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See a sample rate comparisonCPT 24587 Fee Schedule
Medicare rates as of October 2026
CPT 24587 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $999.36 national non-facility rate (2026)View Medicare rates for 24587 |
| Medicaid Fee Schedule | $794.375 median of the 8 states in the free previewView Medicaid rates for 24587 |
National average reimbursement for CPT 24587 by major payers:
$1,405.35
BCBS / Anthem
$1,470.68
UnitedHealthcare
$1,494.36
Aetna
$1,778.01
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24587.
CPT 24587
5 of 25 sample ratesHigher to lower in this preview
San Gabriel Valley Surgical Center Lp
$7,888.00Published ratePhysicians Of Winter Haven LLC, Day Surgery Center
Physicians Of Winter Haven, LLC Dba Day
$5,500.00Published rateRadius Surgery Center LLC
$3,458.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$2,410.00Published rateAdvanced Dermatology And Skin Surgery, PLLC
$894.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24587 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24587. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24579-CPT | 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 | Percutaneous Skeletal Fixation, Percutaneous Skeletal Fixation Of Humeral Condylarfracturemedial Or Lateral With Manipulation Pe Rcutaneous Skeletal Fixation Of Humeral Condylar Fracture |
| 24586-CPT | 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 | 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 24587. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24587 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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Frequently Asked Questions
What APC is CPT 24587 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24587 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24587 in an ambulatory surgery center?
CMS lists CPT 24587 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 24587?
Hospital price transparency files list CPT 24587 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.