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See a sample rate comparisonCPT 24305 Fee Schedule
CPT 24305 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Tendon Lengthening,Upper Arm/Elbow, Sing
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | View Medicare rates for 24305 |
| Medicaid Fee Schedule | $433.63 median of the 8 states in the free previewView Medicaid rates for 24305 |
National average reimbursement for CPT 24305 by major payers:
$768.50
BCBS / Anthem
$778.07
UnitedHealthcare
$822.20
Aetna
$953.08
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24305.
CPT 24305
5 of 25 sample ratesHigher to lower in this preview
Texas Health Arlington Memorial Hospital
$11,871.00Published ratePrince William Ambulatory Surgery Center, LLC, Prince William Surgery Center
Prince William Ambulatory
$3,500.00Published rateSsm St. Joseph Surgery Center, LLC, The Surgery Center At St. Joseph Medical Park
Ssm St Joseph Surgery Center LLC
$1,917.00Published rateMain Line PA Endoscopy Asc Lp, Main Line Endoscopy Center Bala Cynwyd
$1,273.00Published rateZion Ambulatory Center LLC
$565.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24305 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24305. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24220-CPT | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 24300-CPT | Manipulation, Elbow, Under Anesthesia |
| 24301-CPT | Muscl Or Tndon Trnsfer Any Typ Upper Arm Elbow Sngle (Exclu, Muscle Or Tendon Transfer Any Type Upper Arm Or Elbow Single (Exclu |
| 24305-CPT | Tendon Lengthening,Upper Arm/Elbow, Sing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24305 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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Frequently Asked Questions
What APC is CPT 24305 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24305 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24305 in an ambulatory surgery center?
CMS lists CPT 24305 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24305?
Hospital price transparency files list CPT 24305 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.