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See a sample rate comparisonCPT 24365 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.
Reshape Bones Of The Elbow, Surgery To Reshape The End Of The Elbow Joint By Grinding Down The Surface. The Procedure Is Done To Allow Growth Of New Tissue.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24365 |
| Medicaid Fee Schedule | View Medicaid rates for 24365 |
National average reimbursement for CPT 24365 by major payers:
$931.12
$863.02
$883.15
$1,053.36
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CPT 24365
5 of 25 sample ratesHigher to lower in this preview
Cross Timbers Surgery Center, LLC, North Texas Gi Center
Cross Timbers Surgery Center, Lp Dba North Texas Gi Center
$8,238.00Published rateLancaster Specialty Surgery Center
Lancaster Specialty Surgical Center
$3,700.00Published ratePeace River Surgery Center
$2,529.00Published rateElite Endoscopy LLC
$1,808.00Published rateTriad Surgery Center LLC, Triad Eye Medical Clinic And Cataract Institute PLLC
Triad Eye Institute, PLLC
$899.00Published rate
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See a sample payer proposalCPT 24365 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24365 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 24365 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 |
|---|---|---|
| 24360-CPT | High | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24361-CPT | High | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24363-CPT | High | Arthroplst Elbow; W/ Distal Humerus & Proxim Ulnar Prosthet, Arthroplasty Elbow; With Distal Humerus And Proximal Ulnar Prosthetic |
| 24365-CPT | Moderate | Reshape Bones Of The Elbow, Surgery To Reshape The End Of The Elbow Joint By Grinding Down The Surface. The Procedure Is Done To Allow Growth Of New Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24365. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24365 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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