Reporting Closed Treatment of Nasal Bone Fracture (May 2022)

May 2022 pages 5-7 Reporting Closed Treatment of Nasal Bone Fracture In the Musculoskeletal System subsection of the Surgery section of the Current Procedural Terminology (CPT®) 2022 code set, code 21310, Closed treatment of nasal bone fracture without manipulation, was deleted, and codes 21315 and 21320 were revised to include manipulation. In addition, an instructional parenthetical note was added following code 21315 instructing users to report the appropriate level evaluation and management (E/M) services code for closed treatment of nasal bone fracture without manipulation or stabilization. This article provides an overview of these changes. Head Fracture and/or Dislocation...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant article explains a 2022 update in the Surgery/Musculoskeletal section involving closed treatment of nasal bone fracture. It is intended for coders, billers, and clinicians who need to understand the revised CPT reporting framework, the distinction between procedure reporting and evaluation and management services, and the article’s clinical scenario illustrations.

Why This Topic Matters

Accurate reporting for nasal fracture treatment depends on understanding the 2022 CPT revisions and the boundaries between closed treatment procedures and evaluation and management services. This article helps readers interpret the update in a way that supports consistent coding and documentation review.

Article Sections

  1. Overview of the May 2022 CPT update

    Introduces the CPT 2022 changes discussed in the article and the overall reporting issue addressed by the update.

  2. CPT code changes and instructional note

    Summarizes the code set context and the nature of the revision, including deletion, descriptor updates, and added instructional guidance.

  3. Closed treatment scenarios for nasal bone fracture

    Describes the broad categories of closed treatment presentations and the reporting distinctions discussed in the article.

  4. CPT closed treatment definition and related guidance

    Reviews general CPT closed treatment language and related clarifying information referenced by the article.

  5. Clinical examples and description of services

    Presents the article’s clinical examples and service descriptions illustrating typical scenarios associated with the updated reporting discussion.

What You Will Learn

  • How the article frames the 2022 CPT revision for nasal bone fracture treatment
  • What general reporting topics are addressed for closed treatment scenarios
  • How the article uses clinical examples to illustrate the update
  • What broader CPT closed treatment guidance is referenced in the discussion

Who Should Read This

  • Professional coders
  • Coding auditors
  • Billing and reimbursement staff
  • Physicians and clinical documentation teams

Codes Discussed

Code Ranges Discussed


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