What is the CPT code for closed reduction nasal fracture?

Asked By: Mankilef Grillhosl | Last Updated: 10th January, 2020
Category: medical health bone and joint conditions
4.5/5 (1,813 Views . 19 Votes)
CPT® 21320 in section: Closed treatment of nasal bone fracture.

Click to see full answer


Simply so, what is the CPT code for closed reduction of nasal bone fracture with stabilization?

What is the difference between closed treatment of a nasal bone fracture without manipulation (CPT 21310) and without stabilization (CPT 21315)?

Additionally, what is a closed reduction nasal fracture? Closed reduction of nasal fracture is the medical term for 'setting' the nose back to normal position soon after the nose is broken if the nasal bones are displaced. The procedure is performed to try to return only the external bony portion of the nose to its pre-injury state.

In this regard, what is the CPT code for open reduction nasal fracture?

Current Procedural Terminology

Preferred Name Open treatment of nasal fracture; with concomitant open treatment of fractured septum
Synonyms Open reduction of fracture of nasal bone with open repair of fracture of nasal septum
ID http://purl.bioontology.org/ontology/CPT/21335

What is a closed treatment of a fracture?

The CPT manual continues with definitions of "closed treatment," "open treatment," and "percutaneous skeletal fixation." Closed treatment specifically means that the fracture site is not surgically opened.

25 Related Question Answers Found

What is a type of open fracture treatment?

Options for wound closure in the treatment of open fractures include primary closure of the skin, split-thickness skin-grafting, and the use of either free or local muscle flaps. The timing of open wound closure has proponents in the immediate, early, and delayed categories.

Is septoplasty cosmetic?

A: A septoplasty is performed to correct a deviated nasal septum. Most septoplasties are not cosmetic but instead address functional issues, including obstructions to airflow through the nostril(s). If a septoplasty is part of cosmetic surgery, it would likely be during a rhinoplasty.

How do you fix a broken nasal bone?

Medical treatment
  1. pack your nose with gauze and possibly place a splint on it.
  2. prescribe pain medication and possibly antibiotics.
  3. perform a closed reduction surgery, in which your doctor gives you a local anesthetic to numb your nose and manually realigns it.
  4. perform a rhinoplasty, which is a surgery to realign your nose.

What is the best time to perform a closed reduction of a nasal fracture?


See the list below: Routine radiography is not necessary for diagnosis and management of nasal fracture. Optimal timing for reduction varies. If patient presents with a recent injury and minimal edema, the optimal timing for reduction is within 3 hours of the injury (in both adults and children).

How is a nasal fracture diagnosed?

Use a lighted instrument, called a nasal speculum, to inspect the nostrils and the nasal septum and to check for blockages and complications, like a septal hematoma. Obtain an X-ray or CT scan to determine whether there are other facial or jaw fractures. These scans generally aren't used to confirm a broken nose.

How do you do a closed nasal reduction?

Insert the elevator into the side with the depressed fragment and apply pressure outward pressure with application of counterpressure external with other hand. May need to apply outward or inward pressure to the contralateral nasal bone following reduction of the fractured side depending on its location.

How much does a closed reduction procedure cost?

Procedural costs were $7,638 for closed reduction and percutaneous pinning, $10,170 for open reduction and internal fixation, and $9,886 for external fixation.

Can you get a nostril reduction?

Nostril reduction is a common request from individuals who feel that their nostrils are too wide. While it is a relatively easy procedure, nostril reduction requires a careful examination of the nose, and a conservative surgical approach.

What happens if you leave a broken nose untreated?


An untreated septal hematoma may cause the septum of the nose to collapse or to separate, leading to what is called a deviated septum. This can cause difficulty breathing and chronic sinus problems. However, it is not always possible to fully restore the nose to its original look.

What does fracture reduction mean?

Reduction is a surgical procedure to repair a fracture or dislocation to the correct alignment. Open reduction is where the fracture fragments are exposed surgically by dissecting the tissues. Closed reduction is the manipulation of the bone fragments without surgical exposure of the fragments.

How do you open swollen nasal passages?

Home Treatments
  1. Use a humidifier or vaporizer.
  2. Take long showers or breathe in steam from a pot of warm (but not too hot) water.
  3. Drink lots of fluids.
  4. Use a nasal saline spray.
  5. Try a Neti pot, nasal irrigator, or bulb syringe.
  6. Place a warm, wet towel on your face.
  7. Prop yourself up.
  8. Avoid chlorinated pools.

Is a closed reduction considered surgery?

Closed reduction is a procedure for putting the pieces of a broken bone back into the right position without surgery. When is it used? Your healthcare provider may use this method if: Your bone is broken in 1 place and the pieces of bone have not gone through the skin.

How does a closed fracture heal?

A broken bone is called a fracture. In order for a fracture to heal, the bones must be held in the correct position and protected. Soon after a fracture occurs, the body acts to protect the injured area, and forms a protective blood clot and callus around the fracture. The fracture closes and the callus is absorbed.

How do you bill fracture care?


The general consensus is to use the fracture care codes designated as “closed treatment without manipulation” and bill the initial E/M with modifier 57. This more aptly covers the true work of the rendered services with supporting documentation.

Is closed reduction painful?

The procedure is often painful. You will receive medicine to block the pain during the procedure.

How long does it take for a closed fracture to heal?

Depending on the severity of the fracture and how well a person follows their doctor's recommendations, bones can take between weeks to several months to heal. According to the Cleveland Clinic, the average bone healing time is between 6 – 8 weeks, although it can vary depending on the type and site of the injury.