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See a sample rate comparisonCPT 21330 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.
Open Treatment Of Nasal Fractu, Open Treatment Of Nasal Fracture Complicated With Internalandor External Skeletal Fixation Open Treatment Of Nasal Fracture Complicated With Internal
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21330 |
| Medicaid Fee Schedule | View Medicaid rates for 21330 |
National average reimbursement for CPT 21330 by major payers:
$688.11
$752.44
$760.43
$905.22
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CPT 21330
5 of 25 sample ratesHigher to lower in this preview
Hamilton Surgery Center LLC
$4,588.00Published rateSaint Lukes South Surgery Center LLC
$1,834.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Showlow
Barnet Dulaney Perkins Eye Center PLLC
$1,505.00Published rateMarietta Outpatient Surgery, Ltd
Marietta Outpatient Surgery Ltd
$1,175.00Published rateAllegany Ambulatory Surgery Center LLC
$616.00Published rate
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See a sample payer proposalCPT 21330 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21330 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 21330 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 |
|---|---|---|
| 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 |
| 21335-CPT | Moderate | Open Treatment Of Nasal Fractu, Open Treatment Of Nasal Fracture With Concomitantopentreatment Of Fractured Septum Open Treatment Of Nasal Fracture With Concomitant Open |
| 21345-CPT | Moderate | Closed Treatment Of Nasomaxill, Closed Treatment Of Nasomaxillary Complex Fracture(Lefortii Type) With Interdental Wire Fixation O R Fixation Of Denture Or Splint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21330. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21330 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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