CPT Codes For Repair, Revision, And/Or Reconstruction Procedures On The Head

Below is a list summarizing the CPT codes for the head’s repair, revision, and/or reconstruction procedures.

CPT Code 21120

CPT 21120 describes genioplasty augmentation using autograft, allograft, or prosthetic material.

CPT Code 21121

CPT 21121 describes genioplasty with a sliding osteotomy of a single piece.

CPT Code 21122

CPT 21122 describes genioplasty with sliding osteotomies, including two or more osteotomies such as wedge excision or bone wedge reversal for asymmetrical chin

CPT Code 21123

CPT 21123 describes genioplasty, including sliding, augmentation with interposition bone grafts, and obtaining autografts

CPT Code 21125

CPT 21125 describes the augmentation of the mandibular body or angle with prosthetic material

CPT Code 21127

CPT 21127 describes augmentation of the mandibular body or angle with an onlay, interposition, or bone graft, including obtaining autograft.

CPT Code 21137

CPT 21137 describes the reduction in forehead contouring only.

CPT Code 21138

CPT 21138 describes the reduction of the forehead, contouring, and application of prosthetic material or bone graft, including obtaining autograft

CPT Code 21139

CPT 21139 describes a reduction of the forehead, contouring, and the anterior frontal sinus wall setback.

CPT Code 21141

CPT 21141 describes a single piece, segment movement in any direction (e.g., for Long Face Syndrome) reconstruction of the midface, LeFort I, without bone graft.

CPT Code 21142

CPT 21142 describes a midface reconstruction with a LeFort I procedure involving two pieces and segment movement in any direction without needing a bone graft.

CPT Code 21143

CPT 21143 describes a reconstruction midface procedure involving a LeFort I with three or more pieces, allowing for segment movement in any direction without needing a bone graft.

CPT Code 21145

CPT 21145 describes a single piece, segment movement in any direction reconstruction of the midface, LeFort I, requiring bone grafts, including obtaining autografts.

CPT Code 21146

CPT 21146 describes a reconstruction of the midface using a LeFort I procedure with two pieces and segment movement in any direction, which requires bone grafts, including obtaining autografts, such as for an ungrafted unilateral alveolar cleft.

CPT Code 21147

CPT 21147 describes a reconstruction of the midface using LeFort I, involving three or more pieces with segment movement in any direction and requiring bone grafts, such as ungrafted bilateral alveolar cleft or multiple osteotomies.

CPT Code 21150

CPT 21150 describes the reconstruction of the midface using LeFort II and anterior intrusion for conditions such as Treacher-Collins Syndrome

CPT Code 21151

CPT 21151 describes the midface reconstruction using a LeFort II procedure in any direction, including obtaining autografts for bone grafts.

CPT Code 21154

CPT 21154 describes the reconstruction of the midface with a LeFort III (extracranial) requiring bone grafts, including obtaining autografts, without a LeFort I.

CPT Code 21155

CPT 21155 describes the reconstruction of the midface with a LeFort III (extracranial) requiring bone grafts, including obtaining autografts and a LeFort I.

CPT Code 21159

CPT 21159 describes the reconstruction of the midface with a LeFort III (extra and intracranial) with forehead advancement (e.g., monobloc), requiring bone grafts (including obtaining autografts) without a LeFort I.

CPT Code 21160

CPT 21160 describes the reconstruction of the midface, LeFort III (extra and intracranial) with forehead advancement (e.g., monobloc), requiring bone grafts (including obtaining autografts), and LeFort I.

CPT Code 21172

CPT 21172 describes the reconstruction of the superior-lateral orbital rim and lower forehead, with the option of advancement or alteration, with or without grafts, including obtaining autografts.

CPT Code 21175

CPT 21175 describes the reconstruction of bifrontal superior-lateral orbital rims and lower forehead, advancement or alteration (e.g., plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (including obtaining autografts).

CPT Code 21179

CPT 21179 describes the reconstruction of the entire or majority of the forehead and/or supraorbital rims with allograft or prosthetic material.

CPT Code 21180

CPT 21180 describes the reconstruction of the entire or majority of the forehead and/or supraorbital rims with autograft, including obtaining grafts.

CPT Code 21181

CPT 21181 describes the reconstruction of benign tumors of cranial bones (e.g., fibrous dysplasia) and extracranial bones by contouring

CPT Code 21182

CPT 21182 describes the reconstruction of orbital walls, rims, forehead, and nasoethmoid complex following intra- and extracranial excision of a benign tumor of cranial bone (e.g., fibrous dysplasia) with multiple autografts, with a total area of bone grafting less than 40 sq cm.

CPT Code 21183

CPT 21183 describes the reconstruction of orbital walls, rims, forehead, and nasoethmoid complex following intra- and extracranial excision of a benign tumor of cranial bone (e.g., fibrous dysplasia) with multiple autografts, including obtaining grafts, with a total area of bone grafting greater than 40 sq cm but less than 80 sq cm

CPT Code 21184

CPT 21184 describes the reconstruction of orbital walls, rims, forehead, and nasoethmoid complex with multiple autografts following intra- and extracranial excision of a benign tumor of cranial bone (e.g., fibrous dysplasia), with a total area of bone grafting greater than 80 sq cm.

CPT Code 21188

CPT 21188 describes the reconstruction of the midface, osteotomies other than LeFort type, and bone grafts, including obtaining autografts

CPT Code 21193

CPT 21193 describes the reconstruction of mandibular rami with horizontal, vertical, C, or L osteotomy without bone graft.

CPT Code 21194

CPT 21194 describes the reconstruction of mandibular rami with a horizontal, vertical, C, or L osteotomy, including obtaining a bone graft.

CPT Code 21195

CPT 21195 describes the reconstruction of mandibular rami and/or sagittal body split without rigid internal fixation.

CPT Code 21196

CPT 21196 describes the reconstruction of mandibular rami and/or body with sagittal split and rigid internal fixation.

CPT Code 21198

CPT 21198 describes a segmental osteotomy of the mandible

CPT Code 21199

CPT 21199 describes a segmental mandible osteotomy with genioglossus advancement

CPT Code 21206

CPT 21206 describes a segmental osteotomy of the maxilla, such as Wassmund or Schuchard

CPT Code 21208

CPT 21208 describes the augmentation of facial bones with an autograft, allograft, or prosthetic implant through osteoplasty

CPT Code 21209

CPT 21209 describes the reduction of facial bones for osteoplasty.

CPT Code 21210

CPT 21210 describes obtaining a graft for nasal, maxillary, or malar areas.

CPT Code 21215

CPT 21215 describes obtaining a graft from the mandible bone.

CPT Code 21230

CPT 21230 describes the grafting of autogenous rib cartilage to the face, chin, nose, or ear, including obtaining the graft.

CPT Code 21235

CPT 21235 describes grafting autogenous ear cartilage to the nose or ear, including obtaining the graft

CPT Code 21240

CPT 21240 describes arthroplasty of the temporomandibular joint, with or without autograft, including obtaining the graft.

CPT Code 21242

CPT 21242 describes arthroplasty of the temporomandibular joint with an allograft

CPT Code 21243

CPT 21243 describes arthroplasty of the temporomandibular joint with prosthetic joint replacement.

CPT Code 21244

CPT 21244 describes the reconstruction of the mandible extraorally with a transosteal bone plate, such as a mandibular staple bone plate.

CPT Code 21245

CPT 21245 describes a partial subperiosteal implant for the reconstruction of the mandible or maxilla

CPT Code 21246

CPT 21246 describes the complete reconstruction of the mandible or maxilla, including the subperiosteal implant.

CPT Code 21247

CPT 21247 describes the reconstruction of the mandibular condyle with bone and cartilage autografts, including obtaining grafts for hemifacial microsomia.

CPT Code 21248

CPT 21248 describes the partial reconstruction of the mandible or maxilla with an endosteal implant such as a blade or cylinder.

CPT Code 21249

CPT 21249 describes the complete reconstruction of the mandible or maxilla with endosteal implants such as a blade or cylinder.

CPT Code 21255

CPT 21255 describes the reconstruction of the zygomatic arch and glenoid fossa with bone and cartilage, including the obtaining of autografts

CPT Code 21256

CPT 21256 describes the reconstruction of orbit with osteotomies (extracranial) and bone grafts (including obtaining autografts) such as micro-ophthalmia

CPT Code 21260

CPT 21260 describes periorbital osteotomies with bone grafts using an extracranial approach for orbital hypertelorism

CPT Code 21261

CPT 21261 describes periorbital osteotomies with bone grafts, utilizing a combined intra- and extracranial approach, for orbital hypertelorism

CPT Code 21263

CPT 21263 describes periorbital osteotomies for orbital hypertelorism, with bone grafts and forehead advancement.

CPT Code 21267

CPT 21267 describes the extracranial approach, orbital repositioning, and unilateral periorbital osteotomies with bone grafts.

CPT Code 21268

CPT 21268 describes orbital repositioning with unilateral periorbital osteotomies, with bone grafts, using a combined intra- and extracranial approach.

CPT Code 21270

CPT 21270 describes malar augmentation using prosthetic material.

CPT Code 21275

CPT 21275 describes the second revision of orbitocraniofacial reconstruction.

CPT Code 21280

CPT 21280 describes a separate procedure for medial canthopexy.

CPT Code 21282

CPT 21282 describes a lateral canthopexy

CPT Code 21295

CPT 21295 describes the reduction of the masseter muscle and bone reduction through an extraoral approach for treating benign masseteric hypertrophy.

CPT Code 21296

CPT 21296 describes the reduction of masseter muscle and bone through an intraoral approach to treat benign masseteric hypertrophy.