Surgical CPT codes

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.

Radical resection of a pelvic or hip tumor involving the ilium with acetabulum, both pubic rami, or the ischium with acetabulum — removing the tumor plus a margin of surrounding healthy bone and tissue.

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 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.

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

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

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

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 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.

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

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

Partial or complete resection of a lumbar vertebral body via a lateral extracavitary approach, performed to decompress the spinal cord and/or nerve roots — typically for tumor, infection, or retropulsed bone fragments.

Removal of a previously implanted single-level cervical total disc arthroplasty device at one interspace.

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

Tibial osteotomy performed using an intramedullary lengthening device to correct deformity or leg length discrepancy

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

Femoral osteotomy performed with insertion and management of an externally controlled intramedullary lengthening device for limb-length discrepancy correction.

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

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

Thoracic spinal cord or nerve root decompression at one segment through a costovertebral approach, resecting part of the rib head and transverse process to reach the lesion.

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

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.

Cervical laminoplasty with spinal cord decompression across two or more vertebral segments, including posterior bony element reconstruction with bridging bone graft and non-segmental fixation devices such as wire, suture, or mini-plates.

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

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.

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.

Hindquarter amputation removing the entire lower extremity and the ipsilateral half of the pelvis through the sacroiliac joint and pubic symphysis.

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.

Iliac, acetabular, or innominate bone osteotomy performed in conjunction with a femoral osteotomy to correct hip joint alignment.

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

Decompression of the thoracic spinal cord or nerve roots through a transpedicular approach at one segment, often for a herniated thoracic disc.

Radical resection of a tumor involving the distal or shaft portion of the humerus, with or without allograft reconstruction.

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

Anterior approach osteotomy of a single lumbar vertebral segment, including discectomy, to correct spinal deformity or severe sagittal imbalance.

Anterior thoracic discectomy at one interspace with decompression of the cord or nerve roots and removal of osteophytes, typically through a transthoracic approach.

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

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

Surgical lengthening of the femur (thigh bone) via osteoplasty, typically using osteodistraction to gradually separate bone segments and stimulate new bone formation across the gap.

Surgical osteoplasty of both the tibia and fibula to correct leg length discrepancy, either by lengthening or shortening the bones.

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.

Biopsy or excision of a lesion in the lumbar spine performed via laminectomy approach, accessing an extradural target.

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

Osteotomy of the iliac, acetabular, or innominate bone performed with open reduction of the hip joint to correct dislocation and restore normal alignment.

Cervical laminoplasty across two or more vertebral segments, opening and expanding the lamina to decompress the spinal cord without fixing or reconstructing the posterior elements.

Lumbar spinal cord and nerve root decompression via transpedicular approach, single segment, including transfacet or lateral extraforaminal variants for far lateral disc herniations.

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

Surgical shortening of the femur by removing a bone segment and stabilizing the remaining ends — performed to correct leg length discrepancy or malunion.

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

Bilateral pelvic osteotomy performed to correct congenital or developmental pelvic malalignment, typically in pediatric patients

Cervical laminectomy spanning more than two vertebral segments for spinal cord or cauda equina exploration and/or decompression, performed without facetectomy, foraminotomy, or discectomy.

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

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

Repeat cervical laminotomy at a single interspace that was operated on before, decompressing the nerve root with partial facetectomy, foraminotomy, or removal of herniated disc.

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

Excision of a benign cyst or tumor of the mandible (lower jaw) using an extraoral approach with osteotomy and partial mandibulectomy, including repair.

Surgical removal of the entire lower extremity by disarticulating through the hip joint, separating the femur and surrounding soft tissues at the acetabulum.

Anterior cervical discectomy at one interspace with decompression of the cord or nerve roots, including removal of osteophytes, when no fusion or arthroplasty is performed at that level.

Midface reconstruction via LeFort I osteotomy, single-piece maxillary segment moved in any direction, performed without bone graft.