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See a sample rate comparisonCPT 21336 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.
Open Treatment Of Nasal Septal, Open Treatment Of Nasal Septal Fracture With Or Withoutstabilization Open Treatment Of Nasal Septal Fracture With Or Without
| 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 21336 |
| Medicaid Fee Schedule | View Medicaid rates for 21336 |
National average reimbursement for CPT 21336 by major payers:
$762.73
$846.25
$863.56
$1,048.03
Compare published rates across providers.
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CPT 21336
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$7,169.00Published rateSummit Ambulatory Surgical Center, LLC
$2,388.00Published rateUrology Surgery Center Of Savannah, Lllp, Urology Surgery Center, LLP
Urology Surgery Center Of Savannah Lllp
$1,678.00Published rateCabrillo Surgery Center
$1,178.00Published rateOak Lawn Endoscopy LLC
$637.00Published rate
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See a sample payer proposalCPT 21336 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21336 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 21336 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 |
|---|---|---|
| 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 |
| 21336-CPT | Moderate | Open Treatment Of Nasal Septal, Open Treatment Of Nasal Septal Fracture With Or Withoutstabilization Open Treatment Of Nasal Septal Fracture With Or Without |
| 21337-CPT | Moderate | Closed Treatment Of Nasal Sept, Closed Treatment Of Nasal Septal Fracture With Orwithoutstabilization Closed Treatment Of Nasal S Eptal Fracture With Or Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21336. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21336 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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