Fracture care CPT codes

Open surgical repair of a mandibular fracture using interdental fixation — wiring or splinting the teeth together to stabilize the lower jaw while it heals.

Removal and replacement of a single strut in a multiplane unilateral external fixation system that uses stereotactic computer-assisted (spatial frame) adjustment, including imaging.

Open reduction of an odontoid fracture or dislocation via anterior cervical approach, with internal fixation and bone grafting.

Open treatment of a craniofacial separation fracture — the most complex category — requiring multiple internal fixation points and, when needed, bone grafting across the cranial-facial junction.

Open surgical treatment of a mandibular fracture without interdental fixation — the fracture site is exposed and reduced through an open approach, but arch bars, wires, or other interdental fixation devices are not used to stabilize the repair.

Open surgical repair of complex acetabular fractures involving both anterior and posterior columns, including T-type, both-column, and single-column or transverse patterns with associated wall fracture, with internal fixation.

Open surgical repair of a LeFort III craniofacial separation that is complicated by comminution or cranial nerve foramina involvement, requiring multiple surgical approaches.

Open posterior treatment and/or reduction of a single fractured or dislocated thoracic vertebral segment, performed through a posterior approach.

Open treatment of acetabular fracture(s) involving the posterior wall, posterior column, or both, with internal fixation.

Open treatment of a cervical spine fracture and/or dislocation, performed at a single vertebral level in the neck.

Open posterior reduction and stabilization of a lumbar vertebral fracture or dislocation, performed through a posterior surgical approach.

Open surgical correction of spontaneous hip dislocation (developmental, congenital, or pathological origin) with femoral head replacement into the acetabulum and femoral shaft shortening osteotomy.

Open treatment of a complex craniofacial separation fracture using internal and/or external fixation

Intertrochanteric or subtrochanteric femoral osteotomy with internal or external fixation and/or cast application to correct deformity or malalignment in the proximal femur.

Open surgical treatment of a posterior pelvic fracture or dislocation that disrupts the pelvic ring — unilateral or bilateral — including internal fixation when performed, covering the ilium, sacroiliac joint, and/or sacrum.

Open surgical fixation of a distal tibia (pilon/tibial plafond) fracture involving internal fixation of both the tibia and fibula.

Open treatment of a femoral shaft fracture using an intramedullary implant, with or without external fixation, cerclage, or locking screws.

Open surgical repair of a complex frontal sinus fracture, accessed through coronal or scalp incisions, typically involving comminuted or displaced bone requiring internal fixation.

Open surgical repair of a calcaneal fracture using an autogenous bone graft harvested from the iliac crest or another donor site, with internal fixation applied as needed.

Multiple osteotomies of the femoral shaft with realignment on an intramedullary rod — the Sofield-type procedure for severe femoral deformity correction.

Open surgical treatment of a traumatic hip dislocation combined with fractures of the acetabular wall and femoral head, with or without internal or external fixation.

Open surgical repair of a complicated malar (cheekbone) fracture — comminuted or involving cranial nerve foramina — including zygomatic arch and malar tripod, with bone grafting.

Open repair of tibial nonunion or malunion using iliac crest or other autograft, including harvest of the graft at the same operative session.

Open surgical repair of an osteochondral defect on the talus using autograft tissue harvested from the patient's own body during the same operative session.

Tibial nonunion or malunion repair by tibiofibular synostosis — surgically fusing the tibia to the fibula to restore structural integrity when the tibia has failed to heal or has healed in poor alignment.

Open surgical treatment of a fracture at the proximal femur involving the femoral head, with internal fixation applied when indicated.

Open fixation of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using a plate/screw-type implant, with or without cerclage.

Closed treatment of a mandibular (lower jaw) fracture using interdental fixation — teeth-based hardware stabilizes the fracture without open surgical exposure.

Open treatment of an intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture using an intramedullary implant, with or without interlocking screws and/or cerclage.

Open surgical repair of a femoral supracondylar or transcondylar fracture that extends into the intercondylar region, with internal fixation as needed.

Open surgical treatment of a bicondylar proximal tibial plateau fracture, with or without internal fixation.

Open treatment of a proximal femoral fracture at the femoral neck, using internal fixation hardware or prosthetic replacement to stabilize the fracture site.

Repair of femoral nonunion or malunion (distal to femoral head and neck) using compression or other technique, without bone graft.

Open surgical treatment of knee dislocation, including internal fixation when indicated, with primary repair of ligaments and augmentation or reconstruction as needed.

Application of a multiplanar (ring or hybrid) uniplane external fixation system, initial encounter — first bone segment.

Open surgical fixation of a pilon or tibial plafond fracture involving the weight-bearing articular surface of the distal tibia, with internal fixation of the tibia only.

Open surgical repair of a calcaneal (heel bone) fracture, with internal fixation applied when needed to stabilize bone fragments.

Application of a multiplane, unilateral external fixation system using pins or wires in more than one plane (e.g., Ilizarov or Monticelli-type ring fixator).

Open repair of a complicated mandibular fracture requiring multiple surgical approaches, with internal fixation, interdental fixation, and/or wiring of dentures or splints.

Open treatment of slipped femoral capital epiphysis with osteotomy and internal fixation

Open surgical treatment of slipped capital femoral epiphysis (SCFE) using single or multiple pins, screws, or bone graft fixation to stabilize the displaced femoral head on the femoral neck.

Closed treatment of one or more vertebral fractures or dislocations requiring manipulation or traction, with application of casting or bracing included in the service.

Open treatment of a partial articular fracture and/or dislocation of the elbow with internal fixation of the articular fragment.

Surgical repair of a failed-to-heal fracture in a metacarpal or phalanx bone, including harvesting a bone graft and stabilizing with external or internal fixation when indicated.

Open surgical treatment of a periarticular elbow fracture and/or dislocation involving the distal humerus, proximal ulna, and/or proximal radius, with internal fixation.

Percutaneous skeletal fixation of a posterior pelvic bone fracture or dislocation involving a ring-disrupting pattern, performed unilaterally or bilaterally, covering the ilium, sacroiliac joint, and/or sacrum.

Open surgical treatment of a talus fracture, with internal or external fixation performed when indicated.

Open surgical repair of a depressed fracture of the frontal sinus, accessed through a direct incision to reduce and stabilize the fractured bone segments.

Open repair of a nonunion or malunion of the humeral shaft without bone graft augmentation.

Open treatment of a distal radial intra-articular fracture or epiphyseal separation requiring internal fixation of three or more fragments

Open surgical repair of a posterior or anterior acetabular wall fracture using internal fixation hardware such as plates, screws, or pins.

Open surgical repair of a complicated malar (cheekbone) fracture, including comminuted patterns or fractures involving cranial nerve foramina, using multiple approaches as needed.

Surgical repair of congenital pseudarthrosis of the tibia — a false joint formed at a congenital bowing site that failed to ossify normally.

Open treatment of a distal humeral fracture that extends into the intercondylar region, requiring fixation of both the supracondylar and intraarticular components.

Open surgical repair of a talotarsal joint dislocation, with or without internal fixation using pins or screws.

Open treatment of a nasomaxillary complex fracture with bone grafting

Open treatment of knee dislocation with internal fixation and primary ligamentous repair, without augmentation or reconstruction.

Multiple osteotomies of the radius or ulna with intramedullary rod realignment (Sofield-type procedure) — a single-bone forearm correctional osteotomy.

Open repair of a nasomaxillary complex fracture requiring multiple open surgical approaches (LeFort II type).

Surgical repair of radius or ulna nonunion or malunion using an autograft, including harvest of the graft from the iliac crest or another donor site.