Billing code 21339: Nasoethmoid repairMedicare rate & RVUs

Medicare pays $700.08 for 21339 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 21339 covers

This service involves surgically exposing and repairing a fracture of the nasoethmoid complex, the central facial area around the bridge of the nose and inner eye sockets, and stabilizing the repair with fixation. It is typically performed by an otolaryngologist, plastic surgeon, or oral and maxillofacial surgeon treating facial trauma, often in an operating room. The fracture pattern and operative approach distinguish this repair from treatment limited to the nasal bones or a closed or percutaneous reduction.

Report 21339 when the operative note supports open repair of the nasoethmoid fracture and fixation; documentation should identify the fracture pattern, surgical exposure, reduction, and fixation performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

Where 21339 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

21339 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 21339 rate is calculated

Each of 21339’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 21339

21339 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

21339 compared with similar codes

How to choose

21338Fracture repair

Both are open repairs of nasoethmoid fractures. 21339 includes fixation; 21338 is for open treatment without fixation.

21340Nasoethmoid fracture

21340 is for percutaneous treatment. 21339 requires open surgical exposure with fixation.

21346Midface fracture repair

21346 applies to an open nasomaxillary fracture treated with fixation; 21339 is for a nasoethmoid fracture pattern.

21330Nasal fracture repair

21330 addresses an open nasal fracture treated with skeletal fixation, rather than an open nasoethmoid complex fracture.

Codes related to 21339

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates