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See a sample rate comparisonCPT 24586 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery On Broken Elbow, Surgery To Repair A Break At The Elbow Of The Upper Arm (Humerus) Or One Or Both Of The Lower Arm Bones (Radius Ulna). This Type Of Break Usually Involves Dislocation Of The Elbow Joint. Pins Screws Or Wires May Hold The Bones In Place.
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 24586 |
| Medicaid Fee Schedule | View Medicaid rates for 24586 |
National average reimbursement for CPT 24586 by major payers:
$1,438.34
$1,472.52
$1,536.66
$1,778.31
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CPT 24586
5 of 25 sample ratesHigher to lower in this preview
Memorial Care Surgical Center At Orange Coast, LLC
Memorial Care Surgical Center At Orange Coast LLC
$14,316.00Published rateThe Surgery Center, LLC
The Surgery Center LLC
$5,694.00Published rateVertrae Surgery Center, LLC
$3,246.00Published rateSpring Creek Surgery Center LLC
$1,967.00Published rateKleinert Kutz Surgery Center, LLC
Kleinert Kutz Surgery Center LLC
$855.96Published rate
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See a sample payer proposalCPT 24586 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24586 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 24586 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 |
|---|---|---|
| 24579-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. |
| 24582-CPT | High | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Humeral Condylarfracturemedial Or Lateral With Manipulation Pe Rcutaneous Skeletal Fixation Of Humeral Condylar Fracture |
| 24586-CPT | High | Surgery On Broken Elbow, Surgery To Repair A Break At The Elbow Of The Upper Arm (Humerus) Or One Or Both Of The Lower Arm Bones (Radius Ulna). This Type Of Break Usually Involves Dislocation Of The Elbow Joint. Pins Screws Or Wires May Hold The Bones In Place. |
| 24587-CPT | High | Optx Partclr Fx&/Dslc Elbw W, Open Treatment Of Periarticular Fracture And/Or Dislocation Of The Elbow (Fracture Distal Humerus And Proximal Ulna And/Or Proximal Radius); With Implant Arthroplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24586. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24586 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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