2025 CPT code 42235
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Repair of anterior palate using a vomer bone flap.
Modifiers 22, 51, 52, 78, 79, 80 may apply based on specific circumstances.Consult the CPT manual and local payer guidelines for proper modifier use.
Medical necessity for this procedure is established in cases of cleft palate, traumatic injuries, or persistent oroantral fistulas causing significant functional or aesthetic impairment.The use of a vomer flap is indicated when local tissue is insufficient for repair.
The surgeon performs the procedure, including incision, flap elevation and transposition, hemostasis, and wound closure.Pre-operative and post-operative care may be included depending on the specific circumstances and payer rules.
In simple words: The doctor fixes a hole in the roof of the mouth using a piece of bone from the nose.This closes the opening between the mouth and nose.
This procedure involves repairing defects in the hard palate using a flap from the vomer bone in the nose.After prepping and anesthetizing the patient, an incision is made around the defect margins, extending to the mucoperiosteal layers. The mucoperiosteal layer of the vomer bone is elevated and transposed to the hard palate.The exposed vomer bone heals by secondary intention. The vomer flap closes the oronasal communication.Hemostasis is achieved, instruments removed, and the palatal incision is sutured in layers.
Example 1: A newborn with a cleft palate undergoes repair using a vomer flap.The procedure involves meticulous dissection and precise flap placement to achieve optimal aesthetic and functional outcomes., A patient with a persistent oroantral fistula following previous palatal surgery requires repair. A vomer bone flap is used to close the defect and restore palatal integrity., A child with a traumatic palatal defect resulting from an accident needs reconstruction. A vomer flap is used as a primary reconstructive element.
Preoperative assessment including photographic documentation of the defect. Intraoperative notes detailing the technique used, including the size and location of the vomer flap, and any complications. Postoperative care instructions and follow-up visits should be documented.
** This procedure is complex and requires specialized surgical skills.The success of the procedure depends on meticulous surgical technique and appropriate patient selection.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: unknown
- Global Days : unknown
- Payment Status: Active
- Modifier TC rule: unknown
- Fee Schedule : unknown
- Specialties:Plastic Surgery, Oral and Maxillofacial Surgery
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Office