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See a sample rate comparisonCPT 24358 Fee Schedule
Last Verified: October 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 Elbow Tendon, Surgery To Repair A Tendon In The Lower Arm. Pain From Overuse Or Injury To One Of These Tendons Is Often Referred To As Tennis Or Golfers Elbow.
| 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 24358 |
| Medicaid Fee Schedule | View Medicaid rates for 24358 |
National average reimbursement for CPT 24358 by major payers:
$714.03
$701.28
$727.82
$880.74
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CPT 24358
5 of 25 sample ratesHigher to lower in this preview
The Western Pennsylvania Hospital, Forbes Regional Campus
Highmark Health
$9,070.48Published rateSpartanburg Surgery Center, LLC
Spartanburg Surgery Center LLC
$3,050.00Published rateSurgical Associates Endoscopy Clinic LLC, Avera Endoscopy/Surgical Center
Surgical Associates Endoscopy Clinic LLC
$2,376.00Published rateJupiter Outpatient Surgery Center LLC
Jupiter Outpatient Surgery Center, LLC
$1,840.00Published rateElkins Asc LLC, Gila Valley Procedure Center
Elkins Asc LLC
$600.00Published rate
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See a sample payer proposalCPT 24358 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24358 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 24358 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 |
|---|---|---|
| 24300-CPT | Moderate | Manipulation, Elbow, Under Anesthesia |
| 24305-CPT | Moderate | Tendon Lengthening,Upper Arm/Elbow, Sing |
| 24345-CPT | Moderate | Repair Medial Collateral Ligament, Elbow, With Local Tissue |
| 24358-CPT | Moderate | Repair Elbow Tendon, Surgery To Repair A Tendon In The Lower Arm. Pain From Overuse Or Injury To One Of These Tendons Is Often Referred To As Tennis Or Golfers Elbow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24358. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24358 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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