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See a sample rate comparisonCPT 21387 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Open Treatment Of Orbital Floo, Open Treatment Of Orbital Floor Blowout Fracture Combinedapproach Open Treatment Of Orbital Floor Blowout Fracture Combined
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21387 |
| Medicaid Fee Schedule | View Medicaid rates for 21387 |
National average reimbursement for CPT 21387 by major payers:
$1,066.61
$1,026.87
$1,041.45
$1,248.66
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CPT 21387
5 of 25 sample ratesHigher to lower in this preview
Mansfield Endoscopy Center, LLC
Mansfield Endoscopy Center LLC
$8,238.00Published rateSouthwest Endoscopy LLC
$5,354.00Published rateSurgcenter Of Greater Dallas, LLC., Surgcenter Of Greater Dallas
Surgcenter Of Greater Dallas LLC
$4,234.00Published rateParkway Surgery Center
Parkway Surgery Center, LLC
$2,550.00Published rateClearwater Ambulatory Surgical Centers Inc, Clearwater Endoscopy Center
Clearwater Ambulatory Surgical Centers Inc
$400.00Published rate
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See a sample payer proposalCPT 21387 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21387 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 21387 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 |
|---|---|---|
| 21385-CPT | Moderate | Open Treatment Of Orbital Floo, Open Treatment Of Orbital Floor Blowout Fracturetransantral Approach (Caldwell-Luc Type Operation) Open Treatment Of Orbital Floor Blowout Fracture |
| 21386-CPT | Moderate | Open Treatment Of Orbital Floo, Open Treatment Of Orbital Floor Blowout Fractureperiorbital Approach Open Treatment Of Orbital Floor Blowout Fracture |
| 21387-CPT | High | Open Treatment Of Orbital Floo, Open Treatment Of Orbital Floor Blowout Fracture Combinedapproach Open Treatment Of Orbital Floor Blowout Fracture Combined |
| 21390-CPT | High | Open Treatment Of Orbital Floo, Open Treatment Of Orbital Floor Blowout Fractureperiorbital Approach With Alloplastic Or Other Implant Open Treatment Of Orbital Floor Blowout Fracture |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21387. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21387 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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