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See a sample rate comparisonCPT 21339 Fee Schedule
Medicare rates as of October 2026
CPT 21339 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Open Treatment Of Nasoethmoid, Open Treatment Of Nasoethmoid Fracture With Externalfixation Open Treatment Of Nasoethmoid Fracture With External
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 51Multiple procedures GCService performed by resident under supervision |
| Hospital Outpatient Group (APC) | APC 5165 - Level 5 ENT Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $700.08 national non-facility rate (2026)View Medicare rates for 21339 |
| Medicaid Fee Schedule | $568.125 median of the 8 states in the free previewView Medicaid rates for 21339 |
National average reimbursement for CPT 21339 by major payers:
$960.90
BCBS / Anthem
$1,036.20
UnitedHealthcare
$1,052.72
Aetna
$1,272.50
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21339.
CPT 21339
5 of 25 sample ratesHigher to lower in this preview
Fort Worth Endoscopy Centers, LLC, Fort Worth Endoscopy Center
Fort Worth Endoscopy Centers LLC
$4,141.00Published rateSurgcenter Camelback LLC
$2,388.00Published rateM. Reza Mizani, M.D., P.A., Total Vascular Care
M. Reza Mizani Md, PA
$1,490.00Published rateEye Surgery Center Of West Georgia LLC
$1,094.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$691.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 21339 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 21339. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 21338-CPT | Open Treatment Of Nasoethmoid, Open Treatment Of Nasoethmoid Fracture Without Externalfixation Open Treatment Of Nasoethmoid Fracture Without External |
| 21339-CPT | Open Treatment Of Nasoethmoid, Open Treatment Of Nasoethmoid Fracture With Externalfixation Open Treatment Of Nasoethmoid Fracture With External |
| 21340-CPT | Percutaneous Treatment Of Naso, Percutaneous Treatment Of Nasoethmoid Complex Fracture Withsplint Wire Or Headcap Fixation Including Repair Of Canthal Ligaments Andor The Nasolacrimal Apparatus |
| 21343-CPT | Open Treatment Of Depressed Fr, Open Treatment Of Depressed Frontal Sinus Fractureopen Treatment Of Depressed Frontal Sinus Fracture |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21339. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21339 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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Frequently Asked Questions
What APC is CPT 21339 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 21339 to APC 5165 (Level 5 ENT Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 21339 in an ambulatory surgery center?
CMS lists CPT 21339 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 21339?
Hospital price transparency files list CPT 21339 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.