Billing code 21325: Nasal fracture repairMedicare rate & RVUs in Ohio
An otolaryngologist or facial trauma surgeon reports this procedure for operative exposure and reduction of an uncomplicated nasal fracture without skeletal fixation.
CMS doesn’t publish an office rate for 21325 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 21325 covers
Code 21325 represents operative treatment of an uncomplicated nasal fracture through surgical exposure and reduction. It is typically performed by an otolaryngologist, plastic surgeon, or facial trauma surgeon in an operating room. “Open” describes the operative approach, not whether the fracture broke through the skin. This code is distinct from nasal-fracture treatment that includes skeletal fixation or treatment of an associated septal fracture.
Choose the code based on the fracture anatomy and procedure documented in the operative report. Documentation should identify the nasal fracture and describe the open approach and reduction; specify whether skeletal fixation or septal repair was performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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.
21325 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $391.26 |
How the 21325 rate is calculated
Each of 21325’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.
How the rate is built · 21325
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.08Practice expense 7.71Malpractice 0.59
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 21325
21325 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 21325
Nasal fracture repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 21325
Nasal fracture repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
21325 without 51 · national facility
$413.50
Nasal fracture repair
21325-51 · Second procedure: 50%
$206.75
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
21325 compared with similar codes
Compare codes
21325 vs 21330 vs 21315 vs 21335: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 21330Nasal fracture repair
- Both describe open nasal-fracture treatment, but 21330 is the choice when skeletal fixation is performed; 21325 is for uncomplicated treatment without that fixation.
- 21315Nasal fracture treatment
- 21315 describes closed treatment without stabilization. Choose 21325 when the surgeon uses an open operative approach to treat the nasal fracture.
- 21335Nasal fracture repair
- 21335 addresses an open fracture treatment involving both the nose and septum. Code 21325 is for uncomplicated nasal-fracture treatment without the combined septal injury.
21325 billing questions
When should 21330 be used instead?
Use 21330 when the open treatment includes skeletal fixation. The operative report should make the fixation part of the procedure clear.
How does 21325 differ from closed nasal fracture treatment?
Code 21325 describes operative exposure and reduction. Codes 21315 and 21320 describe closed treatment, with stabilization distinguishing 21320.
Does modifier 50 apply to bilateral nasal fractures?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used to report bilateral treatment.
What care is included in the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can an assistant surgeon be reported?
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 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
Show the CMS file lines behind this rate
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