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CPT 24655 Fee Schedule

Last Verified: December 2025

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.

Close Radial Head/Neck W Manip
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

23 - Emergency Room

22 - On Campus Outpatient Hospital

Common Modifiers

None

LT - Left side of body

54 - Surgical Care Only

Complexity LevelModerate

National average reimbursement for CPT 24655 by major payers:

bcbs

$579.97

uhc

$584.28

aetna

$630.25

cigna

$749.51

Preview provider-level rates for...
For billing codeCPT 24655
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 24655

United
24655$339.001750331500 - ARMENIA AMBULATORY SURGERY CENTER LLC, MEDICAL VILLAGE SURGICAL CENTER270946506FLAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$95.001497029466 - MOUNTAIN HOME SURGERY CENTER, INC.454157268ARAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$702.001629703236 - NORTH CYPRESS SURGICENTER, LLC, NORTH CYPRESS SURGERY CENTER851383722 - (TX) NORTH CYPRESS SURGICENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$437.001912460015 - PREMIER EYE SURGERY CENTER OF COLORADO, LLC, PREMIER EYE SURGERY CENTER823760640 - (CO) PREMIER EYE SURGERY CENTER OF COLORADO, LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$190.001811933179 - KALAMAZOO ENDO CENTER LLC201582174 - (MI) KALAMAZOO ENDO CENTER LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$125.001588029870 - PACIFIC GASTROENTEROLOGY PLLC201377401 - (WA) PACIFIC GASTROENTEROLOGY, PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$314.001326054172 - FORT SANDERS WEST OP SURGERY CENTER621366907 - (TN) FORT SANDERS WEST OP SURGERY CENTERTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$1623.001447355243 - SURGICENTER OF GREATER MILWAUKEE, LLC, SURGICENTER OF GREATER MILWAUKEE, INC.391682308 - (WI) CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC.WIAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$662.001144970807 - MEDICAL CITY SURGERY CENTER SOUTHLAKE, LLC881391141TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$3922.001548400070 - COMMUNITY ENDOSCOPY CENTER LLC611464136 - (IN) COMMUNITY ENDOSCOPY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$155.001427017813 - WESTERN WASHINGTON ENDOSCOPY CENTERS LLC, PENINSULA ENDOSCOPY CENTER200289310 - (WA) WESTERN WASHINGTON ENDOSCOPY CENTERS LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$688.001376906354 - PREMIER AT EXTON SURGERY CENTER, LLC474302293 - (PA) PREMIER AT EXTON SURGERY CENTER, LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$175.001669414306 - FREEDOM VISION SURGERY CENTER LLC, FREEDOM VISION SURGERY CENTER LLC954673469 - (CA) FREEDOM VISION SURGERY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$189.001326182197 - NACOGDOCHES COUNTY HOSPITAL DISTRICT, NACOGDOCHES MEMORIAL HOSPITAL DAY SURGERY871142127 - (TX) LION STAR NACOGDOCHES HOSPITAL, LLC DBA NACOGDOCHES MEMORIAL HOSPITALTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
24655$550.001033635206 - MEDSTAR SURGERY CENTER AT TIMONIUM, LLC821874292 - (MD) MEDSTAR SURGERY CENTER AT TIMOMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 24655 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 24655 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 24655 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.

CodeComplexityDescription
24640-CPTLowClose Radial Head Sublux W Manip
24650-CPTModerateTreat Fx-Radial Head/Neck
24655-CPTModerateClose Radial Head/Neck W Manip
24665-CPTModerateOpen Radial Head/Neck W/Wo Fix/Exc

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24655. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 24655 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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