CPT code 24605: Elbow reduction, with anesthesia2026 Medicare rate & RVUs in Missouri
Closed reduction of an elbow dislocation performed with anesthesia, reported when the dislocated joint is restored without open surgical exposure.
CMS doesn’t publish an office rate for 24605 in Missouri.
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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What 24605 covers
An orthopedic surgeon typically reports this service when manipulating a dislocated elbow back into position under anesthesia, without opening the joint. It may be performed in a hospital or other procedural setting when the reduction requires anesthesia. The service addresses an elbow dislocation, not a radial head fracture or a Monteggia fracture-dislocation.
Choose this code when the record supports a closed reduction performed with anesthesia; use the related code for closed treatment without anesthesia when that is what occurred. Document the dislocation, the reduction performed, and the anesthesia used. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 24605 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $462.79 |
| Metropolitan St. Louis, MO | Unavailable | $467.12 |
| Rest of Missouri | Unavailable | $443.00 |
How the 24605 rate is calculated
Each of 24605’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 · 24605
RVUs × geographic indexes × conversion factor
Work5.50
5.50 RVUs× 1.000 GPCI
Practice expense7.65
7.65 RVUs× 1.000 GPCI
Malpractice1.20
1.20 RVUs× 1.000 GPCI
Adjusted RVUs
14.3500
Conversion factor
$33.4009
Medicare rate
$479.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24605
24605 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24605
Elbow reduction, with 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 · 24605
Elbow reduction, with 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
24605 without 50 · national facility
$479.30
Elbow reduction, with anesthesia
24605-50 · Bilateral: 150%
$718.95
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).
24605 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24600Elbow reductionWithout anesthesia
- Both describe closed treatment of an elbow dislocation. The distinguishing factor is whether anesthesia is required for the treatment: 24605 includes anesthesia, while 24600 is for treatment without it.
- 24615Elbow dislocationOpen treatment
- Use 24615 when the elbow dislocation is treated through open surgical exposure. This code is for closed reduction under anesthesia.
- 24620Monteggia treatmentClosed, without manipulation
- 24620 addresses a Monteggia fracture-dislocation, which includes a proximal ulna fracture. This code is for an elbow dislocation without that fracture pattern.
- 24640Nursemaid's elbowRadial head subluxation
- 24640 is for radial head subluxation, not a complete elbow dislocation. Select based on the diagnosed injury and treatment performed.
24605 billing questions
How does this differ from 24600?
24605 is for closed treatment of an elbow dislocation requiring anesthesia. Use 24600 when the closed treatment is performed without anesthesia.
Can this code be used for an open reduction?
No. This code describes a closed reduction; 24615 is the related open-treatment code for an elbow dislocation.
What documentation supports reporting 24605?
Document the elbow dislocation, the closed reduction performed, and that anesthesia was used for the treatment.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay for an assistant at surgery for this code, and 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
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