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See a sample rate comparisonCPT 21339 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 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21339 |
| Medicaid Fee Schedule | View Medicaid rates for 21339 |
National average reimbursement for CPT 21339 by major payers:
$960.90
$1,036.20
$1,052.72
$1,272.50
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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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See a sample payer proposalCPT 21339 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21339 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 21339 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 |
|---|---|---|
| 21338-CPT | Moderate | Open Treatment Of Nasoethmoid, Open Treatment Of Nasoethmoid Fracture Without Externalfixation Open Treatment Of Nasoethmoid Fracture Without External |
| 21339-CPT | Moderate | Open Treatment Of Nasoethmoid, Open Treatment Of Nasoethmoid Fracture With Externalfixation Open Treatment Of Nasoethmoid Fracture With External |
| 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 |
| 21343-CPT | High | 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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