How To Use CPT Code 21480

CPT code 21480 describes the closed treatment of temporomandibular dislocation, either as an initial or subsequent procedure. This article will provide a comprehensive overview of CPT code 21480, including its description, official definition, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 21480?

CPT code 21480 is used to describe the closed treatment of temporomandibular dislocation. This procedure involves manipulating the temporomandibular joint to reposition the jaw, which may be locked in an open position due to dislocation. The provider performs this treatment to alleviate pain and discomfort and restore proper function to the joint.

2. Official Description

The official description of CPT code 21480 is: ‘Closed treatment of temporomandibular dislocation, initial or subsequent.’

3. Procedure

During the closed treatment of temporomandibular dislocation, the provider performs the following steps:

1. The patient is appropriately prepped and anesthetized to ensure comfort during the procedure.
2. The provider carefully manipulates the condyle, which is the rounded protrusion at the end of the mandible, back into its correct position.
3. This is achieved by pulling the lower jaw downward and moving the chin upward, freeing the mandibular condyle and guiding it back into its socket.
4. After the successful repositioning of the jaw, the provider may advise the patient on a modified diet to limit jaw movement and aid in the healing process.

4. Qualifying Circumstances

CPT code 21480 is used for patients who have temporomandibular joint dislocation, which occurs when the jaw becomes locked in an open position. This condition causes significant pain and discomfort. The procedure is performed by a qualified healthcare professional who is experienced in manipulating the jaw joint. It is important to note that this code is specifically for closed treatment, meaning that no surgical intervention is involved.

5. When to Use CPT Code 21480

CPT code 21480 should be used when a provider performs closed treatment for temporomandibular dislocation. This code is appropriate for both initial and subsequent treatments. It is important to ensure that the procedure meets the criteria outlined in the official description and is performed by a qualified healthcare professional.

6. Documentation Requirements

To support a claim for CPT code 21480, the following documentation should be included:

• The patient’s diagnosis of temporomandibular dislocation
• A detailed description of the procedure performed, including the specific manipulations used
• Date and duration of the treatment
• Any additional instructions or recommendations provided to the patient
• Signature of the healthcare professional performing the procedure

7. Billing Guidelines

When billing for CPT code 21480, it is important to ensure that the procedure meets the criteria outlined in the official description. This code should not be reported with other codes unless there are specific circumstances that warrant additional reporting. It is advisable to check with the insurance carrier for any specific billing guidelines or requirements.

8. Historical Information

CPT code 21480 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Similar Codes to CPT Code 21480

While there are no specific similar codes to CPT code 21480, it is important to note that there are other codes within the range of fracture and/or dislocation procedures on the head (CPT codes 21315-21497) that may be applicable for different procedures or conditions related to the head and jaw.

9. Examples

1. A patient presents with temporomandibular dislocation, and the provider performs closed treatment to reposition the jaw.
2. Following a previous temporomandibular dislocation, the patient experiences another episode, and the provider performs closed treatment to restore the jaw to its proper position.
3. A patient with a history of temporomandibular dislocation seeks treatment, and the provider performs closed treatment to alleviate the current dislocation.
4. After an initial closed treatment for temporomandibular dislocation, the patient experiences a subsequent dislocation, and the provider performs closed treatment again.
5. A patient presents with a locked jaw due to temporomandibular dislocation, and the provider successfully performs closed treatment to unlock the jaw and restore normal function.
6. Following a traumatic injury to the jaw, the patient experiences temporomandibular dislocation, and the provider performs closed treatment to reposition the jaw.
7. A patient with a chronic temporomandibular dislocation seeks treatment, and the provider performs closed treatment to address the ongoing issue.
8. After a previous closed treatment for temporomandibular dislocation, the patient experiences another dislocation, and the provider performs closed treatment to correct the problem.
9. A patient presents with severe pain and limited jaw movement due to temporomandibular dislocation, and the provider performs closed treatment to alleviate the symptoms.
10. Following a previous closed treatment for temporomandibular dislocation, the patient experiences a subsequent dislocation, and the provider performs closed treatment to restore normal jaw function.