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See a sample rate comparisonCPT 21432 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 Craniofacial, Open Treatment Of Craniofacial Separation (Lefort Iii Type)With Wiring Andor Internal Fixation Open Treatment Of Craniofacial Separation (Lefort Iii Type)
| 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 GC - Service performed by resident under supervision 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21432 |
| Medicaid Fee Schedule | View Medicaid rates for 21432 |
National average reimbursement for CPT 21432 by major payers:
$833.26
$941.27
$961.11
$1,159.05
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CPT 21432
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Rockwall, LLC
Texas Health Surgery Center Rockwall LLC
$8,238.00Published rateHagerstown Surgery Center,LLC
Hagerstown Surgery Center, LLC
$5,249.00Published rateGeorgia Vascular & Vein Center
Georgia Vascular Vein Center
$2,900.00Published rateSurgery Center Of Farmington, L.L.C.
Surgery Center Of Farmington
$2,055.00Published rateSt. Petersburg Endoscopy Center LLC
St. Petersburg Endoscopy Center, LLC
$705.00Published rate
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See a sample payer proposalCPT 21432 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21432 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 21432 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 |
|---|---|---|
| 21431-CPT | Moderate | Closed Treatment Of Craniofaci, Closed Treatment Of Craniofacial Separation (Lefort Iiitype) Using Interdental Wire Fixation Of Denture Or Splint Closed Treatment Of Craniofacial Separation (Lefort Iii |
| 21432-CPT | Moderate | Open Treatment Of Craniofacial, Open Treatment Of Craniofacial Separation (Lefort Iii Type)With Wiring Andor Internal Fixation Open Treatment Of Craniofacial Separation (Lefort Iii Type) |
| 21433-CPT | High | Treat Craniofacial Fracture, Open Treatment Of Craniofacial Separation Lefort Iii Type Complicated Eg Comminuted Or Involving Cranial Nerve Foramina Multiple Surgical Approaches |
| 21436-CPT | High | Treat Craniofacial Fracture, Open Treatment Of Craniofacial Separation Lefort Iii Type Complicated Multiple Surgical Approaches Internal Fixation With Bone Grafting Includes Obtaining Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21432. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21432 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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