CPT 21406
Opn tx orbit fx w/o implant
CPT 21406 at a glance
- Code
- 21406
- Code type
- CPT/HCPCS
- Short descriptor
- Opn tx orbit fx w/o implant
- Category
- ASC Surgical
- ASC payment status
- Payable in an ASC (surgical)
- CMS addendum
- AA (Surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is CPT code 21406?
CPT 21406 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Opn tx orbit fx w/o implant". In the ASC context it is grouped under ASC Surgical.
Is CPT 21406 payable in an ambulatory surgery center (ASC)?
CPT 21406 appears on Medicare's ASC Covered Procedures List (CMS Addendum AA), so Medicare reimburses it when the surgery is performed in a certified ambulatory surgery center.
Where is CPT 21406 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Which specialties use CPT 21406?
CPT 21406 is most associated with General Surgery, Oral & Maxillofacial Surgery, Orthopaedic Surgery.
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.