Le Fort Fractures



I performed open reduction internal fixation of bilateral Le Fort II fractures through multiple approaches. Would this be coded as 21347-50? Otherwise asked, does 21347 constitute a repair of a unilateral Le Fort fracture?


The Le Fort fracture repair codes should not be reported with the bilateral modifier (50). A Le Fort fracture is inherently bilateral; therefore, the repair procedure (and CPT code) is also inherently bilateral.