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See a sample rate comparisonCPT 24605 Fee Schedule
Medicare rates as of October 2026
CPT 24605 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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 | 23Emergency Room 21Inpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5112 - Level 2 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500981Sign up to view all 10 |
| Medicare Fee Schedule | $479.30 national non-facility rate (2026)View Medicare rates for 24605 |
| Medicaid Fee Schedule | $380.345 median of the 8 states in the free previewView Medicaid rates for 24605 |
National average reimbursement for CPT 24605 by major payers:
$621.98
BCBS / Anthem
$626.09
UnitedHealthcare
$657.21
Aetna
$797.26
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24605.
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 table lists codes related to 24605. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24600-CPT | Treatment Of Closed Elbow Disl, Treatment Of Closed Elbow Dislocation Without Anesthesiatreatment Of Closed Elbow Dislocation Without Anesthesia |
| 24605-CPT | Treatment Of Closed Elbow Disl, Treatment Of Closed Elbow Dislocation Requiring Anesthesia Treatment Of Closed Elbow Dislocation Requiring Anesthesia |
| 24615-CPT | Open Treatment Of Acute Or Chr, Open Treatment Of Acute Or Chronic Elbow Dislocationopen Treatment Of Acute Or Chronic Elbow Dislocation |
| 24620-CPT | 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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Frequently Asked Questions
What APC is CPT 24605 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24605 to APC 5112 (Level 2 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24605 in an ambulatory surgery center?
CMS lists CPT 24605 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24605?
Hospital price transparency files list CPT 24605 under these revenue codes: including 0450, 0981, 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.