CPT code 21196 refers to a surgical procedure focusing on repairing parts of the lower jaw with special support structures. CPT 21196 represents “Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation”.
Procedure Explanation:
This procedure involves repairing the sections of the lower jawbone, particularly the areas known as the rami and/or the body, using an approach called sagittal split. This repair is secured with strong support materials, like plates or screws, to ensure stability. Often, this does not include work on other parts of the jaw or additional adjustments elsewhere in the face.
Common Names:
- Jaw Resection and Fixation
- Mandibular Sagittal Split
- Jaw Reconstruction Surgery
Relative Value Units (RVU):
The RVUs associated with this code are 20.83.
How This Procedure Appears:
- Operating Room Schedule Name: Jawbone repair with fixation
- Surgical Consent Form Name: Reconstruction of lower jaw with stabilization
Typical Patients and Diagnoses:
This procedure is commonly used for patients who have experienced injuries or defects in their lower jaw, such as a broken or misaligned jawbone, often due to accidents or congenital conditions. For instance, someone who was in a car accident might need this procedure to properly align and stabilize their jaw.
Associated ICD-10 Codes:
- S02.65: Fracture of the mandible, or lower jawbone, which often requires surgical intervention like this procedure for proper healing.
- M26.50: An issue related to the alignment of the jaw, called a dentofacial anomaly, that might necessitate surgical reconstruction.
- Q02.0: A congenital defect involving the jaw, meaning it is a condition present from birth that might be corrected through surgery.
Summary
In summary, code 21196 describes a surgery to reconstruct parts of the lower jaw using supportive fixation methods. Typical ICD-10 codes associated with 21196 include S02.65 (Fracture of the mandible) and M26.50 (Dentofacial anomaly).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.