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CMS RVU26D · Effective 2026-10-01

21337 in Delaware

Office / nonfacility

$421.80

Base rate per service

Facility setting

$278.91

Base rate per service

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.

Facial fracture treatment

About 21337: Closed nasal septal fracture treatment

Closed treatment of a nasal septal fracture, with or without manipulation, for patients whose fracture is managed without an open surgical approach.

An otolaryngologist, facial plastic surgeon, or other physician treating facial trauma reports this service for closed management of a nasal septal fracture. Treatment may include manipulating the fractured septum into position, but manipulation is not required. Care may occur in an office or facility, depending on the injury and treatment setting.

Select the code based on the septal fracture and closed approach, rather than whether manipulation was performed. The record should identify the fracture and describe the treatment provided. This major-surgery service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Do not append modifier 50. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 21337

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.31 · 26%
  • Practice expense (office) RVU8.96 · 70%
  • Malpractice RVU0.50 · 4%

506

Medicare services in 2024 · #3551 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.

21337 compared with similar codes

Office rates for Delaware, from the same CMS release.

21315

Nasal fracture treatment

Without manipulation

$158.13

Use 21337 for a nasal septal fracture treated closed. Code 21315 addresses closed treatment of a nasal bone fracture without stabilization.

21320

Nasal fracture treatment

Manipulation with stabilization

$218.33

Code 21320 covers closed nasal bone fracture treatment with manipulation and stabilization. Code 21337 is for closed septal fracture treatment, with or without manipulation.

21336

Septal fracture repair

Open treatment

No office rate

Both address nasal septal fractures, but 21336 is for open treatment; 21337 is for closed treatment.

21335

Nasal fracture repair

Nasal and septal fractures

No office rate

Code 21335 is for open treatment involving both nasal and septal fractures. Code 21337 covers closed treatment of a nasal septal fracture.

The same code, a different location

How does Delaware compare?

21337 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $421.80

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $480.22

    $58.42 higher than Delaware

  3. Dc + Md/Va Suburbs

    $487.66

    $65.86 higher than Delaware

  4. Miami

    $464.33

    $42.53 higher than Delaware

  5. Chicago

    $450.43

    $28.63 higher than Delaware

  6. Manhattan

    $491.87

    $70.07 higher than Delaware

  7. Alaska*

    $493.76

    $71.96 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 21337 ranges from $376.23 in Arkansas to $563.22 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 21337

    Office

    $381.87

    Facility

    $255.32

    $39.93 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 21337

    Office

    $376.23

    Facility

    $252.00

    $45.57 lower than Delaware for the office setting.

  • Arizona

    Arizona · 21337

    Office

    $414.85

    Facility

    $274.70

    $6.95 lower than Delaware for the office setting.

  • Bakersfield

    California · 21337

    Office

    $450.83

    Facility

    $292.32

    $29.03 higher than Delaware for the office setting.

  • Chico

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • El Centro

    California · 21337

    Office

    $449.47

    Facility

    $290.96

    $27.67 higher than Delaware for the office setting.

  • Fresno

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Madera

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Merced

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Modesto

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Napa

    California · 21337

    Office

    $520.45

    Facility

    $329.83

    $98.65 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21337

    Office

    $477.80

    Facility

    $306.85

    $56.00 higher than Delaware for the office setting.

  • Redding

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Rest Of California

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21337

    Office

    $454.79

    Facility

    $296.28

    $32.99 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21337

    Office

    $471.54

    Facility

    $303.34

    $49.74 higher than Delaware for the office setting.

  • Salinas

    California · 21337

    Office

    $469.79

    Facility

    $302.17

    $47.99 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21337

    Office

    $480.85

    Facility

    $307.88

    $59.05 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21337

    Office

    $550.70

    Facility

    $346.78

    $128.90 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 21337

    Office

    $550.13

    Facility

    $346.21

    $128.33 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 21337

    Office

    $563.22

    Facility

    $354.67

    $141.42 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 21337

    Office

    $560.90

    Facility

    $352.35

    $139.10 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21337

    Office

    $462.26

    Facility

    $297.53

    $40.46 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 21337

    Office

    $485.45

    Facility

    $309.73

    $63.65 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 21337

    Office

    $471.56

    Facility

    $302.92

    $49.76 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 21337

    Office

    $490.33

    Facility

    $312.73

    $68.53 higher than Delaware for the office setting.

  • Stockton

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Vallejo

    California · 21337

    Office

    $519.63

    Facility

    $329.01

    $97.83 higher than Delaware for the office setting.

  • Visalia

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Yuba City

    California · 21337

    Office

    $449.39

    Facility

    $290.88

    $27.59 higher than Delaware for the office setting.

  • Colorado

    Colorado · 21337

    Office

    $443.35

    Facility

    $289.47

    $21.55 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 21337

    Office

    $455.29

    Facility

    $299.53

    $33.49 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 21337

    Office

    $443.91

    Facility

    $297.41

    $22.11 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 21337

    Office

    $421.76

    Facility

    $283.50

    $0.04 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 21337

    Office

    $435.01

    Facility

    $288.07

    $13.21 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 21337

    Office

    $397.41

    Facility

    $268.41

    $24.39 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 21337

    Office

    $460.50

    Facility

    $296.06

    $38.70 higher than Delaware for the office setting.

  • Iowa

    Iowa · 21337

    Office

    $391.02

    Facility

    $258.69

    $30.78 lower than Delaware for the office setting.

  • Idaho

    Idaho · 21337

    Office

    $393.79

    Facility

    $260.73

    $28.01 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 21337

    Office

    $419.52

    Facility

    $286.47

    $2.28 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 21337

    Office

    $409.90

    Facility

    $277.85

    $11.90 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 21337

    Office

    $448.28

    Facility

    $299.75

    $26.48 higher than Delaware for the office setting.

  • Indiana

    Indiana · 21337

    Office

    $396.10

    Facility

    $262.03

    $25.70 lower than Delaware for the office setting.

  • Kansas

    Kansas · 21337

    Office

    $389.52

    Facility

    $258.77

    $32.28 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 21337

    Office

    $391.89

    Facility

    $263.32

    $29.91 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 21337

    Office

    $411.14

    Facility

    $275.05

    $10.66 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 21337

    Office

    $391.41

    Facility

    $263.42

    $30.39 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 21337

    Office

    $487.28

    Facility

    $314.60

    $65.48 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21337

    Office

    $440.77

    Facility

    $288.48

    $18.97 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21337

    Office

    $454.10

    Facility

    $298.92

    $32.30 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 21337

    Office

    $429.86

    Facility

    $283.50

    $8.06 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 21337

    Office

    $396.27

    Facility

    $263.22

    $25.53 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 21337

    Office

    $417.67

    Facility

    $274.35

    $4.13 lower than Delaware for the office setting.

  • Detroit

    Michigan · 21337

    Office

    $427.51

    Facility

    $287.95

    $5.71 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 21337

    Office

    $402.65

    Facility

    $270.60

    $19.15 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 21337

    Office

    $423.45

    Facility

    $274.63

    $1.65 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 21337

    Office

    $407.89

    Facility

    $272.09

    $13.91 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 21337

    Office

    $412.20

    Facility

    $274.51

    $9.60 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 21337

    Office

    $384.80

    Facility

    $260.13

    $37.00 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 21337

    Office

    $380.57

    Facility

    $256.05

    $41.23 lower than Delaware for the office setting.

  • Montana**

    Montana · 21337

    Office

    $426.50

    Facility

    $281.87

    $4.70 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 21337

    Office

    $400.45

    Facility

    $265.51

    $21.35 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 21337

    Office

    $416.61

    Facility

    $271.98

    $5.19 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 21337

    Office

    $393.10

    Facility

    $259.61

    $28.70 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 21337

    Office

    $436.71

    Facility

    $286.16

    $14.91 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 21337

    Office

    $482.51

    Facility

    $314.75

    $60.71 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 21337

    Office

    $460.10

    Facility

    $302.17

    $38.30 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 21337

    Office

    $405.05

    Facility

    $272.42

    $16.75 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 21337

    Office

    $424.04

    Facility

    $279.27

    $2.24 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21337

    Office

    $504.48

    Facility

    $332.52

    $82.68 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21337

    Office

    $463.44

    Facility

    $305.08

    $41.64 higher than Delaware for the office setting.

  • Queens

    New York · 21337

    Office

    $495.45

    Facility

    $324.51

    $73.65 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 21337

    Office

    $406.61

    Facility

    $269.21

    $15.19 lower than Delaware for the office setting.

  • Ohio

    Ohio · 21337

    Office

    $400.63

    Facility

    $268.58

    $21.17 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 21337

    Office

    $390.78

    Facility

    $261.63

    $31.02 lower than Delaware for the office setting.

  • Portland

    Oregon · 21337

    Office

    $457.24

    Facility

    $296.56

    $35.44 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 21337

    Office

    $420.37

    Facility

    $276.32

    $1.43 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21337

    Office

    $444.01

    Facility

    $293.46

    $22.21 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21337

    Office

    $401.07

    Facility

    $268.30

    $20.73 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 21337

    Office

    $429.57

    Facility

    $283.35

    $7.77 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 21337

    Office

    $436.70

    Facility

    $287.30

    $14.90 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 21337

    Office

    $401.28

    Facility

    $267.65

    $20.52 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 21337

    Office

    $415.44

    Facility

    $270.81

    $6.36 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 21337

    Office

    $391.56

    Facility

    $260.10

    $30.24 lower than Delaware for the office setting.

  • Austin

    Texas · 21337

    Office

    $442.20

    Facility

    $289.19

    $20.40 higher than Delaware for the office setting.

  • Beaumont

    Texas · 21337

    Office

    $398.41

    Facility

    $266.80

    $23.39 lower than Delaware for the office setting.

  • Brazoria

    Texas · 21337

    Office

    $421.05

    Facility

    $277.72

    $0.75 lower than Delaware for the office setting.

  • Dallas

    Texas · 21337

    Office

    $423.96

    Facility

    $279.91

    $2.16 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 21337

    Office

    $421.18

    Facility

    $278.58

    $0.62 lower than Delaware for the office setting.

  • Galveston

    Texas · 21337

    Office

    $422.45

    Facility

    $278.83

    $0.65 higher than Delaware for the office setting.

  • Houston

    Texas · 21337

    Office

    $431.60

    Facility

    $287.98

    $9.80 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 21337

    Office

    $409.65

    Facility

    $272.40

    $12.15 lower than Delaware for the office setting.

  • Utah

    Utah · 21337

    Office

    $406.87

    Facility

    $270.92

    $14.93 lower than Delaware for the office setting.

  • Virginia

    Virginia · 21337

    Office

    $416.53

    Facility

    $274.36

    $5.27 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21337

    Office

    $429.57

    Facility

    $283.35

    $7.77 higher than Delaware for the office setting.

  • Vermont

    Vermont · 21337

    Office

    $415.29

    Facility

    $272.11

    $6.51 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 21337

    Office

    $439.84

    Facility

    $287.55

    $18.04 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 21337

    Office

    $496.94

    Facility

    $319.48

    $75.14 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 21337

    Office

    $402.40

    Facility

    $263.85

    $19.40 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 21337

    Office

    $394.52

    Facility

    $268.84

    $27.28 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 21337

    Office

    $422.19

    Facility

    $277.56

    $0.39 higher than Delaware for the office setting.

See how rates vary across the country

21337 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$376.23

$506.31

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$493.761
AL$381.871
AR$376.231
AZ$414.851
CA$449.39–$563.2229
CO$443.351
CT$455.291
DC$487.661
DE$421.801
FL$421.76–$464.333
GA$397.41–$435.012
GU$460.501
HI$460.501
IA$391.021
ID$393.791
IL$409.90–$450.434
IN$396.101
KS$389.521
KY$391.891
LA$391.41–$411.142
MA$440.77–$487.282
MD$429.86–$487.663
ME$396.27–$417.672
MI$402.65–$427.512
MN$423.451
MO$384.80–$412.203
MS$380.571
MT$426.501
NC$400.451
ND$416.611
NE$393.101
NH$436.711
NJ$460.10–$482.512
NM$405.051
NV$424.041
NY$406.61–$504.485
OH$400.631
OK$390.781
OR$420.37–$457.242
PA$401.07–$444.012
PR$429.571
RI$436.701
SC$401.281
SD$415.441
TN$391.561
TX$398.41–$442.208
UT$406.871
VA$416.53–$487.662
VI$429.571
VT$415.291
WA$439.84–$496.942
WI$402.401
WV$394.521
WY$422.191

Explore 21337 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 21337 in Delaware, the physician’s office rate is $421.80 and the facility-setting rate is $278.91: a difference of $142.89.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 21337 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$463.98

$421.80 × 110% = $463.98

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21337 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,949

Code
21337
Physician work
3.31
Practice expense
8.96
Malpractice
0.50

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 21337 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.31× 1.0053.3265
Practice expense8.96× 0.9888.8525
Malpractice0.50× 0.8990.4495
Total RVUs12.6285
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$421.80

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 21337 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.311.005
Practice expense8.960.988
Malpractice0.50.899

(3.31 × 1.005 + 8.96 × 0.988 + 0.5 × 0.899) × $33.4009 = $421.80

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.311.005
Practice expense4.630.988
Malpractice0.50.899

(3.31 × 1.005 + 4.63 × 0.988 + 0.5 × 0.899) × $33.4009 = $278.91

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

21337 · Office / nonfacility

$421.80

Effective 2026-10-01

The base rate is $17.64 higher than on 2025-10-01, moving from $404.16 to $421.80 (4.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $404.16changed to$421.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.39 changed to 3.31
    • Practice expense RVU 8.65 changed to 8.96
    • Malpractice RVU 0.52 changed to 0.50
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $404.16

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$421.80$278.91RVU26D
2026-07-01$421.80$278.91RVU26C
2026-04-01$421.80$278.91RVU26B
2026-01-01$421.80$278.91RVU26A
2025-10-01$404.16$297.31RVU25D
2025-07-01$404.16$297.31RVU25C
2025-04-01$404.16$297.31RVU25B
2025-01-01$404.16$297.31RVU25A

21337 billing questions

Does manipulation have to be performed to report 21337?

No. This code covers closed treatment of a nasal septal fracture with or without manipulation.

How does 21337 differ from 21315 or 21320?

21337 is for a nasal septal fracture. Codes 21315 and 21320 describe closed treatment focused on a nasal bone fracture; 21320 includes stabilization.

Can modifier 50 be used if both sides of the nose are affected?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What is included in the global period?

The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.

When can an assistant-at-surgery be paid?

Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.

RVUs for 21337PPRRVU2026_Oct_nonQPP.csv, line 1,949 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet