Other CPT codes

Bone graft to the mandible, including harvest of the graft from a donor site by the operating surgeon.

Augmentation of the mandible using a bone graft, typically to build up deficient jaw volume for reconstructive purposes.

Surgical augmentation of the mandibular body or angle using prosthetic implant material to enlarge or reshape the lower jaw.

Free osteocutaneous flap harvested from the iliac crest, including bone, overlying skin, and intact vascular pedicle, transferred with microvascular anastomosis to reconstruct a distant defect.

Microvascular bone graft harvested from a donor site other than the fibula, iliac crest, or metatarsal, transplanted with its intact arterial and venous supply to fill a major skeletal defect at the recipient site.

Reconstruction of the midface (Le Fort III level) with advancement using an internal distraction device — a high-complexity craniofacial procedure performed for severe midface hypoplasia or retrusion.

Reconstruction of the midface using a Le Fort III advancement combined with a distraction osteogenesis device, performed without simultaneous intracranial surgery.

Impression-taking and custom fabrication of an orbital prosthesis to restore the eye socket following enucleation or exenteration.

Periorbital osteotomies for orbital hypertelorism using a combined intra- and extracranial approach, with bone grafts to reposition the orbits and fill bony defects.

Reconstruction of the orbital walls, rims, forehead, and nasoethmoid complex after intra- and extracranial excision of a benign cranial bone tumor, using multiple autografts with a total bone-graft area exceeding 80 square centimeters — graft harvesting is included.

Reconstruction of the superior-lateral orbital rim and lower forehead, with advancement or repositioning, including autograft harvest when performed.

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

Periorbital osteotomies for orbital hypertelorism with forehead advancement and bone grafts, using a combined intra- and extracranial approach.

Reconstruction of orbital walls, rims, forehead, and nasoethmoid complex after intra- and extracranial excision of a benign cranial bone tumor, using multiple autografts, where the total bone graft area falls between 40 and 80 square centimeters.

Electrocorticography performed directly on exposed cortical tissue during an open cranial surgical procedure to map brain function or localize seizure foci.

Bifrontal reconstruction of the superior-lateral orbital rims and lower forehead, with or without bone grafts including autograft harvest, for conditions such as plagiocephaly, trigonocephaly, or brachycephaly.

Reconstruction of the midface using a modified LeFort III osteotomy with internal fixation, repositioning the midface skeleton to correct severe craniofacial deformities.

Reconstruction of orbital walls, rims, forehead, and nasoethmoid complex after intra- and extracranial excision of a benign cranial bone tumor, using multiple autografts (graft harvest included); total bone graft area under 40 square centimeters.

Unilateral orbital repositioning via periorbital osteotomies with bone grafting to correct eye socket position from trauma or congenital deformity.

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.

Surgical bone grafting to the nasal, maxillary (upper jaw), or malar (cheek) areas, including harvest of the graft when autogenous bone is used.

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.

Impression-taking and laboratory fabrication of a definitive obturator prosthesis for palatal or maxillary defects, including all custom preparation steps.

Extracranial LeFort III midface reconstruction requiring bone grafts, performed without a simultaneous LeFort I osteotomy.

Excision of a chest wall tumor involving one or more ribs, with plastic reconstruction of the chest wall defect and mediastinal lymphadenectomy.

Surgical augmentation of one or more facial bones using an autograft, allograft, or prosthetic implant to build up deficient bony contours.

Impression and custom fabrication of an external nasal prosthesis for a patient with partial or total nasal absence due to ablative surgery, trauma, or congenital defect.

Impression and custom preparation of a custom auricular (ear) prosthesis to replace a partially or totally absent external ear.

Impression and custom fabrication of a removable speech aid prosthesis that addresses soft palate defects by extending into the throat to separate the oropharynx and nasopharynx during speech and swallowing.

Impression-taking and custom fabrication of a mandibular resection prosthesis used to restore jaw form and function after surgical resection of the mandible.

Midface reconstruction via LeFort II osteotomy, movement in any direction, with bone grafting including autograft harvest

Excision of a chest wall tumor involving one or more ribs, with plastic reconstruction of the chest wall defect, without mediastinal lymphadenectomy.

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

LeFort I osteotomy with segmentation into three or more pieces, repositioned in any direction, with bone grafting including autograft harvest

Impression and custom preparation of an interim obturator prosthesis — a temporary device fabricated to close the maxillary defect created after partial or total maxillectomy.

Impression and custom preparation of a palatal augmentation prosthesis to reshape the hard palate and improve tongue-palate contact for speech and swallowing.

Reconstruction of the entire forehead using bone graft harvested from the patient's own body (autograft), performed to correct severe deformity from trauma, congenital anomaly, or disease.

Unilateral orbital repositioning via periorbital osteotomies with bone grafting, performed through an extracranial approach only — no intracranial entry.

Arthroplasty of the temporomandibular joint using a prosthetic joint replacement device

LeFort I midface reconstruction split into two segments, moved in any direction, with bone grafts obtained at the same operative session — the classic approach for ungrafted unilateral alveolar clefts.

Midface reconstruction using osteotomies that are not LeFort-type, with bone grafting including harvesting of autograft bone.

Reconstruction of the mandibular condyle using bone and cartilage harvested from the patient's own body, including autograft harvest, typically performed for congenital jaw deformity such as hemifacial microsomia.

Reconstruction of the midface via a modified Le Fort II osteotomy pattern that advances the nasal-orbital complex anteriorly without mobilizing the zygoma.

Impression-taking and in-office fabrication of a custom palatal lift prosthesis to elevate a dysfunctional soft palate.

Complete reconstruction of the mandible or maxilla using an endosteal implant (blade or cylinder type) placed within the jawbone

LeFort I single-piece maxillary osteotomy performed with bone grafting to reposition the upper jaw and correct midface skeletal deformity.

Reconstruction of the entire or majority of the forehead and/or supraorbital rims using allograft or prosthetic material (not autograft).

Surgical removal of a tumor arising from the soft tissues of the back or flank when the lesion measures 5 cm or greater in its greatest dimension.

Open surgical removal of a malignant tumor from the maxilla (upper jaw) or zygoma (cheekbone), using either an intraoral or extraoral approach.

Surgical reconstruction of the mandibular body and/or rami using a sagittal split osteotomy technique, with internal fixation applied to stabilize the repositioned jaw segments.

Partial reconstruction of the mandible or maxilla using a subperiosteal implant — a custom metal framework placed on top of the jawbone beneath the periosteum to restore structural integrity and function.

Reconstruction of the mandibular rami using a horizontal, vertical, C, or L osteotomy, with bone graft harvested from the patient (graft procurement included).

LeFort I osteotomy of the maxilla performed in three or more bone segments, without bone grafting, for midface reconstruction.

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

Periorbital osteotomies with bone grafting to correct orbital hypertelorism — abnormal widening of the bony eye socket separation.

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.

LeFort I midface reconstruction performed in two separate maxillary segments, repositioning the upper jaw in any direction, without bone grafting.

Radical resection of a malignant soft tissue tumor (such as a sarcoma) of the neck or anterior thorax measuring 5 cm or greater, including resection of surrounding tissue and any involved anatomic structures.

Reconstruction of the zygomatic arch and glenoid fossa using bone and cartilage autografts harvested from the patient during the same operative session.

Surgical reconstruction of the mandibular rami and/or body using a sagittal split osteotomy technique, performed without internal rigid fixation hardware.