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See a sample rate comparisonCPT 24345 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 Medial 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 24345 |
| Medicaid Fee Schedule | View Medicaid rates for 24345 |
National average reimbursement for CPT 24345 by major payers:
$954.14
$943.20
$980.54
$1,164.92
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CPT 24345
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$16,288.00Published rateLone Star Endoscopy Center, LLC
$4,140.00Published rateClarksville Surgicenter, LLC
$2,434.00Published rateSouth Jersey Endoscopy LLC, Dimarino-Kroop-Prieto Gi Assoc
South Jersey Endoscopy LLC
$1,704.00Published rateEagle Physicians And Associates PA, Eagle Endoscopy Center
Eagle Physicians & Associates, P.A.
$500.00Published rate
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See a sample payer proposalCPT 24345 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24345 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 24345 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 |
|---|---|---|
| 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 |
| 24345-CPT | Moderate | Repair Medial Collateral Ligament, Elbow, With Local Tissue |
| 24346-CPT | High | Reconstruct Elbow Med Ligmnt, Reconstruction Medial 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 24345. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24345 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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