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See a sample rate comparisonCPT 24331 Fee Schedule
Medicare rates as of October 2026
CPT 24331 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Move Upper Arm Muscle, Surgery To Transfer Upper Arm Muscle Attachment To New Location On Elbow. The Procedure Is Done To Restore Movement To The Elbow.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 21Inpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $734.15 national non-facility rate (2026)View Medicare rates for 24331 |
| Medicaid Fee Schedule | $584.625 median of the 8 states in the free previewView Medicaid rates for 24331 |
National average reimbursement for CPT 24331 by major payers:
$1,050.46
BCBS / Anthem
$1,061.29
UnitedHealthcare
$1,071.74
Aetna
$1,290.92
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24331.
CPT 24331
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$7,770.00Published rateSurgicare Of Minneapolis Ltd, Surgical Specialty Center Of Minnesota
$5,425.00Published rateSunrise Ophthalmology Asc LLC, Foundation For Advanced Eye Care
$3,320.00Published rateAlabama Eye Surgery Center LLC
$1,617.00Published rateRockledge Fl Endoscopy Asc LLC, Space Coast Endoscopy Center
Rockledge Fl Endoscopy Asc LLC
$627.00Published rate
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See a sample payer proposalCPT 24331 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24331. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24330-CPT | Move Upper Arm Muscle, Surgery To Transfer Upper Arm Muscle Attachment To New Location On Elbow. The Procedure Is Done To Restore Movement To The Elbow. |
| 24331-CPT | Move Upper Arm Muscle, Surgery To Transfer Upper Arm Muscle Attachment To New Location On Elbow. The Procedure Is Done To Restore Movement To The Elbow. |
| 24340-CPT | Tenodesis Rupture Biceps At Elbow |
| 24341-CPT | Rpr Tdn Musc Upr A E Each, Repair Tendon Or Muscle Upper Arm Or Elbow Each Tendon Or Muscle Primary Or Secondary Excludes Rotator Cuff |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24331. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24331 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 24331 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24331 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24331 in an ambulatory surgery center?
CMS lists CPT 24331 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 24331?
Hospital price transparency files list CPT 24331 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.