CPT 24650 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24650 |
| Medicaid Fee Schedule | View Medicaid rates for 24650 |
National average reimbursement for CPT 24650 by major payers:
$344.96
$344.55
$376.56
$431.23
CPT 24650 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24650 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 24650 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 |
|---|---|---|
| 24640-CPT | Low | Closed Treatment Of Radial He, Closed Treatment Of Radial Head Subluxation In Childnursemaid Elbow With Manipulation Closed Treatment Of Radial Head Subluxation In Child |
| 24650-CPT | Moderate | Immobilize A Broken Elbow, Treatment To Immobilize A Broken Bone Of The Lower Arm (Radius) Using A Splint Brace Or Cast. The Bone May Be Moved Into Place Manually. |
| 24655-CPT | Moderate | Immobilize A Broken Elbow, Treatment To Immobilize A Broken Bone Of The Lower Arm (Radius) Using A Splint Brace Or Cast. The Bone May Be Moved Into Place Manually. |
| 24665-CPT | Moderate | Surgery To Repair Broken Elbow, Surgery To Repair A Broken Elbow Involving One Of The Two Lower Arm Bones (Radius Ulna). Pins Wires Screws Or An Implant May Be Used To Secure The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24650 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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