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See a sample rate comparisonCPT 24920 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.
Amput,Arm Thru Humerus;Opn,Circular
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | RT - Right side of body None 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24920 |
| Medicaid Fee Schedule | View Medicaid rates for 24920 |
National average reimbursement for CPT 24920 by major payers:
$996.76
$977.15
$999.22
$1,196.12
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CPT 24920
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$22,760.00Published rateWarner Park Surgery Center LLC, Center For Advanced Surgery
Warner Park Surgery Center LLC
$6,365.00Published rateGreenbelt Urology Institute, L.L.C.
Greenbelt Urology Institute LLC
$3,152.00Published rateOxon Hill Urology Surgery Center PC
$2,000.00Published ratePremier Endoscopy Center,LLC
$383.00Published rate
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See a sample payer proposalCPT 24920 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24920 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 24920 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 |
|---|---|---|
| 24900-CPT | High | Amputate Arm Thru Hum-Primary Clos |
| 24920-CPT | Moderate | Amput,Arm Thru Humerus;Opn,Circular |
| 24925-CPT | Moderate | Amputat Arm Through Humerus; Second Closur Or Scar Revisn, Amputation Arm Through Humerus; Secondary Closure Or Scar Revision |
| 24931-CPT | High | Amputate Arm Thru Hum W Implant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24920 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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