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

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 Virginia, Medicare pays $293.60 for 24650 in the office and $251.24 when it’s performed in a hospital or facility.

$293.60Office (non-facility)
$251.24Hospital or facility
−2.7%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 Virginia
  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 Virginia 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. Virginia pays $293.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

24650 in Virginia vs other payment areas
  1. Virginia · this page$293.60
  2. Los Angeles, CA · California$338.33+$44.73
  3. Washington, DC area · District of Columbia$345.00+$51.40
  4. Miami, FL · Florida$333.26+$39.66
  5. Chicago, IL · Illinois$322.66+$29.06
  6. Manhattan, NY · New York$349.48+$55.88
  7. Alaska · Alaska$346.18+$52.58

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

Every other payment area

24650 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$268.66$230.96
ArkansasArkansas$264.51$227.50
ArizonaArizona$292.89$251.14
Bakersfield, CACalifornia$317.46$270.23
Chico, CACalifornia$316.21$268.99
El Centro, CACalifornia$316.29$269.06
Fresno, CACalifornia$316.21$268.99
Hanford, CACalifornia$316.21$268.99

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 24650 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.25× 1.0002.2500
Practice expense6.33× 0.9836.2224
Malpractice0.45× 0.7060.3177
Total RVUs8.7901
Conversion factor× 33.4009

Office rate, Virginia$293.60

Office: (2.25 × 1 + 6.33 × 0.983 + 0.45 × 0.706) × $33.4009 = $293.60

Facility: (2.25 × 1 + 5.04 × 0.983 + 0.45 × 0.706) × $33.4009 = $251.24

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, Virginia
Used instead
24655Fracture reduction, with manipulationClosed treatment of a radial head or neck fracture when manipulation is required.$516.71
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.$327.45

How 24650 has changed in Virginia

24650 · Office / nonfacility

$293.60

Effective 2026-10-01

The base rate is $27.17 higher than on 2025-10-01, moving from $266.43 to $293.60 (10.2%).

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

    $266.43changed to$293.60

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $270.15changed to$266.43

    • 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

    $265.74changed to$270.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $271.76changed to$265.74

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $272.00changed to$271.76

    • 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
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $271.79changed to$272.00

    • 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

    $267.95changed to$271.79

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.76 changed to 5.11
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $264.77changed to$267.95

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $266.61changed to$264.77

    • 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

    $262.15changed to$266.61

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $260.58changed to$262.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $261.52changed to$260.58

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $260.21changed to$261.52

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $257.85changed to$260.21

    • 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
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $261.22changed to$257.85

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $261.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$293.60$251.24RVU26D
2026-07-01$293.60$251.24RVU26C
2026-04-01$293.60$251.24RVU26B
2026-01-01$293.60$251.24RVU26A
2025-10-01$266.43$248.28RVU25D
2025-07-01$266.43$248.28RVU25C
2025-04-01$266.43$248.28RVU25B
2025-01-01$266.43$248.28RVU25A
2024-10-01$270.15$251.48RVU24D
2024-07-01$270.15$251.48RVU24C
2024-04-01$270.15$251.48RVU24B
2024-03-09$270.15$251.48RVU24AR
2024-01-01$265.74$247.37RVU24A
2023-10-01$271.76$252.63RVU23D
2023-07-01$271.76$252.63RVU23C
2023-04-01$271.76$252.63RVU23B
2023-01-01$271.76$252.63RVU23A
2022-10-01$272.00$252.71RVU22D
2022-07-01$272.00$252.71RVU22C
2022-04-01$272.00$252.71RVU22B
2022-01-01$272.00$252.71RVU22A
2021-10-01$271.79$251.65RVU21D
2021-07-01$271.79$251.65RVU21C
2021-04-01$271.79$251.65RVU21B
2021-01-01$271.79$251.65RVU21A
2020-10-01$267.95$248.28RVU20D
2020-07-01$267.95$248.28RVU20C
2020-04-01$267.95$248.28RVU20B
2020-01-01$267.95$248.28RVU20A
2019-10-01$264.77$244.87RVU19D
2019-07-01$264.77$244.87RVU19C
2019-04-01$264.77$244.87RVU19B
2019-01-01$264.77$244.87RVU19A
2018-10-01$266.61$243.54RVU18D
2018-07-01$266.61$243.54RVU18C
2018-04-01$266.61$243.54RVU18B
2018-01-01$266.61$243.54RVU18AR1
2017-10-01$262.15$240.94RVU17D
2017-07-01$262.15$240.94RVU17C
2017-04-01$262.15$240.94RVU17B
2017-01-01$262.15$240.94RVU17A
2016-10-01$260.58$239.46RVU16D
2016-07-01$260.58$239.46RVU16C
2016-04-01$260.58$239.46RVU16B
2016-01-01$260.58$239.46RVU16A
2015-10-01$261.52$239.97RVU15D
2015-07-01$261.52$239.97RVU15C
2015-04-01$260.21$238.77RVU15B
2015-01-01$260.21$238.77RVU15A
2014-10-01$257.85$237.13RVU14D
2014-07-01$257.85$237.13RVU14C
2014-04-01$257.85$237.13RVU14B
2014-01-01$257.85$237.13RVU14A
2013-10-01$261.22$238.95RVU13D
2013-07-01$261.22$238.95RVU13C
2013-04-01$261.22$238.95RVU13B
2013-01-01$261.22$238.95RVU13AR

Price 24650 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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