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CPT code 24650: Radial fracture care, head or neck, no manipulation2026 Medicare rate & RVUs in Houston, TX

Report this code when a clinician provides definitive nonsurgical care for a radial head or neck fracture without repositioning the bone.

CMS RVU26DEffective Oct 1, 2026One payment locality6K Medicare services in 2024

In Houston, TX, Medicare pays $306.38 for 24650 in the office and $263.60 when it’s performed in a hospital or facility.

$306.38Office (non-facility)
$263.60Hospital or facility
+1.6%vs the national office rate ($301.61)

Check a contract rate as a % of Medicare · 24650 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 24650 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 24650 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 24650 covers

This service covers closed treatment of a fracture at the radial head or neck near the elbow when the clinician accepts the bone’s position without manipulation. An orthopedist or other treating clinician may provide this care in an office or facility setting, often using a sling or other support and arranging follow-up. A stable radial head fracture is a typical example. The distinction is whether the clinician takes responsibility for definitive fracture treatment, rather than providing temporary support before referral.

Report one service for the treated fracture and document the fracture location, the decision not to manipulate it, and the treatment plan. Medicare assigns a 90-day global period that 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 the others at 50%. Bilateral treatment reported with modifier 50 is paid at 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 Houston, TX compares for 24650

Across 109 of 109 payment localities, the office rate for 24650 runs from $264.51 in Arkansas to $396.35 in San Benito County, CA. Houston, TX pays $306.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

24650 in Houston, TX vs other payment areas
  1. Houston, TX · this page$306.38
  2. Austin, TX · Texas$312.31+$5.93
  3. Beaumont, TX · Texas$281.51−$24.87
  4. Brazoria, TX · Texas$297.00−$9.38
  5. Dallas, TX · Texas$299.31−$7.07
  6. Fort Worth, TX · Texas$297.39−$8.99
  7. Galveston, TX · Texas$298.15−$8.23

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

Every other payment area

24650 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$289.37$248.48
Los Angeles, CACalifornia$338.33$287.36
Washington, DC areaDistrict of Columbia$345.00$294.24
Miami, FLFlorida$333.26$288.41
Chicago, ILIllinois$322.66$279.36
Manhattan, NYNew York$349.48$299.41
AlaskaAlaska$346.18$300.29
AlabamaAlabama$268.66$230.96

24650 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.

$264.51

$356.28

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

View every state and territory as a table
24650 office rate range by state
State / territoryOffice rate rangeLocalities
AK$346.181
AL$268.661
AR$264.511
AZ$292.891
CA$316.21–$396.3529
CO$312.751
CT$322.551
DC$345.001
DE$297.931
FL$299.87–$333.263
GA$281.66–$308.242
GU$324.251
HI$324.251
IA$274.581
ID$276.771
IL$291.68–$322.664
IN$278.451
KS$273.861
KY$276.861
LA$276.66–$291.182
MA$310.97–$344.052
MD$303.67–$345.003
ME$279.01–$294.162
MI$285.15–$304.522
MN$297.161
MO$272.04–$291.493
MS$268.301
MT$301.581
NC$282.021
ND$292.681
NE$275.981
NH$308.401
NJ$325.53–$341.202
NM$287.081
NV$299.311
NY$286.57–$359.265
OH$283.341
OK$275.641
OR$296.30–$322.432
PA$283.45–$314.532
PR$303.711
RI$308.391
SC$283.291
SD$291.631
TN$275.411
TX$281.51–$312.318
UT$287.391
VA$293.60–$345.002
VI$303.711
VT$292.071
WA$310.20–$350.612
WI$282.331
WV$280.391
WY$297.701

See 24650 in every payment locality

How the 24650 rate is calculated

Each of 24650’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 · 24650

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.25

2.25 RVUs× 1.000 GPCI

Practice expense6.33

6.33 RVUs× 1.000 GPCI

Malpractice0.45

0.45 RVUs× 1.000 GPCI

Adjusted RVUs

9.0300

Conversion factor

$33.4009

Medicare rate

$301.61

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,351

Code
24650
Physician work
2.25
Practice expense
6.33
Malpractice
0.45

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 24650 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work2.25× 1.0082.2680
Practice expense6.33× 0.9936.2857
Malpractice0.45× 1.3760.6192
Total RVUs9.1729
Conversion factor× 33.4009

Office rate, Houston, TX$306.38

Office: (2.25 × 1.008 + 6.33 × 0.993 + 0.45 × 1.376) × $33.4009 = $306.38

Facility: (2.25 × 1.008 + 5.04 × 0.993 + 0.45 × 1.376) × $33.4009 = $263.60

Open 24650 in the RVU calculator

Payment rules and modifiers for 24650

24650 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24650

Radial fracture care, head or neck, no manipulation

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 · 24650

Radial fracture care, head or neck, no manipulation

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

24650 without 50 · national office

$301.61

Radial fracture care, head or neck, no manipulation

24650-50 · Bilateral: 150%

$452.42

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 24650

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

Codes related to 24650
CodeHow it relatesOffice range, Houston, TX
Used instead
24655Fracture reduction, with manipulationClosed treatment of a radial head or neck fracture when manipulation is required.$544.45
24665Radial head surgery, without prosthetic replacementOpen treatment of a radial head or neck fracture.No office rate
24666Radial head surgery, with prosthetic replacementOpen treatment of a radial head or neck fracture with radial head replacement.No office rate
24670Fracture care, without manipulationClosed treatment without manipulation when the fracture is at the proximal ulna instead.$342.54

How 24650 has changed in Houston, TX

24650 · Office / nonfacility

$306.38

Effective 2026-10-01

The base rate is $25.43 higher than on 2025-10-01, moving from $280.95 to $306.38 (9.1%).

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

    $280.95changed to$306.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.31 changed to 2.25
    • Practice expense RVU 5.65 changed to 6.33
    • Malpractice RVU 0.48 changed to 0.45
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $284.38changed to$280.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.55 changed to 5.65
    • Malpractice RVU 0.45 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $279.74changed to$284.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $283.21changed to$279.74

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.40 changed to 5.55
    • Malpractice RVU 0.44 changed to 0.45
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $280.71changed to$283.21

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.19 changed to 5.40
    • Malpractice RVU 0.43 changed to 0.44
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $280.47changed to$280.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.11 changed to 5.19
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $275.33changed to$280.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.76 changed to 5.11
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $271.28changed to$275.33

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.74 changed to 4.76
    • Malpractice RVU 0.40 changed to 0.44
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $273.17changed to$271.28

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.80 changed to 4.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $269.04changed to$273.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.71 changed to 4.80
    • Malpractice RVU 0.41 changed to 0.40
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $267.95changed to$269.04

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $268.92changed to$267.95

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $267.58changed to$268.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $265.33changed to$267.58

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.67 changed to 4.71
    • Malpractice RVU 0.40 changed to 0.41
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $269.08changed to$265.33

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.18 changed to 4.67
    • Malpractice RVU 0.42 changed to 0.40
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $269.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$306.38$263.60RVU26D
2026-07-01$306.38$263.60RVU26C
2026-04-01$306.38$263.60RVU26B
2026-01-01$306.38$263.60RVU26A
2025-10-01$280.95$262.46RVU25D
2025-07-01$280.95$262.46RVU25C
2025-04-01$280.95$262.46RVU25B
2025-01-01$280.95$262.46RVU25A
2024-10-01$284.38$265.35RVU24D
2024-07-01$284.38$265.35RVU24C
2024-04-01$284.38$265.35RVU24B
2024-03-09$284.38$265.35RVU24AR
2024-01-01$279.74$261.01RVU24A
2023-10-01$283.21$263.58RVU23D
2023-07-01$283.21$263.58RVU23C
2023-04-01$283.21$263.58RVU23B
2023-01-01$283.21$263.58RVU23A
2022-10-01$280.71$260.76RVU22D
2022-07-01$280.71$260.76RVU22C
2022-04-01$280.71$260.76RVU22B
2022-01-01$280.71$260.76RVU22A
2021-10-01$280.47$259.65RVU21D
2021-07-01$280.47$259.65RVU21C
2021-04-01$280.47$259.65RVU21B
2021-01-01$280.47$259.65RVU21A
2020-10-01$275.33$255.09RVU20D
2020-07-01$275.33$255.09RVU20C
2020-04-01$275.33$255.09RVU20B
2020-01-01$275.33$255.09RVU20A
2019-10-01$271.28$250.86RVU19D
2019-07-01$271.28$250.86RVU19C
2019-04-01$271.28$250.86RVU19B
2019-01-01$271.28$250.86RVU19A
2018-10-01$273.17$249.49RVU18D
2018-07-01$273.17$249.49RVU18C
2018-04-01$273.17$249.49RVU18B
2018-01-01$273.17$249.49RVU18AR1
2017-10-01$269.04$247.31RVU17D
2017-07-01$269.04$247.31RVU17C
2017-04-01$269.04$247.31RVU17B
2017-01-01$269.04$247.31RVU17A
2016-10-01$267.95$246.34RVU16D
2016-07-01$267.95$246.34RVU16C
2016-04-01$267.95$246.34RVU16B
2016-01-01$267.95$246.34RVU16A
2015-10-01$268.92$246.86RVU15D
2015-07-01$268.92$246.86RVU15C
2015-04-01$267.58$245.64RVU15B
2015-01-01$267.58$245.64RVU15A
2014-10-01$265.33$244.11RVU14D
2014-07-01$265.33$244.11RVU14C
2014-04-01$265.33$244.11RVU14B
2014-01-01$265.33$244.11RVU14A
2013-10-01$269.08$246.24RVU13D
2013-07-01$269.08$246.24RVU13C
2013-04-01$269.08$246.24RVU13B
2013-01-01$269.08$246.24RVU13AR

Price 24650 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

24650 billing questions

When should 24655 be reported instead?

Use 24655 when closed treatment of the radial head or neck fracture requires manipulation to reposition the bone. Use 24650 when the clinician treats the fracture in its existing position.

Does a sling provided before referral support reporting 24650?

A temporary sling alone does not establish definitive fracture care. The record should show that the reporting clinician assumed responsibility for treating the radial head or neck fracture.

Are follow-up visits for the fracture separately reported?

Medicare includes 90 days of related postoperative care in this code’s global period, along with the day-before preoperative visit.

How is treatment of fractures on both sides reported?

Report bilateral treatment with modifier 50 when the requirements for bilateral reporting are met. Medicare pays this code at 150% when reported bilaterally.

What happens if another procedure is performed in the same session?

The standard multiple procedure reduction applies: Medicare pays the highest-valued procedure in full and other procedures at 50%.

Can an assistant, co-surgeon, or surgical team be reported for 24650?

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 24650PPRRVU2026_Oct_nonQPP.csv, line 2,351 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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