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See a sample rate comparisonCPT 24343 Fee Schedule
Last Verified: September 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.
Repair Lateral Collateral Ligament, Elbow, With Local Tissue
| 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 24343 |
| Medicaid Fee Schedule | View Medicaid rates for 24343 |
National average reimbursement for CPT 24343 by major payers:
$926.30
$949.56
$1,008.16
$1,171.26
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CPT 24343
5 of 25 sample ratesHigher to lower in this preview
El Paso Surgery Centers Lp
$8,266.00Published rateRome Orthopaedic Clinic Asc, Inc.
Rome Orthopaedic Clinic Asc Inc
$2,960.00Published ratePlastic Surgery Center Of St Joseph, Inc
Plastic Surgery Center Of St Joseph Inc
$1,622.00Published rateMae Physicians Surgery Center, LLC
Mae Physician'S Surgery Center, LLC
$1,226.92Published rateBrighton Surgery Center, LLC
$663.00Published rate
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See a sample payer proposalCPT 24343 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24343 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 24343 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 |
|---|---|---|
| 24340-CPT | Moderate | Tenodesis Rupture Biceps At Elbow |
| 24342-CPT | High | Reinsert Of Rupture Biceps Or Triceps Tndon Distal W/ Or W/, Reinsertion Of Ruptured Biceps Or Triceps Tendon Distal With Or With |
| 24343-CPT | Moderate | Repair Lateral Collateral Ligament, Elbow, With Local Tissue |
| 24344-CPT | High | Reconstruct Elbow Lat Ligmnt, Reconstruction Lateral Collateral Ligament Elbow With Tendon Graft Includes Harvesting Of Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24343. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24343 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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