No office rate
Use 21346 for open nasomaxillary fracture treatment with fixation. Use 21348 when the repair includes bone grafting.
On this page
CMS RVU26D · Effective 2026-10-01
21348 Facial fracture repair Medicare reimbursement rates in Nebraska
Reports open operative repair of a nasomaxillary fracture when bone grafting is part of reconstructing the injured facial skeleton. Compare 21348 office and facility rates across CMS payment localities in Nebraska.
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 21348 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$873.53
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
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.
Facial trauma surgery
About 21348: Nasomaxillary fracture repair with graft
Reports open operative repair of a nasomaxillary fracture when bone grafting is part of reconstructing the injured facial skeleton.
This code represents open surgical repair of a fracture involving the nasomaxillary region when bone grafting is used in the reconstruction. It is typically performed by an oral and maxillofacial surgeon, plastic surgeon, or otolaryngologist in an operating room for facial trauma requiring direct exposure and graft support. The operative report should establish the fracture location and extent, the open repair, and the graft’s role in the reconstruction.
Select this code for the grafted nasomaxillary repair, rather than a sibling code describing fixation or multiple fractures. It is major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 21348
- 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 may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.08 · 60%
- Practice expense (office) RVU8.81 · 31%
- Malpractice RVU2.49 · 9%
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.
21348 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
21347 is for open treatment of multiple nasomaxillary fractures; 21348 identifies grafting in the repair.
No office rate
21339 describes open treatment of a nasoethmoid fracture with fixation. Choose by the documented fracture site and repair, not by the presence of grafting alone.
No office rate
21366 concerns open repair of a complex malar fracture with grafting. It is for malar-region injuries, not nasomaxillary fractures.
Compare 21348 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.
1 of 1 payment localities
Nebraska →
Office / nonfacility
Unavailable
Facility
$873.53
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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 21348 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
1,958
- Code
- 21348
- Physician work
- 17.08
- Practice expense
- 8.81
- Malpractice
- 2.49
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.08 | × 1.000 | 17.0800 |
| Practice expense | 8.81 | × 0.923 | 8.1316 |
| Malpractice | 2.49 | × 0.378 | 0.9412 |
| Total RVUs | 26.1529 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$873.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.08 | 1 |
| Practice expense | 8.81 | 0.923 |
| Malpractice | 2.49 | 0.378 |
(17.08 × 1 + 8.81 × 0.923 + 2.49 × 0.378) × $33.4009 = $873.53
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.
21348 billing questions
How does this differ from 21346?
Use 21348 when bone grafting is part of the nasomaxillary fracture reconstruction. Code 21346 describes open treatment with fixation rather than grafting.
When is 21347 more appropriate?
Code 21347 describes open treatment of multiple nasomaxillary fractures. Choose based on the documented fracture pattern and procedure, not simply because grafting was performed.
Should modifier 50 be reported for fractures on both sides?
No. Modifier 50 is inappropriate for this code; the descriptor and anatomy do not support bilateral adjustment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid, and co-surgeons are permitted. Team surgery is not permitted for this service.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
1,95521345,,Closed tx nose/jaw fx,A,,8.83,13.81,,6.89,,1.29,23.93,17.01,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,95621346,,Opn tx nasomax fx w/fixj,A,,11.16,14.57,NA,14.57,,1.63,27.36,27.36,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,95721347,,Opn tx nasomax fx multple,A,,13.19,13.01,NA,13.01,,1.92,28.12,28.12,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,95821348,,Opn tx nasomax fx w/graft,A,,17.08,8.81,NA,8.81,,2.49,28.38,28.38,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,95921355,,Perq tx malar fracture,A,,4.34,8.38,,3.85,,0.62,13.34,8.81,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,96021356,,Opn tx dprsd zygomatic arch,A,,4.71,12.17,,5.78,,0.88,17.76,11.37,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,96121360,,Opn tx dprsd malar fracture,A,,7.01,5.98,NA,5.98,,1.04,14.03,14.03,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068