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See a sample rate comparisonHealthcare 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.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24566 |
| Medicaid Fee Schedule | View Medicaid rates for 24566 |
National average reimbursement for CPT 24566 by major payers:

$988.07

$955.65

$977.98

$1,175.89
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Cleburne Surgical Center LLC
University Center For Ambulatory Surgery, LLC
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Rate Benchmarking
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See a sample payer proposalCPT 24566 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24566 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 24566 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 |
| 24566-CPT | Moderate | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Humeral Epicondylarfracture Medial Or Lateral With Manipulation Percutaneous Skeletal Fixation Of Humeral Epicond Ylar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24566. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24566 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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