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CPT 21315: Closed Reduction of Nasal Bone Fracture
CPT code 21315 covers closed (non-incisional) reduction of nasal bone fractures, a common procedure performed to restore nasal form and airway function after trauma. Nationally, timely reduction of displaced nasal fractures can affect patient outcomes including breathing, cosmetic results, and the need for later reconstructive procedures. This code is relevant across emergency departments and ambulatory surgical centers where acute facial trauma is managed.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the procedure, expected sites of service, and the payer mix typically involved. The publication includes benchmark considerations, coding and billing context, and policy and coverage perspectives that affect authorization, bundling, and post-procedure care requirements.
The material provides clinicians, billing professionals, and policy analysts with actionable reference points: what CPT code 21315 represents, where it is commonly performed, and which major payers commonly cover the service. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 21315 describes a closed (non-incisional) reduction of a nasal bone fracture in which the provider manipulates the nose to realign bones and restore function and appearance. This procedure is typically performed to correct displaced nasal fractures that affect airway function or cosmetic contour.
Service Type: Fracture reduction / nasal manipulation
Typical Site of Service: Emergency department or outpatient ambulatory surgical setting, depending on timing, severity, and patient condition.