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See a sample rate comparisonCPT 24435 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Poorly Healed Bone, Surgery To Repair Upper Arm Bone That Failed To Heal Completely Or Healed In An Improper Position Following Fracture.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24435 |
| Medicaid Fee Schedule | View Medicaid rates for 24435 |
National average reimbursement for CPT 24435 by major payers:
$1,426.62
$1,445.89
$1,517.50
$1,764.26
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CPT 24435
5 of 25 sample ratesHigher to lower in this preview
West Park Surgery Center, L.P., Medical City Surgery Center/Mckinney
West Park Surgery Center Lp
$7,968.00Published rateCrystal Cities Surgery Center, Twin Cities Surgery Center
$5,981.00Published ratePeachtree Orthopaedic Surgery Center At Perimeter
$3,800.00Published rateSan Diego Eyecor LLC
San Diego Eye Cor., Inc.
$2,173.00Published rateTifton Endoscopy Center, Inc.
$886.00Published rate
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See a sample payer proposalCPT 24435 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24435 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 24435 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 |
|---|---|---|
| 24400-CPT | High | Osteotomy Humerus |
| 24410-CPT | High | Multiple Osteotomies With Real, Multiple Osteotomies With Realignment On Intramedullary Rodhumeral Shaft (Sofield Type Procedure) Multiple Osteotomies With Realignment On Intramedullary Rod |
| 24420-CPT | High | Osteoplast Humerus (Eg Shorten Or Lengthen) (Exclud 64876), Osteoplasty Humerus (Eg Shortening Or Lengthening) (Excluding 64876) |
| 24435-CPT | High | Repair Poorly Healed Bone, Surgery To Repair Upper Arm Bone That Failed To Heal Completely Or Healed In An Improper Position Following Fracture. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24435. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24435 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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