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See a sample rate comparisonCPT 24136 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.
Sequestrect (Eg For Osteomyeli Or Bone Absces) Radial Head Or, Sequestrectomy (Eg For Osteomyelitis Or Bone Abscess) Radial Head Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24136 |
| Medicaid Fee Schedule | View Medicaid rates for 24136 |
National average reimbursement for CPT 24136 by major payers:
$855.17
$843.13
$855.79
$1,033.21
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CPT 24136
5 of 25 sample ratesHigher to lower in this preview
Greater Dayton Surgery Center LLC
Greater Dayton Surgery Center
$8,653.00Published rateMartha Jefferson Hospital, Martha Jefferson Outpatient Surgery Center
Martha Jefferson Hospital
$2,610.00Published rateBrunswick Pain Treatment Center, LLC
Brunswick Pain Treatment Center LLC
$1,906.00Published rateSmart Pain Surgery Center At Owings Mills, LLC, Clearway Surgery Center Of Owings Mills
Smart Pain Surgery Center At Owings Mills LLC
$1,334.00Published rateRiverside Ambulatory Surgery Center LLC
$588.00Published rate
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See a sample payer proposalCPT 24136 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24136 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 24136 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 |
|---|---|---|
| 24110-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From An Upper Arm Bone (Humerus). |
| 24120-CPT | Moderate | Xcision/Curettag Of Bone Cyst Or Bnign Tumor Of Head Or Nck, Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of |
| 24125-CPT | Moderate | Exc/Crtg B1 Cst/Tum Rds Agrf, Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of Radius Or Olecranon Process; With Autograft (Includes Obtaining Graft) |
| 24136-CPT | Moderate | Sequestrect (Eg For Osteomyeli Or Bone Absces) Radial Head Or, Sequestrectomy (Eg For Osteomyelitis Or Bone Abscess) Radial Head Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24136. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24136 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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