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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 | 23 - Emergency Room 11 - Office |
| Common Modifiers | None LT - Left side of body 54 - Surgical Care Only |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24576 |
| Medicaid Fee Schedule | View Medicaid rates for 24576 |
National average reimbursement for CPT 24576 by major payers:

$463.00

$449.39

$486.93

$564.18
Choose a payer to see a sample of rates for CPT 24576.
The Surgery Center Of Southwest
Middle Tennessee Ambulatory Surgery Center Lp
Rockingham Eye Surgery Center LLC
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Rate Benchmarking
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See a sample payer proposalCPT 24576 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24576 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 24576 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 |
|---|---|---|
| 24220-CPT | Moderate | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 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 |
| 24576-CPT | Moderate | Closed Treatment Of Humeral Co, Closed Treatment Of Humeral Condylar Fracture Medial Orlateral Without Manipulation Closed Treatment Of Humeral Condylar Fracture Medial Or |
| 24577-CPT | Moderate | Closed Treatment Of Humeral Co, Closed Treatment Of Humeral Condylar Fracture Medial Orlateral With Manipulation Closed Treatmentof Humeral Condylar Fracture Medial Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24576 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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