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The procedure described by CPT® Code 21087 involves the creation of a nasal prosthesis tailored specifically for the patient. This process begins with the physician taking precise molds of the patient's nose and surrounding facial structures. These molds serve as the foundation for crafting a custom latex nasal prosthesis, which is designed to closely resemble the patient's original appearance prior to any surgical alterations. The prosthesis is then affixed to the patient's face using either adhesive or magnets, ensuring a secure and comfortable fit. To aid in the accurate creation of the prosthesis, the physician utilizes photographs of the patient, which provide a visual reference to replicate the patient's facial features as closely as possible. This meticulous approach not only enhances the aesthetic outcome but also plays a crucial role in the patient's emotional and psychological well-being following surgery.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure for creating a nasal prosthesis is indicated for patients who have undergone surgical interventions that have altered the structure of their nose or face. This may include individuals who have experienced trauma, such as accidents or injuries, or those who have had surgical resections due to cancer or other medical conditions affecting the nasal area. The goal of the procedure is to restore the patient's appearance and improve their quality of life by providing a prosthetic solution that closely mimics their natural facial features.
The procedure for creating a nasal prosthesis involves several key steps that ensure a precise and effective outcome. Initially, the physician begins by taking detailed molds of the patient's nose and adjacent facial areas. This step is crucial as it captures the unique contours and dimensions of the patient's face, which will be replicated in the prosthesis.
Following the creation and fitting of the nasal prosthesis, the patient may require specific post-procedure care to ensure optimal healing and comfort. The physician will provide instructions on how to properly care for the prosthesis, including cleaning and maintenance guidelines. Patients are also advised on how to securely attach and remove the prosthesis, as well as any precautions to take to avoid irritation or damage to the skin. Regular follow-up appointments may be scheduled to assess the fit and condition of the prosthesis, allowing for any necessary adjustments to be made. Overall, the post-procedure phase is critical for ensuring the long-term success and satisfaction with the nasal prosthesis.
| Short Descr | IMPRES&PREP NASAL PROSTH | Medium Descr | IMPRESSION & PREPARATION NASAL PROSTHESIS | Long Descr | Impression and custom preparation; nasal prosthesis | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 32 - Other non-OR therapeutic procedures on nose, mouth and pharynx |
| 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) |
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| 2025-01-01 | Changed | Short Description changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 1991-01-01 | Added | First appearance in code book in 1991. |
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