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See a sample rate comparisonCPT 24006 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Arthrotomy Of The Elbow W/ Capsulr Xcision For Capsulr Rlease, Arthrotomy Of The Elbow With Capsular Excision For Capsular Release (
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24006 |
| Medicaid Fee Schedule | View Medicaid rates for 24006 |
National average reimbursement for CPT 24006 by major payers:
$948.97
$958.52
$981.64
$1,171.28
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CPT 24006
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, East Washington Surgery Center
$6,285.00Published rateAdventhealth Surgery Center Mills Park LLC, Adventhealth Surgery Center Mills Park
Adventhealth Surgery Center Mills Park LLC
$3,500.00Published rateWillamette Surgery Center LLC
Willamette Surgery Center, P.C.
$2,380.00Published rateAssociated Surgical Center Of Dearborn LLC
$1,358.00Published rateAnderson Endoscopy Center LLC
$597.00Published rate
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See a sample payer proposalCPT 24006 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24006 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 24006 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 24000-CPT | Moderate | Arthrotomy Elbow Including E, Arthrotomy Elbow Including Exploration Drainage Orremoval Of Foreign Body Arthrotomy Elbow Including Exploration Drainage Or |
| 24006-CPT | Moderate | Arthrotomy Of The Elbow W/ Capsulr Xcision For Capsulr Rlease, Arthrotomy Of The Elbow With Capsular Excision For Capsular Release ( |
| 24100-CPT | Moderate | Elbow Surgery, Surgery To Explore The Elbow Joint And Remove A Sample Of Tissue For Testing (Biopsy). The Procedure May Include Removing Bone Chips Or Loose Cartilage. |
| 24101-CPT | Moderate | Arthrotomy Elbow With Joint, Arthrotomy Elbow With Joint Exploration With Orwithoutbiopsy With Or Without Removal Arthrotom Y Elbow With Joint Exploration With Or Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24006. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24006 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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