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See a sample rate comparisonCPT 24931 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Amputate Arm Thru Hum W Implant
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24931 |
| Medicaid Fee Schedule | View Medicaid rates for 24931 |
National average reimbursement for CPT 24931 by major payers:
$1,236.35
$1,181.95
$1,239.01
$1,463.25
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CPT 24931
5 of 25 sample ratesHigher to lower in this preview
Elko Community Health Center, LLC
Elko Community Health Center LLC
$14,322.00Published rateThe Emory Clinic Inc, Emory Orthopaedic Surgery Center
Emory Ambulatory Surgery Center At Dunwoody LLC
$7,254.00Published rateOak Brook Surgical Centre Inc.
Oakbrook Surgical Centre, Inc
$5,300.00Published rateEye Surgery Center Of North Florida LLC
$2,100.00Published rateDoctors Surgery Center, Inc
Doctors Surgery Center Inc
$1,000.00Published rate
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See a sample payer proposalCPT 24931 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24931 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 24931 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 24931. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24931 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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