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CPT 24579: Open Treatment of Humeral Condyle Fracture
CPT code 24579 denotes open surgical treatment for a fracture of the humeral condyle, a key orthopedic procedure to restore elbow joint stability and function. Nationally, this code captures operative management where direct visualization and fixation (for example, plates, screws, or pins) are used to reduce condylar fractures of the distal humerus. It is clinically important because timely, appropriate surgical fixation affects long-term joint mechanics, pain, and return to activity.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for coding and billing this operative fracture service, typical sites of service, and the kinds of benchmarks and policy issues that commonly affect reimbursement for open fracture fixation. The publication outlines expected service components, common payer considerations, and where to look for updates in coverage policies or coding guidance. Data not available in the input will be noted where relevant.
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Billing Code Overview
CPT code 24579 describes an open treatment of a fracture of the condyle of the humerus. The procedure involves a surgical incision at the upper arm to directly visualize and reduce the fractured condylar fragments; internal fixation devices may be applied to stabilize the distal humerus during healing.
Service Type: Open surgical fracture treatment (orthopedic procedure)
Typical Site of Service: Hospital operating room or ambulatory surgical center, with postoperative care often provided in an inpatient or outpatient orthopedic setting.