CPT code 24635: Monteggia repair, open treatment2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $714.56 for 24635 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 24635 nationwide

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

What 24635 covers

A Monteggia injury pairs a fracture of the proximal ulna with dislocation of the radial head. An orthopedic surgeon treats it through an open approach, reducing the fracture-dislocation and stabilizing the ulna with fixation when performed. These operations are generally done in a hospital or ambulatory surgery setting; the operative report should establish the injury pattern and describe the reduction and stabilization performed.

Select this code for open operative management of the Monteggia fracture-dislocation, rather than closed treatment of the same injury. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 Washington, DC area compares for 24635

Across 109 of 109 payment localities, the facility rate for 24635 runs from $570.14 in Arkansas to $776.35 in Alaska. Washington, DC area pays $714.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

24635 rates by state

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

See 24635 in every payment locality

How the 24635 rate is calculated

Each of 24635’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.

Payment rules and modifiers for 24635

24635 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 24635

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

How 24635 has changed in Washington, DC area

Price 24635 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates