Find policies, billing codes, payers, states, and providers
CPT 24545: Open Repair of Humerus Condylar Fracture
CPT code 24545 represents an open surgical procedure to treat fractures of the humerus through or above a condyle without extension between the condyles, typically performed as open reduction with possible internal fixation. This code is nationally relevant because humeral condylar fractures are commonly managed surgically when displaced or unstable, affecting orthopedic surgical workload, facility resource use, and payer reimbursement patterns.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context about the procedure, typical sites of service (hospital operating room and ambulatory surgery centers), and the procedural scope that drives coding and billing decisions. The publication also summarizes common modifiers associated with surgical services, notes where input data are not available, and outlines what to expect in benchmarking and policy considerations. Topics include typical clinical indications for open repair, procedural components that influence code selection, and operational implications for surgical practices and facilities.
Data not available in the input: associated taxonomies, specific ICD-10 diagnoses, payer-specific coverage rules, and related codes. The content is intended for a national audience seeking concise coding and clinical context for CPT code 24545.
Customize your policy alerts
Sign up for cpt 24545 policy alerts
Get alerted when payer policies referencing 24545 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 24545 describes an open treatment of a fracture of the humerus through or above a condyle, without extension between the condyles. The procedure involves a surgical incision in the upper arm to access the fracture site and may include internal fixation using hardware to stabilize bone fragments during healing.
-
Service type: Open surgical fracture repair (open reduction and internal fixation)
-
Typical site of service: Hospital operating room or ambulatory surgery center