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See a sample rate comparisonCPT 24605 Fee Schedule
Last Verified: September 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.
Treatment Of Closed Elbow Disl, Treatment Of Closed Elbow Dislocation Requiring Anesthesia Treatment Of Closed Elbow Dislocation Requiring Anesthesia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24605 |
| Medicaid Fee Schedule | View Medicaid rates for 24605 |
National average reimbursement for CPT 24605 by major payers:
$621.98
$626.09
$657.21
$797.26
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CPT 24605
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$3,607.00Published rateMaine Eye Care Associates, Maine Eye Care Surgery Center
Eye Care Of Maine, P.A. F/K/A Maine Eye Care, P.A.
$1,245.00Published rateGastro Care, LLC
Gastro Care LLC
$773.00Published rateChicago Vascular Asc LLC
$607.00Published rateMiami Valley Ambulatory Surgery Center Ltd
$361.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24605 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24605 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 24605 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 |
|---|---|---|
| 24600-CPT | Moderate | Treatment Of Closed Elbow Disl, Treatment Of Closed Elbow Dislocation Without Anesthesiatreatment Of Closed Elbow Dislocation Without Anesthesia |
| 24605-CPT | Moderate | Treatment Of Closed Elbow Disl, Treatment Of Closed Elbow Dislocation Requiring Anesthesia Treatment Of Closed Elbow Dislocation Requiring Anesthesia |
| 24615-CPT | Moderate | Open Treatment Of Acute Or Chr, Open Treatment Of Acute Or Chronic Elbow Dislocationopen Treatment Of Acute Or Chronic Elbow Dislocation |
| 24620-CPT | Moderate | Cltx Monteggia Fx Dislc Elbw, Closed Treatment Of Monteggia Type Of Fracture Dislocation At Elbow (Fracture Proximal End Of Ulna With Dislocation Of Radial Head) With Manipulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24605 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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