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See a sample rate comparisonCPT 21347 Fee Schedule
Medicare rates as of October 2026
CPT 21347 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Reposition Broken Bone In Face, Surgery To Repair A Fracture That Breaks The Cheekbone Below The Eye Socket And Runs Across The Bridge Of The Nose. Dental Wiring May Be Used To Bind The Jaw Shut And Stabilize The Bones.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | GCService performed by resident under supervision 51Multiple procedures |
| Hospital Outpatient Group (APC) | APC 5165 - Level 5 ENT Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $939.23 national non-facility rate (2026)View Medicare rates for 21347 |
| Medicaid Fee Schedule | $760.70 median of the 8 states in the free previewView Medicaid rates for 21347 |
National average reimbursement for CPT 21347 by major payers:
$1,365.52
BCBS / Anthem
$1,416.34
UnitedHealthcare
$1,464.30
Aetna
$1,737.05
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 21347.
CPT 21347
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$10,989.00Published rateAmbulatory Surgery Center At Virtua Washington Township, L.L.C., Virtua Center For Surgery
Ambulatory Surgery Center At Virtua Washington Township, LLC
$4,074.00Published rateMiami Children'S Hospital Ambulatory Surgery Center, LLC
Miami Childrens Hospital Ambula
$2,644.00Published rateBarnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
$1,550.00Published rateMaryland Aesthetic And Reconstructive Ambulatory Surgical Center LLC
$673.00Published rate
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See a sample payer proposalCPT 21347 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 21347. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 21345-CPT | Closed Treatment Of Nasomaxill, Closed Treatment Of Nasomaxillary Complex Fracture(Lefortii Type) With Interdental Wire Fixation O R Fixation Of Denture Or Splint |
| 21346-CPT | Reposition Broken Bone In Face, Surgery To Repair A Fracture That Breaks The Cheekbone Below The Eye Socket And Runs Across The Bridge Of The Nose. Dental Wiring May Be Used To Bind The Jaw Shut And Stabilize The Bones. |
| 21347-CPT | Reposition Broken Bone In Face, Surgery To Repair A Fracture That Breaks The Cheekbone Below The Eye Socket And Runs Across The Bridge Of The Nose. Dental Wiring May Be Used To Bind The Jaw Shut And Stabilize The Bones. |
| 21348-CPT | Reposition Broken Bone In Face, Surgery To Repair A Fracture That Breaks The Cheekbone Below The Eye Socket And Runs Across The Bridge Of The Nose. Dental Wiring May Be Used To Bind The Jaw Shut And Stabilize The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21347. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21347 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 21347 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 21347 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 21347 in an ambulatory surgery center?
CMS lists CPT 21347 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 21347?
Hospital price transparency files list CPT 21347 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.