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See a sample rate comparisonCPT 24940 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.
Cineplasty Upper Extrem Complete
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24940 |
| Medicaid Fee Schedule | View Medicaid rates for 24940 |
National average reimbursement for CPT 24940 by major payers:
$3,913.72
$1,504.23
$1,291.20
$1,797.43
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CPT 24940
5 of 25 sample ratesHigher to lower in this preview
Orthoarizona Surgery Center Gilbert, LLC, Orthoarizona Surgery Center Gilbert
Orthoarizona Surgery Center Gilbert LLC
$7,888.00Published rateHeart Of Texas Surgery Center PLLC, Waco Center Of Surgical Arts
Heart Of Texas Surgery Center PLLC
$3,765.00Published rateAlabama Eye Surgery Center LLC
$2,058.00Published ratePlastic Surgery Specialists, PC
Plastic Surgery Specialists, P.C.
$1,704.00Published rateBay Area Endoscopy Center Limited Partnership
$360.00Published rate
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See a sample payer proposalCPT 24940 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24940 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 24940 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 |
| 24940-CPT | High | Cineplasty Upper Extrem Complete |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24940 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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