2025 CPT code 21100
Application of halo type appliance for maxillofacial fixation, includes removal.
Modifiers may be applicable to this code to indicate specific circumstances, such as increased procedural services (22), reduced services (52), or repeat procedures (76, 77). The appropriate use of modifiers should be based on individual case circumstances.
Medical necessity must be established by demonstrating that the halo application is required for the treatment of a specific maxillofacial condition or injury. The documentation should clearly link the procedure to the diagnosis and explain why less invasive treatment options are not appropriate.
The physician is responsible for pre-operative planning, including assessment of the patient's condition and determination of the appropriate halo device and pin placement. The procedure involves precise placement of pins into the skull, securing the halo ring, and applying traction if necessary. Post-operative care, including monitoring for complications and ensuring proper healing, is also the physician's responsibility.
In simple words: This procedure involves attaching a special device called a "halo" to the head to stabilize and realign the bones of the face and jaw. The halo is a ring-shaped frame attached to the skull with pins. It helps to hold the bones in the correct position while they heal. The procedure also includes taking the halo off after the healing is complete.
This code describes the application of a halo-type device for maxillofacial fixation, including its subsequent removal. A halo-type appliance is a ring-shaped device secured to the skull with pins, providing stable skeletal fixation for the face and jaw. This procedure is used to treat complex maxillofacial fractures, deformities, or other conditions requiring skeletal alignment and stabilization. The removal of the halo device is included in this code.
Example 1: A patient with a complex mandibular fracture requires surgical reduction and fixation. A halo-type appliance is applied to provide stable fixation during the healing process., A patient with a severe midface deformity undergoes reconstructive surgery. A halo device is used to maintain proper skeletal alignment while the bones heal., A patient with a traumatic maxillofacial injury requires stabilization of the facial bones. A halo-type appliance is applied to facilitate healing and prevent further displacement.
Documentation should include the diagnosis necessitating the procedure, operative details (including type of halo device, pin placement, and traction applied), and any complications encountered. Radiographic imaging confirming proper alignment and post-operative progress should also be documented.
- Specialties:Oral and Maxillofacial Surgery, Plastic Surgery, Craniofacial Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center