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See a sample rate comparisonCPT 24560 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.
Closed Treatment Of Humeral Ep, Closed Treatment Of Humeral Epicondylar Fracture Medial Or Lateral Without Manipulation Closed Treatment Of Humeral Epicondylar Fracture Medial Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 54 - Surgical Care Only LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24560 |
| Medicaid Fee Schedule | View Medicaid rates for 24560 |
National average reimbursement for CPT 24560 by major payers:
$452.71
$427.37
$455.10
$535.00
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CPT 24560
5 of 25 sample ratesHigher to lower in this preview
Conroe Surgery Center 2, LLC
Conroe Surgery Center 2 LLC
$1,831.00Published rateWindsor Mill Surgery Center, LLC
Windsor Mill Surgery Center LLC
$566.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Showlow
Barnet Dulaney Perkins Eye Center PLLC
$344.00Published ratePuget Sound Gastroenterology, PLLC, Evergreen Endoscopy Center
Puget Sound Gastroenterology, P.S.
$140.00Published rateGeorgia Retina Surgery Center, LLC
Georgia Retina Surgery Center LLC
$79.00Published rate
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See a sample payer proposalCPT 24560 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24560 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 24560 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 |
|---|---|---|
| 24495-CPT | High | Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome). |
| 24560-CPT | Moderate | Closed Treatment Of Humeral Ep, Closed Treatment Of Humeral Epicondylar Fracture Medial Or Lateral Without Manipulation Closed Treatment Of Humeral Epicondylar Fracture Medial Or |
| 24566-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Humeral Epicondylarfracture Medial Or Lateral With Manipulation Percutaneous Skeletal Fixation Of Humeral Epicond Ylar |
| 24575-CPT | Moderate | Open Treatment Of Humeral Epic, Open Treatment Of Humeral Epicondylar Fracture Medial Or Lateral Includes Internal Fixation When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24560 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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