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See a sample rate comparisonCPT 21320 Fee Schedule
Last Verified: September 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.
Closed Treatment Of Nasal Bone, Closed Treatment Of Nasal Bone Fracture With Stabilization Closed Treatment Of Nasal Bone Fracturewith Stabilization
| 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 SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21320 |
| Medicaid Fee Schedule | View Medicaid rates for 21320 |
National average reimbursement for CPT 21320 by major payers:
$272.69
$331.28
$344.02
$198.61
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CPT 21320
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes-Gi Diagnostics LLC
Saint Lukesgi Diagnostics LLC
$2,895.00Published ratePatient Partners LLC
$1,258.00Published rateThe Digestive Endoscopy Center Of Michigan, PLLC, Crowne Point Endoscopy & Surgery Center
The Digestive Endoscopy Center Of Michigan PLLC
$735.00Published rateFort Washington Surgery Center, LLC, The Surgery Center At Fort Washington
Foundation Surgery Affiliates Of Fort Washington, LLC
$502.00Published rateThe Asc At Waugh Chapel
$228.00Published rate
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See a sample payer proposalCPT 21320 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21320 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 21320 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 |
|---|---|---|
| 21315-CPT | Moderate | Closed Treatment Of Nasal Bon, Closed Treatment Of Nasal Bone Fracture Withoutstabilization Closed Treatment Of Nasal Bone Fracture Without |
| 21320-CPT | Moderate | Closed Treatment Of Nasal Bone, Closed Treatment Of Nasal Bone Fracture With Stabilization Closed Treatment Of Nasal Bone Fracturewith Stabilization |
| 21325-CPT | Moderate | Open Treatment Of Nasal Fractu, Open Treatment Of Nasal Fracture Uncomplicatedopen Treatment Of Nasal Fracture Uncomplicated |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21320 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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