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See a sample rate comparisonCPT 24546 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24546 |
| Medicaid Fee Schedule | View Medicaid rates for 24546 |
National average reimbursement for CPT 24546 by major payers:
$1,468.12
$1,419.42
$1,474.59
$1,711.41
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CPT 24546
5 of 25 sample ratesHigher to lower in this preview
Marin Health Ventures, LLC, Marin Specialty Surgery Center
Marin Health Ventures, Inc. Dba Marin Specialty Surgery Center
$9,347.00Published rateVillages Endoscopy Center LLC
$6,492.00Published rateBaylor Scott & White Surgicare Waxahachie LLC
$4,234.00Published ratePiedmont West Ambulatory Surgery Center
Piedmont West Ambulatory Surgery
$2,964.00Published rateDental Surgicenter Of Louisville Inc
Dental Surgicenter
$1,320.00Published rate
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See a sample payer proposalCPT 24546 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24546 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 24546 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 |
|---|---|---|
| 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. |
| 24505-CPT | Moderate | Closed Treatment Of Humeral Sh, Closed Treatment Of Humeral Shaft Fracture Withmanipulation With Or Without Skeletal Traction Closed Treatment Of Humeral Shaft Fracture With |
| 24530-CPT | Moderate | Cltx Sprcndylr Humeral Fx Wo, Closed Treatment Of Supracondylar Or Transcondylar Humeral Fracture With Or Without Intercondylar Extension; Without Manipulation |
| 24546-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 24546. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24546 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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