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See a sample rate comparisonCPT 24366 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.
Reconstruct Head Of Radius, Joint Repair (Arthroplasty) Forearm Bone On The Thumb Side (Radius) At The Elbow With And Implant
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24366 |
| Medicaid Fee Schedule | View Medicaid rates for 24366 |
National average reimbursement for CPT 24366 by major payers:
$864.34
$922.58
$958.00
$1,122.93
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CPT 24366
5 of 25 sample ratesHigher to lower in this preview
Inova Ambulatory Surgery Center At Lorton, LLC
Inova Ambulatory Surgery Center At Lorton LLC
$22,475.00Published rateMedplex Outpatient Surgery Center Ltd, Medplex Outpatient Surgery Center
Medplex Outpatient Surgery Center Ltd
$9,650.00Published ratePottstown Ambulatory Center, LLC
Pottstown Ambulatory Center Ll
$5,576.00Published rateSpringfield Regional Outpatient Surgery Center LLC
$2,536.00Published rateEssex Endoscopy Center LLC
$900.00Published rate
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See a sample payer proposalCPT 24366 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24366 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 24366 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 |
|---|---|---|
| 24361-CPT | High | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24362-CPT | High | Arthroplst Elbow; W/ Implnt & Fascia Lata Ligamnt Reconstruc, Arthroplasty Elbow; With Implant And Fascia Lata Ligament Reconstruct |
| 24363-CPT | High | Arthroplst Elbow; W/ Distal Humerus & Proxim Ulnar Prosthet, Arthroplasty Elbow; With Distal Humerus And Proximal Ulnar Prosthetic |
| 24366-CPT | Moderate | Reconstruct Head Of Radius, Joint Repair (Arthroplasty) Forearm Bone On The Thumb Side (Radius) At The Elbow With And Implant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24366. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24366 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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