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See a sample rate comparisonCPT 24615 Fee Schedule
Medicare rates as of October 2026
CPT 24615 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Open Treatment Of Acute Or Chr, Open Treatment Of Acute Or Chronic Elbow Dislocationopen Treatment Of Acute Or Chronic Elbow Dislocation
| 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 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600761Sign up to view all 4 |
| Medicare Fee Schedule | $664.68 national non-facility rate (2026)View Medicare rates for 24615 |
| Medicaid Fee Schedule | $530.475 median of the 8 states in the free previewView Medicaid rates for 24615 |
National average reimbursement for CPT 24615 by major payers:
$972.79
BCBS / Anthem
$962.85
UnitedHealthcare
$977.58
Aetna
$1,172.20
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24615.
CPT 24615
5 of 25 sample ratesHigher to lower in this preview
Franciscan Surgery Center, LLC
$17,511.00Published rateLoveland Endoscopy Center, LLC, Skyline Endoscopy Center
Loveland Endoscopy Center LLC
$2,705.00Published rateSurgery Center Of Anaheim Hills, LLC
Surgery Center Of Anaheim Hills LLC
$2,200.00Published rateYo-Hang Ong
Deaconess Hospital Inc
$1,243.31Published rateTarboro Endoscopy Center, LLC
Tarboro Endoscopy Center LLC
$412.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24615 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24615. 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 24615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24615 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 24615 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24615 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24615 in an ambulatory surgery center?
CMS lists CPT 24615 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 24615?
Hospital price transparency files list CPT 24615 under these revenue codes: 0360, 0761, 0361 and 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.