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CPT 24575 Fee Schedule

Last Verified: January 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.

Red Fx Open-Hum Epicondyle
Key FactDetail
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 LevelModerate
Medicare Fee ScheduleView Medicare rates for 24575

National average reimbursement for CPT 24575 by major payers:

bcbs

$957.95

uhc

$995.75

aetna

$1,058.83

cigna

$1,247.27

Preview provider-level rates for...
For billing codeCPT 24575
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 24575

United
24575$2000.001164734232 - MIDSOUTH INTERVENTIONAL PAIN INSTITUTE, LLC261545635 - MIDSOUTH INTERVENTIONAL PAIN INSTITUTE LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$3665.001083051346 - INTERVENTIONAL PAIN MANAGEMENT LLC452192531 - (IN) INTERVENTIONAL PAIN MANAGEMENT LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$1700.001225096134 - GAINESVILLE EYE CENTER, LLC201895224 - (GA) GAINESVILLE EYE CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$1967.001134177256 - SPRING CREEK SURGERY CENTER LLC810596887 - (AR) SPRING CREEK SURGERY CENTER LLCARAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$5820.001770114290 - NORTH SUBURBAN PAIN AND SPINE CENTER LLC824454412 - (IL) NORTH SUBURBAN PAIN & SPINE CENTILAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$14053.001902052350 - SURGERY CENTER, LLC263169180 - (WI) THE SURGERY CENTER, LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$1900.001326379967 - WEIR ASC, LLC, SOUTHWEST EYE SURGERY CENTER271659546 - (OK) WEIR ASC LLCOKAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$4691.001083711568 - NATRAJ SURGERY CENTER INC.201290128 - (CA) NATRAJ SURGERY CENTER INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$3867.001053353359 - VISION SURGERY & LASER CENTER, LLC931308251 - (OR) VISION SURGERY LASER CENTER LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$1735.001760074207 - INTEGRIS DDSI ENDOSCOPY CENTERS LLC854253589OKAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$2126.001205266632 - ARKANSAS RENAL GROUP PA, OUACHITA PROCEDURE CENTER453592104 - (AR) ARKANSAS RENAL GROUP PAARAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$6011.001609920206 - UPMC JAMESON, UPMC JAMESON SHORT PROCEDURE UNIT250965406 - (PA) UPMCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$711.001720125156 - SCOTTSDALE EYE INSTITUTE, PLC, SCOTTSDALE EYE INSTITUTE, PLC61692976 - (AZ) SCOTTSDALE EYE INSTITUTE PLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
24575$586.361992203152 - CHRISTOPHER SANTOS350593390 - DEACONESS HOSPITAL INCSCCertified Registered Nurse Anesthetist (367500000X)
United
24575$1655.001487765897 - BAY MICROSURGICAL UNIT570799855 - (SC) BAY MICROSURGICAL UNITSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 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.

CodeComplexityDescription
24530-CPTModerateClosed Treatment Of Supracondylar Or Transcondylar Humeral Fracture, With Or Without Intercondylar Extension; Without Manipulation
24545-CPTHighOpen Treatment Of Humeral Supracondylar Or Transcondylar Fracture, Includes Internal Fixation, When Performed; Without Intercondylar Extension
24560-CPTModerateClose Epicon Fract Med/Lat Wo Manip
24575-CPTModerateRed Fx Open-Hum Epicondyle

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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