$152.05
Use 21337 for a nasal septal fracture treated closed. Code 21315 addresses closed treatment of a nasal bone fracture without stabilization.
On this page
CMS RVU26D · Effective 2026-10-01
21337 Septal fracture Medicare reimbursement rates in Utah
Closed treatment of a nasal septal fracture, with or without manipulation, for patients whose fracture is managed without an open surgical approach. Compare 21337 office and facility rates across CMS payment localities in Utah.
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 21337 in Utah?
Utah 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
$406.87
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$270.92
1 of 1 localities have a supported rate.
Payment area: Utah
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 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 Utah, from the same CMS release.
$210.32
Code 21320 covers closed nasal bone fracture treatment with manipulation and stabilization. Code 21337 is for closed septal fracture treatment, with or without manipulation.
No office rate
Both address nasal septal fractures, but 21336 is for open treatment; 21337 is for closed treatment.
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.
Compare 21337 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
Utah →
Office / nonfacility
$406.87
Facility
$270.92
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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 21337 in Utah.
PPRRVU2026_Oct_nonQPP.csv
1,949
- Code
- 21337
- Physician work
- 3.31
- Practice expense
- 8.96
- Malpractice
- 0.50
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.31 | × 1.000 | 3.3100 |
| Practice expense | 8.96 | × 0.940 | 8.4224 |
| Malpractice | 0.50 | × 0.898 | 0.4490 |
| Total RVUs | 12.1814 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$406.87
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.31 | 1 |
| Practice expense | 8.96 | 0.94 |
| Malpractice | 0.5 | 0.898 |
(3.31 × 1 + 8.96 × 0.94 + 0.5 × 0.898) × $33.4009 = $406.87
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.31 | 1 |
| Practice expense | 4.63 | 0.94 |
| Malpractice | 0.5 | 0.898 |
(3.31 × 1 + 4.63 × 0.94 + 0.5 × 0.898) × $33.4009 = $270.92
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.
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.
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
1,94821336,,Open tx septal fx w/wo stabj,A,,6.60,9.88,NA,9.88,,0.98,17.46,17.46,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,94921337,,Closed tx septal&nose fx,A,,3.31,8.96,,4.63,,0.50,12.77,8.44,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,95021338,,Open nasoethmoid fx w/o fixj,A,,6.70,11.08,NA,11.08,,0.99,18.77,18.77,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,95121339,,Open nasoethmoid fx w/ fixj,A,,8.29,11.46,NA,11.46,,1.21,20.96,20.96,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,95221340,,Perq tx nasoethmoid fx,A,,11.20,6.93,NA,6.93,,1.63,19.76,19.76,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985