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See a sample rate comparisonCPT 24535 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.
Cltx Sprcndylr Humeral Fx W/, Closed Treatment Of Supracondylar Or Transcondylar Humeral Fracture With Or Without Intercondylar Extension; With Manipulation With Or Without Skin Or Skeletal Traction
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24535 |
| Medicaid Fee Schedule | View Medicaid rates for 24535 |
National average reimbursement for CPT 24535 by major payers:
$817.87
$822.48
$862.25
$1,002.59
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CPT 24535
5 of 25 sample ratesHigher to lower in this preview
Emory Ambulatory Surgery Center At Dunwoody, LLC
Emory Ambulatory Surgery Center At Dunwoody LLC
$1,394.00Published rateIntracoastal Surgery Center, LLC
Intracoastal Surgery Center Ll
$531.00Published rateAtlas Surgery Center, LLC, Atlas Surgery Center, LLC
Atlas Surgery Center LLC
$125.00Published rateSurgicenter Ltd, Bloomberg Eye Center
Surgicenter Ltd
$104.00Published rateAmbulatory Surgery Center Of Opelousas
Ambulatory Surgery Center Of O
$65.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24535 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24535 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 24535 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 |
|---|---|---|
| 24530-CPT | Moderate | Cltx Sprcndylr Humeral Fx Wo, Closed Treatment Of Supracondylar Or Transcondylar Humeral Fracture With Or Without Intercondylar Extension; Without Manipulation |
| 24535-CPT | Moderate | Cltx Sprcndylr Humeral Fx W/, Closed Treatment Of Supracondylar Or Transcondylar Humeral Fracture With Or Without Intercondylar Extension; With Manipulation With Or Without Skin Or Skeletal Traction |
| 24538-CPT | High | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Supracondylar Ortranscondylar Humeral Fracture With Or Without Intercondylar Extension |
| 24545-CPT | High | Surgical Repair Of Broken Arm, Surgery To Repair A Broken Upper Arm Bone (Humerus). The Procedure Can Involve The Use Of Wires Pins Plates Rings Or Screws To Hold The Bone Together. Repair May Include A Prosthesis Or Implant. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24535. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24535 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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