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ASC Surgical · CPT/HCPCS

CPT 21454

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CPT 21454 at a glance

Code
21454
Code type
CPT/HCPCS
Short descriptor
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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 21454?

CPT 21454 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Optx mndblr fx xtrnl fixj". In the ASC context it is grouped under ASC Surgical.

Is CPT 21454 payable in an ambulatory surgery center (ASC)?

CPT 21454 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 21454 typically performed?

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

Which specialties use CPT 21454?

CPT 21454 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.

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