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See a sample rate comparisonCPT 24100 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.
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.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24100 |
| Medicaid Fee Schedule | View Medicaid rates for 24100 |
National average reimbursement for CPT 24100 by major payers:
$588.89
$556.41
$566.44
$689.62
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CPT 24100
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc., Emory Aesthetic Center
Emory University
$4,263.00Published rateInland Surgery Center Lp
$1,849.00Published rateEye Surgery Center Of North Dallas
$1,220.00Published rateSurgery Center Of Weston LLC
$907.00Published ratePremier Physicians Centers, Inc
Premier Physicians Centers, Inc.
$589.00Published rate
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See a sample payer proposalCPT 24100 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24100 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 24100 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 24100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24100 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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