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See a sample rate comparisonCPT 21282 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Revision Of Eyelid, Tightening Of Tendon Of Outer Edge Of Lower Eyelid
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21282 |
| Medicaid Fee Schedule | View Medicaid rates for 21282 |
National average reimbursement for CPT 21282 by major payers:
$509.49
$503.17
$546.93
$641.79
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CPT 21282
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Surgery Center L.L.P., Christus Santa Rosa Surgery Center
$3,493.00Published rateOrthoarizona Scottsdale Asc, LLC
Orthoarizona Scottsdale Asc LLC
$1,146.00Published rateSouth Bend In Endoscopy Asc LLC, Michiana Endoscopy Center
South Bend In Endoscopy Asc LLC
$648.00Published rateSun City Center Ambulatory Surgery Center, LLC, Sun City Asc
Sun City Center Ambulatory Surgery Center LLC
$512.00Published rateMsc Ambulatory Surgical Center, LLC
$341.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 21282 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21282 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 21282 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 21282-CPT | Moderate | Revision Of Eyelid, Tightening Of Tendon Of Outer Edge Of Lower Eyelid |
| 21315-CPT | Moderate | Closed Treatment Of Nasal Bon, Closed Treatment Of Nasal Bone Fracture Withoutstabilization Closed Treatment Of Nasal Bone Fracture Without |
| 21330-CPT | Moderate | Open Treatment Of Nasal Fractu, Open Treatment Of Nasal Fracture Complicated With Internalandor External Skeletal Fixation Open Treatment Of Nasal Fracture Complicated With Internal |
| 21340-CPT | High | Percutaneous Treatment Of Naso, Percutaneous Treatment Of Nasoethmoid Complex Fracture Withsplint Wire Or Headcap Fixation Including Repair Of Canthal Ligaments Andor The Nasolacrimal Apparatus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21282. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21282 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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