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See a sample rate comparisonCPT 24635 Fee Schedule
Last Verified: October 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.
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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24635 |
| Medicaid Fee Schedule | View Medicaid rates for 24635 |
National average reimbursement for CPT 24635 by major payers:
$939.75
$987.72
$1,001.34
$1,175.82
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CPT 24635
5 of 25 sample ratesHigher to lower in this preview
Johnston Memorial Hospital, Inc, Johnston Memorial Surgery Center
Johnston Memorial Hospital Inc
$9,784.00Published rateAloe Surgical Center Scottsdale, LLC
Aloe Surgical Center Scottsdale LLC
$6,492.00Published rateNaperville Surgical Centre LLC
Naperville Surgical Centre, LLC
$4,255.00Published rateSarc By Hsh Asc Pine Bluff, LLC, Sarc By Hsh Asc Pine Bluff LLC
Sarc By Hsh Asc Pine Bluff LLC
$3,223.00Published rateStephanie Preston
Deaconess Hospital Inc
$539.58Published rate
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See a sample payer proposalCPT 24635 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24635 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 24635 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 |
| 24635-CPT | Moderate | 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24635 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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