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CPT code 24600: Elbow reduction, without anesthesia2026 Medicare rate & RVUs in Hawaii, Guam, HI

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.

CMS RVU26DEffective Oct 1, 2026One payment locality994 Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $503.43 for 24600 in the office and $418.74 when it’s performed in a hospital or facility.

$503.43Office (non-facility)
$418.74Hospital or facility
+5.6%vs the national office rate ($476.63)

Check a contract rate as a % of Medicare · 24600 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 24600 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 24600 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Hawaii, Guam, HI compares for 24600

Across 109 of 109 payment localities, the office rate for 24600 runs from $417.77 in Arkansas to $609.20 in San Benito County, CA. Hawaii, Guam, HI pays $503.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

24600 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$503.43
  2. Los Angeles, CA · California$525.97+$22.54
  3. Washington, DC area · District of Columbia$541.61+$38.18
  4. Miami, FL · Florida$541.03+$37.60
  5. Chicago, IL · Illinois$523.25+$19.82
  6. Manhattan, NY · New York$554.35+$50.92
  7. Alaska · Alaska$552.00+$48.57

Other areas in Hawaii first, then benchmark localities. Bars start at $0.

Every other payment area

24600 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$424.31$359.14
ArkansasArkansas$417.77$353.79
ArizonaArizona$462.42$390.24
Bakersfield, CACalifornia$494.84$413.21
Chico, CACalifornia$492.07$410.43
El Centro, CACalifornia$492.24$410.60
Fresno, CACalifornia$492.07$410.43
Hanford, CACalifornia$492.07$410.43

24600 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$417.77

$552.00

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
24600 office rate range by state
State / territoryOffice rate rangeLocalities
AK$552.001
AL$424.311
AR$417.771
AZ$462.421
CA$492.07–$609.2029
CO$490.091
CT$509.751
DC$541.611
DE$470.301
FL$480.56–$541.033
GA$450.74–$488.712
GU$503.431
HI$503.431
IA$430.561
ID$434.651
IL$469.69–$523.254
IN$437.201
KS$430.911
KY$440.401
LA$440.67–$463.552
MA$487.91–$536.972
MD$478.86–$541.613
ME$439.73–$461.362
MI$454.90–$489.492
MN$461.351
MO$434.31–$462.293
MS$426.001
MT$476.561
NC$444.211
ND$456.391
NE$432.321
NH$484.681
NJ$513.25–$535.962
NM$458.561
NV$471.241
NY$451.50–$571.695
OH$450.781
OK$436.901
OR$465.31–$503.522
PA$450.13–$498.082
PR$479.421
RI$485.561
SC$448.701
SD$454.011
TN$433.531
TX$447.19–$490.458
UT$455.141
VA$461.51–$541.612
VI$479.421
VT$456.801
WA$486.25–$545.672
WI$440.441
WV$451.981
WY$467.771

See 24600 in every payment locality

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

Office or facility?

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.

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,345

Code
24600
Physician work
4.26
Practice expense
8.99
Malpractice
1.02

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 24600 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work4.26× 1.0004.2600
Practice expense8.99× 1.13710.2216
Malpractice1.02× 0.5790.5906
Total RVUs15.0722
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$503.43

Office: (4.26 × 1 + 8.99 × 1.137 + 1.02 × 0.579) × $33.4009 = $503.43

Facility: (4.26 × 1 + 6.76 × 1.137 + 1.02 × 0.579) × $33.4009 = $418.74

Open 24600 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

Codes related to 24600

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 24600
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
24605Elbow reduction, with anesthesiaClosed elbow dislocation treatment when anesthesia is required.No office rate
Used instead
24615Elbow dislocation, open treatmentOpen treatment is selected when the elbow dislocation is managed surgically.No office rate
24620Monteggia treatment, closed, without manipulationFor closed treatment of a Monteggia fracture-dislocation rather than an isolated elbow dislocation.No office rate
24640Nursemaid's elbow, radial head subluxationFor closed treatment of radial head subluxation, commonly called nursemaid's elbow.$111.60

How 24600 has changed in Hawaii, Guam, HI

24600 · Office / nonfacility

$503.43

Effective 2026-10-01

The base rate is $99.14 higher than on 2025-10-01, moving from $404.29 to $503.43 (24.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $404.29changed to$503.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.37 changed to 4.26
    • Practice expense RVU 6.64 changed to 8.99
    • Malpractice RVU 0.89 changed to 1.02
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $411.07changed to$404.29

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.50 changed to 6.64
    • Malpractice RVU 0.91 changed to 0.89

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $404.36changed to$411.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $414.16changed to$404.36

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.36 changed to 6.50
    • Malpractice RVU 0.89 changed to 0.91
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $411.09changed to$414.16

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.00 changed to 6.36
    • Malpractice RVU 0.90 changed to 0.89
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $406.38changed to$411.09

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.82 changed to 6.00
    • Malpractice RVU 0.86 changed to 0.90

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $403.01changed to$406.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.44 changed to 5.82
    • Malpractice RVU 0.85 changed to 0.86
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $400.26changed to$403.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.51 changed to 5.44
    • Malpractice RVU 0.68 changed to 0.85
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $395.70changed to$400.26

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.41 changed to 5.51

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $391.68changed to$395.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.30 changed to 5.41
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $392.29changed to$391.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.29 changed to 5.30
    • Malpractice RVU 0.69 changed to 0.68
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $393.95changed to$392.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.28 changed to 5.29
    • Malpractice RVU 0.72 changed to 0.69

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $391.99changed to$393.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $391.46changed to$391.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.24 changed to 5.28
    • Malpractice RVU 0.73 changed to 0.72
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $397.25changed to$391.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.87 changed to 5.24
    • Malpractice RVU 0.76 changed to 0.73
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$397.25

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$503.43$418.74RVU26D
2026-07-01$503.43$418.74RVU26C
2026-04-01$503.43$418.74RVU26B
2026-01-01$503.43$418.74RVU26A
2025-10-01$404.29$362.66RVU25D
2025-07-01$404.29$362.66RVU25C
2025-04-01$404.29$362.66RVU25B
2025-01-01$404.29$362.66RVU25A
2024-10-01$411.07$368.23RVU24D
2024-07-01$411.07$368.23RVU24C
2024-04-01$411.07$368.23RVU24B
2024-03-09$411.07$368.23RVU24AR
2024-01-01$404.36$362.22RVU24A
2023-10-01$414.16$371.05RVU23D
2023-07-01$414.16$371.05RVU23C
2023-04-01$414.16$371.05RVU23B
2023-01-01$414.16$371.05RVU23A
2022-10-01$411.09$368.77RVU22D
2022-07-01$411.09$368.77RVU22C
2022-04-01$411.09$368.77RVU22B
2022-01-01$411.09$368.77RVU22A
2021-10-01$406.38$364.90RVU21D
2021-07-01$406.38$364.90RVU21C
2021-04-01$406.38$364.90RVU21B
2021-01-01$406.38$364.90RVU21A
2020-10-01$403.01$363.79RVU20D
2020-07-01$403.01$363.79RVU20C
2020-04-01$403.01$363.79RVU20B
2020-01-01$403.01$363.79RVU20A
2019-10-01$400.26$360.61RVU19D
2019-07-01$400.26$360.61RVU19C
2019-04-01$400.26$360.61RVU19B
2019-01-01$400.26$360.61RVU19A
2018-10-01$395.70$357.74RVU18D
2018-07-01$395.70$357.74RVU18C
2018-04-01$395.70$357.74RVU18B
2018-01-01$395.70$357.74RVU18AR1
2017-10-01$391.68$356.07RVU17D
2017-07-01$391.68$356.07RVU17C
2017-04-01$391.68$356.07RVU17B
2017-01-01$391.68$356.07RVU17A
2016-10-01$392.29$356.51RVU16D
2016-07-01$392.29$356.51RVU16C
2016-04-01$392.29$356.51RVU16B
2016-01-01$392.29$356.51RVU16A
2015-10-01$393.95$357.21RVU15D
2015-07-01$393.95$357.21RVU15C
2015-04-01$391.99$355.43RVU15B
2015-01-01$391.99$355.43RVU15A
2014-10-01$391.46$356.62RVU14D
2014-07-01$391.46$356.62RVU14C
2014-04-01$391.46$356.62RVU14B
2014-01-01$391.46$356.62RVU14A
2013-10-01$397.25$359.56RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 24600 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

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

Show the CMS file lines behind this rate
RVUs for 24600PPRRVU2026_Oct_nonQPP.csv, line 2,345 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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