Reporting Nasal Bone Vs Septal Fracture Treatment (September 2019)

September 2019 pages 3-4 Reporting Nasal Bone Vs Septal Fracture Treatment Recently, there have been questions regarding appropriate reporting of closed treatment of nasal bone and septal fractures. Appropriate use of four Current Procedural Terminology (CPT®) codes (21310, 21315, 21320, 21337) is being debated among coders and health care professionals. These codes were developed pre-1990 and their descriptors were revised in 1993 as part of a major revision to all fracture-treatment codes in the Musculoskeletal System section. Confusion often occurs due to a failure of fully reviewing the entire code and the subtleties of managing nasal bone and...

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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 discusses closed treatment reporting for nasal bone and nasal septal fracture care. It is aimed at coders, billers, and other health care professionals who need to understand the distinctions in documentation, procedure scope, and related reporting considerations for these fracture-treatment services. The article also addresses the broader context of global periods and postoperative care associated with the procedures covered.

Why This Topic Matters

Correct reporting of nasal fracture treatment depends on matching the documented anatomy and procedure type to the appropriate CPT framework. This article helps readers understand the documentation themes and reporting context that can affect whether claims are coded consistently and accurately.

Article Sections

  1. September 2019 pages 3-4

    Introductory article framing and publication context for the discussion of nasal fracture treatment reporting.

  2. Reporting Nasal Bone Vs Septal Fracture Treatment

    Overview of the article’s focus on closed treatment reporting for nasal fracture care and the documentation themes addressed.

  3. Fracture and/or Dislocation

    Lists the CPT fracture-treatment services discussed in the article and introduces the main code categories involved.

  4. Closed Treatment

    Defines the broad concept of closed treatment as used in the nasal fracture context and distinguishes the procedural approaches discussed.

  5. Closed Reductions

    Describes the general goals and clinical context of closed reduction for nasal bone and septal fractures, including related procedural concepts.

  6. Codes 21310, 21315, and 21320

    Explains the reporting distinctions among the nasal bone fracture treatment services covered in this section, including associated postoperative context.

  7. Code 21337

    Covers the reporting context for nasal septal fracture treatment and how it differs from the nasal bone fracture services discussed earlier.

  8. Correct Coding

    Summarizes the documentation and anatomy considerations highlighted for selecting among the closed treatment services discussed in the article.

What You Will Learn

  • How the article frames closed treatment reporting for nasal bone and septal fracture care
  • Which general documentation themes are emphasized for distinguishing fracture treatment services
  • Why anatomy, procedural technique, and postoperative context matter in the article
  • How the article situates these services within CPT fracture-treatment guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Physician documentation teams
  • Health care professionals involved in fracture reporting

Codes Discussed

Modifiers Discussed


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