CPT 24145 Fee Schedule
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.
| 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 24145 |
National average reimbursement for CPT 24145 by major payers:
$850.96
$809.83
$816.41
$1,011.36
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 24145 | ||||||
United | 24145 | $538.00 | 1720125156 - SCOTTSDALE EYE INSTITUTE, PLC, SCOTTSDALE EYE INSTITUTE, PLC | 61692976 - (AZ) SCOTTSDALE EYE INSTITUTE PLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $2855.00 | 1336131143 - PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC, GATEWAY SURGERY CENTER | 860970374 - (AZ) PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $2100.00 | 1770223901 - PSA AMBULATORY SURGICAL CENTER OF SOUTH AUSTIN, LLC | 874341110 - (TX) PSA AMBULATORY SURGICAL CENTER OF SOUTH AUSTIN LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $1850.00 | 1902864879 - SPOKANE SURGERY CENTER LTD PS | 911336886 - (WA) SPOKANE SURGERY CENTER LTD | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $1389.00 | 1164646071 - ATLANTIC PLASTIC SURGERY ASSOCIATES PA | 20401481 - (NH) ATLANTIC PLASTIC SURGERY ASSOCIATES, P.A. | NH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $3807.00 | 1427422799 - WEBSTER AMBULATORY SUGERY CENTER LP, SUNSET HILLS SURGERY CENTER | 205953387 | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $2229.00 | 1629713730 - PG COUNTY ENDOSCOPY CENTER LLC | 881766792 - (MD) PG COUNTY ENDOSCOPY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $3188.00 | 1295060069 - TIMONIUM SURGERY CENTER, LLC | 270399689 - (MD) TIMONIUM SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $6342.00 | 1720603079 - TEXAS HEALTH SURGERY CENTER CHISHOLM TRAIL, LLC | 851225852 - (TX) TEXAS HEALTH SURGERY CENTER CHISHOLM TRAIL LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $3260.00 | 1538164546 - SURGERY CENTER AT PELHAM, LLC | 760745215 - (SC) SURGERY CENTER AT PELHAM, LLC | SC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $2199.00 | 1376605279 - MIDWEST CENTER FOR DAY SURGERY, LLC | 208103522 - (IL) MIDWEST CENTER FOR DAY SURGERY, LLC | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $1737.00 | 1871929646 - NORTHWEST EYELID AND ORBITAL SPECIALISTS PS, NEOS SURGERY CENTER | 272018338 - (WA) NORTHWEST EYELID AND ORBITAL SPECIALISTS PS | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $11871.00 | 1750415220 - TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE | 751977850 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $1557.00 | 1659679074 - EYE SURGERY CENTER OF MIDDLE TENNESSEE, LLC | 275124581 | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 24145 | $4600.00 | 1811995913 - DALLAS SURGICAL PARTNERS, LLC, BAYLOR SCOTT & WHITE SURGICARE | 752813815 - (TX) DALLAS SURGICAL PARTNERS LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 24145 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24145 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 24145 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 |
|---|---|---|
| 24115-CPT | Moderate | Exc/Cur-Cyst/Tumor,Humerus;Autogft |
| 24120-CPT | Moderate | Exc/Cur-Cyst/Tum.Hd/Nck-Radius/Olec |
| 24125-CPT | Moderate | Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Head Or Neck Of Radius Or Olecranon Process; With Autograft (Includes Obtaining Graft) |
| 24145-CPT | Moderate | Exc Radial Head/Neck Partial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24145 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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