedures were performed during same surge... [ Read More ]

CPT 21453/21462 same surgery session

Sean, did you ever figure this out? I'm a new coder for oral surgeries and having the same issue. I did use -51. My 21453 is still always denied and only the open procedure (21462) paid. When I ca... [ Read More ]

Closed AND Open reduction mandible Fx-opposite sides

I am newer to ENT. Our surgeon performed ORIF on one side mandible fracture, and Closed Reduction on fracture on the other side of mandible. I am looking at 21462 for ORIF and 21453 for the closed red... [ Read More ]

CPT 21453/21462 same surgery session

I am new to ENT and have a fractured mandible procedure I am coding. Pt has an open fracture on one side and a closed fracture on the opposite side of the mandible. Both procedures were performed duri... [ Read More ]

Fracture Question

Op note states and dictates an ORIF procedure. Your choice of 21453 would work had the physician used a closed technique but he made an incision, placed a plate, and closed the wound. I would use 2146... [ Read More ]

Fracture Question

I'm working on a fracture and I came up with different codes than another coder so I want to get other opinions on what they think might be appropriate codes to use? Thoughts from anyone? I went with ... [ Read More ]

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