$140.02–$215.44
21315 is for closed manipulation without stabilization. Report 21320 when stabilization is also part of the treatment.
On this page
CMS RVU26D · Effective 2026-10-01
21320 Nasal fracture treatment Medicare reimbursement rates
Reports closed reduction of a displaced nasal bone fracture when the clinician manipulates the bones and provides stabilization to maintain alignment. Compare 21320 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 21320?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$194.31–$294.22
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $99.91 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 21320 pays more and less
109 payment localities
$194.31 to $294.22
Fracture treatment
About 21320: Closed nasal fracture reduction with stabilization
Reports closed reduction of a displaced nasal bone fracture when the clinician manipulates the bones and provides stabilization to maintain alignment.
This service treats a displaced nasal bone fracture without surgically opening the fracture site. The clinician repositions the nasal bones by manipulation and stabilizes the reduction, for example with an external splint or internal support when used. Otolaryngologists, facial plastic surgeons, and other clinicians experienced in facial trauma commonly perform the treatment in an office or outpatient facility.
Choose this code when the documented treatment includes both manipulation and stabilization; closed manipulation without stabilization is represented by a different code. The record should identify the nasal fracture and describe the reduction and stabilization performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 21320
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.55 · 23%
- Practice expense (office) RVU4.83 · 73%
- Malpractice RVU0.23 · 3%
2.3K
Medicare services in 2024 · #2377 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
21320 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
21325 describes open treatment of an uncomplicated nasal fracture. This code is for treatment by closed manipulation with stabilization.
No office rate
21330 involves open treatment with skeletal fixation. This code describes closed reduction with stabilization.
$376.23–$563.22
21337 is for closed treatment involving both nasal and septal fractures; 21320 concerns a nasal bone fracture treated with manipulation and stabilization.
See how rates vary across the country
21320 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$194.31
$263.90
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $253.70 | 1 |
| AL | $197.28 | 1 |
| AR | $194.31 | 1 |
| AZ | $214.67 | 1 |
| CA | $233.58–$294.22 | 29 |
| CO | $230.04 | 1 |
| CT | $235.85 | 1 |
| DC | $253.16 | 1 |
| DE | $218.33 | 1 |
| FL | $217.55–$239.14 | 3 |
| GA | $204.83–$225.06 | 2 |
| GU | $239.65 | 1 |
| HI | $239.65 | 1 |
| IA | $202.43 | 1 |
| ID | $203.83 | 1 |
| IL | $211.07–$231.90 | 4 |
| IN | $205.05 | 1 |
| KS | $201.48 | 1 |
| KY | $202.22 | 1 |
| LA | $201.90–$212.31 | 2 |
| MA | $228.60–$253.35 | 2 |
| MD | $222.60–$253.16 | 3 |
| ME | $204.97–$216.49 | 2 |
| MI | $207.74–$220.40 | 2 |
| MN | $220.05 | 1 |
| MO | $198.32–$213.05 | 3 |
| MS | $196.35 | 1 |
| MT | $220.76 | 1 |
| NC | $207.20 | 1 |
| ND | $216.22 | 1 |
| NE | $203.58 | 1 |
| NH | $226.43 | 1 |
| NJ | $238.44–$250.38 | 2 |
| NM | $208.93 | 1 |
| NV | $219.66 | 1 |
| NY | $210.43–$261.17 | 5 |
| OH | $206.81 | 1 |
| OK | $201.80 | 1 |
| OR | $217.85–$237.55 | 2 |
| PA | $207.13–$229.81 | 2 |
| PR | $222.44 | 1 |
| RI | $226.26 | 1 |
| SC | $207.37 | 1 |
| SD | $215.68 | 1 |
| TN | $202.54 | 1 |
| TX | $205.72–$229.36 | 8 |
| UT | $210.32 | 1 |
| VA | $215.78–$253.16 | 2 |
| VI | $222.44 | 1 |
| VT | $215.37 | 1 |
| WA | $228.17–$258.58 | 2 |
| WI | $208.69 | 1 |
| WV | $202.96 | 1 |
| WY | $218.78 | 1 |
Compare 21320 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $197.28 | Facility $75.70 |
| Alaska* | Office $253.70 | Facility $105.72 |
| Arizona | Office $214.67 | Facility $80.03 |
| Arkansas | Office $194.31 | Facility $74.95 |
| Atlanta | Office $225.06 | Facility $83.89 |
| Austin | Office $229.36 | Facility $82.36 |
| Bakersfield | Office $234.25 | Facility $81.96 |
| Baltimore/Surr. Cntys | Office $235.21 | Facility $86.11 |
| Beaumont | Office $205.72 | Facility $79.27 |
| Brazoria | Office $218.05 | Facility $80.35 |
| Chicago | Office $231.90 | Facility $92.25 |
| Chico | Office $233.58 | Facility $81.30 |
| Colorado | Office $230.04 | Facility $82.20 |
| Connecticut | Office $235.85 | Facility $86.20 |
| Dallas | Office $219.51 | Facility $81.12 |
| Dc + Md/Va Suburbs | Office $253.16 | Facility $89.48 |
| Delaware | Office $218.33 | Facility $81.05 |
| Detroit | Office $220.40 | Facility $86.32 |
| East St. Louis | Office $215.66 | Facility $87.83 |
| El Centro | Office $233.62 | Facility $81.33 |
| Fort Lauderdale | Office $229.08 | Facility $88.33 |
| Fort Worth | Office $218.00 | Facility $80.99 |
| Fresno | Office $233.58 | Facility $81.30 |
| Galveston | Office $218.74 | Facility $80.77 |
| Hanford-Corcoran | Office $233.58 | Facility $81.30 |
| Hawaii, Guam | Office $239.65 | Facility $81.66 |
| Houston | Office $222.95 | Facility $84.98 |
| Idaho | Office $203.83 | Facility $75.99 |
| Indiana | Office $205.05 | Facility $76.25 |
| Iowa | Office $202.43 | Facility $75.30 |
| Kansas | Office $201.48 | Facility $75.87 |
| Kentucky | Office $202.22 | Facility $78.70 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $249.84 | Facility $85.47 |
| Madera | Office $233.58 | Facility $81.30 |
| Manhattan | Office $254.73 | Facility $93.27 |
| Merced | Office $233.58 | Facility $81.30 |
| Metropolitan Boston | Office $253.35 | Facility $87.45 |
| Metropolitan Kansas City | Office $210.76 | Facility $80.29 |
| Metropolitan Philadelphia | Office $229.81 | Facility $85.16 |
| Metropolitan St. Louis | Office $213.05 | Facility $80.77 |
| Miami | Office $239.14 | Facility $94.50 |
| Minnesota | Office $220.05 | Facility $77.07 |
| Mississippi | Office $196.35 | Facility $76.72 |
| Modesto | Office $233.58 | Facility $81.30 |
| Montana** | Office $220.76 | Facility $81.82 |
| Napa | Office $271.56 | Facility $88.43 |
| Nebraska | Office $203.58 | Facility $75.33 |
| Nevada** | Office $219.66 | Facility $80.57 |
| New Hampshire | Office $226.43 | Facility $81.79 |
| New Mexico | Office $208.93 | Facility $81.52 |
| New Orleans | Office $212.31 | Facility $81.56 |
| North Carolina | Office $207.20 | Facility $77.56 |
| North Dakota** | Office $216.22 | Facility $77.27 |
| Northern Nj | Office $250.38 | Facility $89.20 |
| Nyc Suburbs/Long Island | Office $261.17 | Facility $95.96 |
| Ohio | Office $206.81 | Facility $79.95 |
| Oklahoma | Office $201.80 | Facility $77.72 |
| Oxnard-Thousand Oaks-Ventura | Office $248.69 | Facility $84.46 |
| Portland | Office $237.55 | Facility $83.18 |
| Poughkpsie/N Nyc Suburbs | Office $240.05 | Facility $87.90 |
| Puerto Rico | Office $222.44 | Facility $81.96 |
| Queens | Office $256.85 | Facility $92.61 |
| Redding | Office $233.58 | Facility $81.30 |
| Rest Of California | Office $233.58 | Facility $81.30 |
| Rest Of Florida | Office $217.55 | Facility $84.71 |
| Rest Of Georgia | Office $204.83 | Facility $80.89 |
| Rest Of Illinois | Office $211.07 | Facility $84.21 |
| Rest Of Louisiana | Office $201.90 | Facility $78.94 |
| Rest Of Maine | Office $204.97 | Facility $77.14 |
| Rest Of Maryland | Office $222.60 | Facility $81.99 |
| Rest Of Massachusetts | Office $228.60 | Facility $82.29 |
| Rest Of Michigan | Office $207.74 | Facility $80.88 |
| Rest Of Missouri | Office $198.32 | Facility $78.54 |
| Rest Of New Jersey | Office $238.44 | Facility $86.71 |
| Rest Of New York | Office $210.43 | Facility $78.43 |
| Rest Of Oregon | Office $217.85 | Facility $79.46 |
| Rest Of Pennsylvania | Office $207.13 | Facility $79.57 |
| Rest Of Texas | Office $211.81 | Facility $79.95 |
| Rest Of Washington | Office $228.17 | Facility $81.86 |
| Rhode Island | Office $226.26 | Facility $82.72 |
| Riverside-San Bernardino-Ontario | Office $236.07 | Facility $83.78 |
| Sacramento-Roseville-Folsom | Office $245.38 | Facility $83.78 |
| Salinas | Office $244.47 | Facility $83.43 |
| San Diego-Chula Vista-Carlsbad | Office $250.43 | Facility $84.25 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $287.69 | Facility $91.77 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $287.42 | Facility $91.51 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $294.22 | Facility $93.85 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $293.15 | Facility $92.79 |
| San Luis Obispo-Paso Robles | Office $240.52 | Facility $82.26 |
| Santa Cruz-Watsonville | Office $252.99 | Facility $84.17 |
| Santa Maria-Santa Barbara | Office $245.45 | Facility $83.43 |
| Santa Rosa-Petaluma | Office $255.55 | Facility $84.92 |
| Seattle (King Cnty) | Office $258.58 | Facility $88.09 |
| South Carolina | Office $207.37 | Facility $78.98 |
| South Dakota** | Office $215.68 | Facility $76.73 |
| Southern Maine | Office $216.49 | Facility $78.80 |
| Stockton | Office $233.58 | Facility $81.30 |
| Suburban Chicago | Office $231.43 | Facility $88.73 |
| Tennessee | Office $202.54 | Facility $76.24 |
| Utah | Office $210.32 | Facility $79.71 |
| Vallejo | Office $271.19 | Facility $88.05 |
| Vermont | Office $215.37 | Facility $77.81 |
| Virgin Islands | Office $222.44 | Facility $81.96 |
| Virginia | Office $215.78 | Facility $79.19 |
| Visalia | Office $233.58 | Facility $81.30 |
| West Virginia | Office $202.96 | Facility $82.21 |
| Wisconsin | Office $208.69 | Facility $75.58 |
| Wyoming** | Office $218.78 | Facility $79.83 |
| Yuba City | Office $233.58 | Facility $81.30 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
21320 billing questions
How does this differ from 21315?
Use 21320 when the closed nasal fracture reduction includes stabilization. Code 21315 represents manipulation without stabilization.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this nasal fracture treatment.
Is same-day postoperative care separately reported?
No. The 0-day global period includes same-day preoperative and postoperative care.
How does Medicare handle another procedure performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The reduced line depends on the relative values.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,94121296,,Revision of jaw muscle/bone,A,,4.66,5.74,NA,5.74,,0.67,11.07,11.07,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94221299,,Unlisted cranfcl&maxlfcl px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94321315,,Clsd tx nsl fx mnpj wo stblj,A,,0.94,3.69,,0.51,,0.16,4.79,1.61,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94421320,,Clsd tx nsl fx w/mnpj&stablj,A,,1.55,4.83,,0.67,,0.23,6.61,2.45,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94521325,,Open tx nose fx uncomplicatd,A,,4.08,7.71,NA,7.71,,0.59,12.38,12.38,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94621330,,Open tx nose fx w/skele fixj,A,,5.65,8.20,NA,8.20,,0.83,14.68,14.68,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94721335,,Open tx nose & septal fx,A,,8.79,9.31,NA,9.31,,1.33,19.43,19.43,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00