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See a sample rate comparisonCPT 24575 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.
Open Treatment Of Humeral Epic, Open Treatment Of Humeral Epicondylar Fracture Medial Or Lateral Includes Internal Fixation When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24575 |
| Medicaid Fee Schedule | View Medicaid rates for 24575 |
National average reimbursement for CPT 24575 by major payers:
$957.95
$995.75
$1,058.83
$1,211.76
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CPT 24575
5 of 25 sample ratesHigher to lower in this preview
Prime Healthcare Services-Suburban Hospital LLC
$20,521.33Published rateNorth Suburban Pain And Spine Center LLC
North Suburban Pain & Spine Cent
$5,820.00Published rateMenlo Park Surgery Center, LLC.
Menlo Park Surgery Center LLC
$3,240.00Published rateWeir Asc, LLC, Southwest Eye Surgery Center
Weir Asc LLC
$1,900.00Published rateChristopher Santos
Deaconess Hospital Inc
$586.36Published rate
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See a sample payer proposalCPT 24575 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24575 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 24575 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 |
| 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. |
| 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 |
| 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 24575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24575 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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