CPT code 24600: Elbow reduction, without anesthesia2026 Medicare rate & RVUs in California
Closed reduction of an elbow dislocation performed without anesthesia, typically in an emergency department or office when the joint is restored without an open procedure.
Medicare pays $492.07–$609.20 for 24600 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 24600 covers
This code describes closed treatment of an elbow dislocation by restoring the joint alignment without anesthesia. Emergency physicians and orthopedic clinicians may perform the reduction in an emergency department, clinic, or office. It is distinct from treatment of a fracture-dislocation or a radial head subluxation, which has its own code selection.
Report the code when the documented treatment is a closed reduction without anesthesia; use the anesthesia-requiring sibling when anesthesia is used. The record should identify the elbow and dislocation, describe the reduction, and support the treatment performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. For bilateral treatment reported with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 24600 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$492.07 to $609.20
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $494.84 | $413.21 |
| Chico, CA | $492.07 | $410.43 |
| El Centro, CA | $492.24 | $410.60 |
| Fresno, CA | $492.07 | $410.43 |
| Hanford, CA | $492.07 | $410.43 |
| Los Angeles, CA | $525.97 | $437.85 |
| Madera, CA | $492.07 | $410.43 |
| Marin County, CA | $594.83 | $489.81 |
| Merced, CA | $492.07 | $410.43 |
| Modesto, CA | $492.07 | $410.43 |
| Napa, CA | $564.32 | $466.15 |
| Oxnard, CA | $522.42 | $434.38 |
| Redding, CA | $492.07 | $410.43 |
| Rest of California | $492.07 | $410.43 |
| Riverside, CA | $503.01 | $421.38 |
| Sacramento, CA | $514.89 | $428.27 |
| Salinas, CA | $512.98 | $426.65 |
| San Benito County, CA | $609.20 | $501.79 |
| San Diego, CA | $524.15 | $435.07 |
| San Francisco, CA | $593.67 | $488.65 |
| San Luis Obispo, CA | $504.98 | $420.14 |
| Santa Clara County, CA | $604.46 | $497.05 |
| Santa Cruz, CA | $528.37 | $437.87 |
| Santa Maria, CA | $514.65 | $427.80 |
| Santa Rosa, CA | $533.55 | $442.09 |
| Stockton, CA | $492.07 | $410.43 |
| Vallejo, CA | $562.65 | $464.48 |
| Visalia, CA | $492.07 | $410.43 |
| Yuba City, CA | $492.07 | $410.43 |
How the 24600 rate is calculated
Each of 24600’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24600
RVUs × geographic indexes × conversion factor
Work4.26
4.26 RVUs× 1.000 GPCI
Practice expense8.99
8.99 RVUs× 1.000 GPCI
Malpractice1.02
1.02 RVUs× 1.000 GPCI
Adjusted RVUs
14.2700
Conversion factor
$33.4009
Medicare rate
$476.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24600
24600 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24600
Elbow reduction, without anesthesia
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24600
Elbow reduction, without anesthesia
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24600 without 50 · national office
$476.63
Elbow reduction, without anesthesia
24600-50 · Bilateral: 150%
$714.95
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24600 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24605Elbow reductionWith anesthesia
- Both codes describe closed treatment of an elbow dislocation. The key distinction is whether anesthesia is required for the reduction.
- 24615Elbow dislocationOpen treatment
- 24615 is for open treatment of an elbow dislocation. Use 24600 when the dislocation is reduced by a closed approach without anesthesia.
- 24620Monteggia treatmentClosed, without manipulation
- 24620 addresses a Monteggia fracture-dislocation, which includes an associated proximal ulna fracture; 24600 is for an elbow dislocation without that fracture pattern.
- 24640Nursemaid's elbowRadial head subluxation
- 24640 is for radial head subluxation, often seen in young children. It is not the code for a true elbow dislocation treated under 24600.
24600 billing questions
When should 24600 be chosen over 24605?
Use 24600 for closed elbow dislocation treatment performed without anesthesia. Choose 24605 when anesthesia is required for the reduction.
What documentation supports reporting this code?
Document the elbow dislocation, the side treated, and the closed reduction performed without anesthesia. The record should make clear that treatment was for the dislocation rather than a fracture-dislocation or radial head subluxation.
How is bilateral treatment reported?
For treatment of both elbows, report modifier 50; CMS pays the bilateral procedure at 150%.
Is routine follow-up included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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