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ASC Surgical · CPT/HCPCS

CPT 21360

Open treatment dprsd malar fracture

CPT 21360 at a glance

Code
21360
Code type
CPT/HCPCS
Short descriptor
Opn tx dprsd malar fracture
Category
ASC Surgical
ASC eligibility
ASC-eligible (surgical)
Typical setting
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Medicare ASC rate
$3,025.62 national · 2026Q2

What is CPT code 21360?

CPT 21360 is a CPT/HCPCS procedure code. Its official short descriptor is "Opn tx dprsd malar fracture". In the ASC context it is grouped under ASC Surgical.

Is CPT 21360 eligible in an ambulatory surgery center (ASC)?

CPT 21360 can be performed in a certified ambulatory surgery center.

Where is CPT 21360 typically performed?

Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

What is the Medicare ASC payment rate for CPT 21360?

The national Medicare ASC payment rate for CPT 21360 is $3,025.62 (CMS ASC Payment System, 2026Q2). This is the national, unadjusted amount published by CMS; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.

Which specialties use CPT 21360?

CPT 21360 is most associated with General Surgery, Oral & Maxillofacial Surgery, Orthopaedic Surgery.

Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.

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