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The CPT® Code 21275 refers to the procedure known as secondary revision of orbitocraniofacial reconstruction. This surgical intervention is performed when a patient requires a follow-up surgery to address previous reconstructive efforts involving the orbits and facial structures. The term 'orbitocraniofacial' encompasses the bones and tissues surrounding the eyes and the facial skeleton, indicating the complexity and precision required in such procedures. During this operation, the surgeon accesses the affected bones through various types of incisions, which may include approaches through the lower eyelid, eyebrow, or maxillary vestibule, depending on the specific anatomical considerations and the extent of the reconstruction needed. In this procedure, the surgeon may utilize grafts harvested from the patient's own body, such as from the hip, rib, or skull, to aid in the reconstruction process. The use of grafts is essential for filling any defects that may arise from repositioning the bones. The surgical technique involves the use of specialized instruments, including drills and saws, to create precise incisions in the orbitocraniofacial bones. Once the bones are repositioned to achieve the desired alignment and contour, they are secured in place using various fixation methods, such as wires, plates, and screws. Finally, the surgeon meticulously closes all incisions to promote optimal healing and aesthetic outcomes. This procedure is critical for restoring both function and appearance in patients who have undergone previous facial reconstructive surgeries.
© Copyright 2025 Coding Ahead. All rights reserved.
The secondary revision of orbitocraniofacial reconstruction, represented by CPT® Code 21275, is indicated for patients who have previously undergone facial reconstructive surgery but require additional intervention to correct or enhance the results. The following conditions may warrant this procedure:
The procedure for secondary revision of orbitocraniofacial reconstruction involves several critical steps to ensure successful outcomes. Each step is designed to address the specific needs of the patient while adhering to surgical best practices.
After the secondary revision of orbitocraniofacial reconstruction, patients can expect a recovery period that may vary based on the extent of the surgery and individual healing responses. Post-procedure care typically includes monitoring for any signs of complications, such as infection or excessive swelling. Patients are often advised to follow specific guidelines regarding activity restrictions, wound care, and pain management. Follow-up appointments are essential to assess healing progress and to ensure that the surgical outcomes meet the desired functional and aesthetic goals. Additionally, patients may receive instructions on how to care for the surgical site and when to resume normal activities, including any necessary physical therapy to aid in recovery.
| Short Descr | REVISION ORBITOFACIAL BONES | Medium Descr | SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ | Long Descr | Secondary revision of orbitocraniofacial reconstruction | 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 161 - Other OR therapeutic procedures on bone |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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