CPT code 24655: Fracture reduction, with manipulation2026 Medicare rate & RVUs

Medicare pays $532.74 for 24655 nationally in the office and $441.89 in a hospital or facility. Local office rates run $466.99–$687.15.

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

What 24655 covers

This service covers treatment of a radial head or neck fracture at the elbow without surgically exposing the fracture. The physician manually manipulates the bone to improve alignment and may immobilize the arm in a splint or cast. It is commonly performed by an orthopedic surgeon in an office, emergency department, or procedure setting when closed reduction is appropriate.

Report this code when documentation supports both the fracture site and the manipulation performed; closed fracture care without manipulation is reported with a different code. 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, Medicare pays the highest-valued procedure in full and others at 50%. For bilateral treatment, 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.

Where 24655 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

24655 rates by state

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

How the 24655 rate is calculated

Each of 24655’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 24655

24655 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

24655 compared with similar codes

How to choose

24650Radial fracture careHead or neck, no manipulation

Both codes cover closed treatment of a radial head or neck fracture. Choose 24655 when the physician manipulates the fracture; choose 24650 when treatment is without manipulation.

24665Radial head surgeryWithout prosthetic replacement

This code is for closed manipulation. Code 24665 is used when the fracture is treated through open operative exposure.

24666Radial head surgeryWith prosthetic replacement

Use 24655 for closed fracture manipulation. Code 24666 describes operative treatment that includes radial head replacement.

Codes related to 24655

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

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