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See a sample rate comparisonCPT 24565 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 With 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 | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24565 |
| Medicaid Fee Schedule | View Medicaid rates for 24565 |
National average reimbursement for CPT 24565 by major payers:
$706.47
$706.48
$725.07
$901.38
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CPT 24565
5 of 25 sample ratesHigher to lower in this preview
Hhc Hartford Surgery Center, LLC
$1,543.00Published rateLaressa Bazzell
Deaconess Hospital Inc
$427.64Published rateHospital Drive Surgery Center, LLC
Hospital Drive Surgery Center
$200.00Published rateClearway Surgery Center Of Crestview, LLC
Clearway Surgery Center Of Crestview LLC
$153.00Published rateLincoln Endoscopy Center, LLC
Lincoln Endoscopy Center LLC
$50.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24565 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24565 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 24565 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 |
|---|---|---|
| 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 |
| 24565-CPT | Moderate | Closed Treatment Of Humeral Ep, Closed Treatment Of Humeral Epicondylar Fracture Medial Or Lateral With 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 24565. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24565 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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