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CPT code 21199: Osteotomy, mandible, segmental with genioglossus advancement

CPT code 21199 is defined by the American Medical Association (AMA) as: Osteotomy, mandible, segmental; with genioglossus advancement. It sits in the Musculoskeletal System section of the CPT codebook, under the Head subsection. The surgery repositions a segment of the mandible to pull the genioglossus muscle forward. That enlarges the upper airway and reduces soft-tissue […]

CPT code 21255: Zygomatic arch and glenoid fossa reconstruction

CPT code 21255 covers reconstruction of the zygomatic arch and glenoid fossa with bone and cartilage, and the descriptor includes obtaining autografts. The American Medical Association’s CPT code set places it in the repair, revision, and reconstruction section for the skull, facial bones, and temporomandibular joint. That section sits in the 20000-21999 musculoskeletal range. The […]

CPT code 21215: Bone graft, mandible – RVUs, modifiers, 2026 fee schedule

CPT code 21215 has one official descriptor published by the American Medical Association (AMA): Graft, bone; mandible (includes obtaining graft). It sits in the Repair, Revision, and/or Reconstruction Procedures on the Head section of the CPT manual, inside the 21120-21296 code range. The code covers the whole surgical episode of placing autogenous bone onto the […]

CPT code 21184: Orbital wall reconstruction billing guide

CPT code 21184 reports reconstruction of the orbital walls, rims, forehead, and nasoethmoid complex. It follows intra- and extracranial excision of a benign cranial bone tumor, and it applies when the total autograft area exceeds 80 sq cm. The code sits in the Musculoskeletal System section of the CPT code set, subsection Head. The American […]

CPT code 15260: Full thickness graft billing and denials

CPT code 15260 reports a full thickness skin graft to the nose, ears, eyelids, or lips. The grafted area has to measure 20 sq cm or less. Direct closure of the donor site is part of the code, not a separate service. That last detail is where the money quietly goes missing. Surgically, the procedure […]

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