How To Use CPT Code 21337

CPT code 21337 describes the closed treatment of a nasal septal fracture, with or without stabilization. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 21337?

CPT 21337 is used to describe the closed treatment of a nasal septal fracture, which involves manipulating the nasal septum to reduce or realign the fracture without making an incision. The procedure may also include the application of a splint to maintain the position of the structures as they heal.

2. Official Description

The official description of CPT code 21337 is: ‘Closed treatment of nasal septal fracture, with or without stabilization.’

3. Procedure

1. The provider examines the nasal area after the patient is appropriately prepped and anesthetized.
2. Using forceps, the provider manipulates the nasal septum, fractured cartilage, or tissue into the appropriate positions.
3. If necessary, the provider may apply a splint over the fracture to keep it in place.

4. Qualifying circumstances

CPT 21337 is used for patients with a nasal septal fracture that requires closed treatment. The procedure is performed by a qualified healthcare professional who manipulates the nasal septum and may apply a splint if necessary.

5. When to use CPT code 21337

CPT code 21337 should be used when a patient presents with a nasal septal fracture that can be treated without the need for an incision. This code is appropriate for closed treatment of the fracture, including manipulation of the nasal septum and potential splint application.

6. Documentation requirements

To support a claim for CPT 21337, the healthcare professional must document the following information:

• Patient’s diagnosis of a nasal septal fracture
• Details of the closed treatment procedure performed, including manipulation of the nasal septum and any splint application
• Date of the procedure
• Any additional relevant information, such as the use of anesthesia or prepping techniques
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 21337, ensure that the procedure meets the criteria for closed treatment of a nasal septal fracture. It is important to accurately document the procedure and any additional services provided. CPT code 21337 should not be reported with other codes unless there are separate and distinct services performed.

8. Historical information

CPT code 21337 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to CPT 21337

There are several similar codes to CPT 21337 that describe other fracture and/or dislocation procedures on the head. These include CPT codes 21315-21497, which cover a range of procedures for fractures and dislocations in the head region.

9. Examples

1. A patient presents with a nasal septal fracture, and the healthcare professional performs closed treatment by manipulating the nasal septum and applying a splint.
2. After appropriate prepping and anesthesia, the provider realigns a nasal septal fracture without the need for an incision.
3. A patient with a nasal septal fracture undergoes closed treatment, including manipulation of the nasal septum and stabilization with a splint.
4. The healthcare professional performs closed treatment on a nasal septal fracture, manipulating the nasal septum to restore function and appearance.
5. Using forceps, the provider reduces a nasal septal fracture and applies a splint to maintain the position of the structures as they heal.
6. A patient with a nasal septal fracture receives closed treatment, which involves manipulating the nasal septum without making an incision.
7. The healthcare professional performs closed treatment on a nasal septal fracture, realigning the fracture and applying a splint for stabilization.
8. After appropriate anesthesia, the provider manipulates the nasal septum to reduce a nasal septal fracture and applies a splint if necessary.
9. A patient undergoes closed treatment for a nasal septal fracture, with the healthcare professional manipulating the nasal septum and applying a splint to maintain alignment.
10. The provider performs closed treatment on a nasal septal fracture, manipulating the nasal septum without the need for an incision and applying a splint if required.