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See a sample rate comparisonCPT 24152 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery For Tumor In Arm Bone, Surgery To Remove A Section Of Bone With An Abnormal Growth (Tumor) From The Arm Elbow Or Wrist. The Bone May Be Reconstructed With A Graft Or Prosthesis.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24152 |
| Medicaid Fee Schedule | View Medicaid rates for 24152 |
National average reimbursement for CPT 24152 by major payers:
$1,725.85
$1,636.43
$1,757.10
$2,062.02
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CPT 24152
5 of 25 sample ratesHigher to lower in this preview
Asc Of Trinity, Comprehensive Outpatient Joint And Spine Institute
Asc Of Trinity
$6,506.00Published rateIllinois Sports Medicine & Orthopedic Surgery Center, LLC
Illinois Sports Medicine And Orthopedic Surgery Center, LLC
$3,860.00Published rateSt. Mary'S Outpatient Surgery Center At Galena LLC, Summit Surgery Center At St. Marys Galena
St. Mary'S Outpatient Surgery Center At Galena LLC D/B/A Summit
$2,743.00Published rateSpecialty Asc LLC, Surgical Arts Center
Specialty Asc LLC
$1,862.00Published rateIndependence Asc LLC, The Endoscopy Center - East
$875.00Published rate
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See a sample payer proposalCPT 24152 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24152 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 24152 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 |
|---|---|---|
| 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) |
| 24130-CPT | Moderate | Exc Radial Head |
| 24152-CPT | High | Surgery For Tumor In Arm Bone, Surgery To Remove A Section Of Bone With An Abnormal Growth (Tumor) From The Arm Elbow Or Wrist. The Bone May Be Reconstructed With A Graft Or Prosthesis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24152. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24152 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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