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CPT code 24665: Radial head surgery, without prosthetic replacement2026 Medicare rate & RVUs

Reports open surgical treatment of a radial head or neck fracture when the native bone is managed without prosthetic radial head replacement.

CMS RVU26DEffective Oct 1, 2026109 payment localities502 Medicare services in 2024

Medicare pays $622.26 for 24665 nationally in a facility.

Medicare rate · 24665

Radial head surgery, without prosthetic replacement

Office or facility?

Work RVUs
8.15
Total RVUs
18.63
Global days
090

National rate · 2026

$622.26

Facility setting, before claim adjustments.

See every locality for 24665 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 24665 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 24665 covers

This operation treats a radial head or neck fracture through an incision, allowing the surgeon to expose and restore the bone and stabilize it with fixation; fragment excision may also be part of the treatment. Orthopedic surgeons typically perform it in an operating room when the fracture requires direct surgical management rather than closed treatment.

Choose 24665 when the native radial head is treated without prosthetic replacement; use 24666 when a radial head prosthesis is placed. The operative report should identify the fracture site, open approach, treatment performed, and whether fixation or excision was used. The 90-day global period includes 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 reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.

Where 24665 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

24665 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$561.58
AlaskaUnavailable$752.96
ArizonaUnavailable$605.22
ArkansasUnavailable$554.06
Atlanta, GAUnavailable$638.81
Austin, TXUnavailable$633.68
Bakersfield, CAUnavailable$634.36
Baltimore area, MDUnavailable$661.15
Beaumont, TXUnavailable$591.80
Brazoria, TXUnavailable$609.73

24665 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
24665 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 24665 rate is calculated

Each of 24665’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 · 24665

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.15

8.15 RVUs× 1.000 GPCI

Practice expense8.84

8.84 RVUs× 1.000 GPCI

Malpractice1.64

1.64 RVUs× 1.000 GPCI

Adjusted RVUs

18.6300

Conversion factor

$33.4009

Medicare rate

$622.26

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

Payment rules and modifiers for 24665

24665 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24665

Radial head surgery, without prosthetic replacement

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 24665

Radial head surgery, without prosthetic replacement

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

24665 without 50 · national facility

$622.26

Radial head surgery, without prosthetic replacement

24665-50 · Bilateral: 150%

$933.39

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

24665 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 24665

    Radial head surgery, without prosthetic replacement8.15 wRVU

    Not priced

  • 24650

    Radial fracture care, head or neck, no manipulation2.25 wRVU

    $301.61

  • 24655

    Fracture reduction, with manipulation4.5 wRVU

    $532.74

  • 24666

    Radial head surgery, with prosthetic replacement9.61 wRVU

    Not priced

How to choose

24650Radial fracture careHead or neck, no manipulation
Use 24650 for closed treatment without manipulation; 24665 is for open surgical treatment.
24655Fracture reductionWith manipulation
Use 24655 for closed treatment with manipulation. Open surgical management is reported with 24665.
24666Radial head surgeryWith prosthetic replacement
Use 24666 when radial head prosthetic replacement is performed; 24665 applies when the native radial head is treated without replacement.

Codes related to 24665

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

Codes related to 24665
CodeHow it relatesNational office range
Used instead
24650Radial fracture care, head or neck, no manipulationClosed treatment of a radial head or neck fracture without manipulation.$264.51–$396.35
24655Fracture reduction, with manipulationClosed treatment of a radial head or neck fracture with manipulation.$466.99–$687.15
24666Radial head surgery, with prosthetic replacementOpen fracture treatment when a radial head prosthesis is placed.No office rate

24665 billing questions

How does 24665 differ from 24666?

Report 24665 when the native radial head is treated without a prosthesis. Use 24666 when the operation includes radial head prosthetic replacement.

When is 24665 used instead of 24650 or 24655?

24665 describes open surgical treatment. The closed-treatment codes are 24650 when no manipulation is performed and 24655 when manipulation is performed.

Is fixation separately reported with 24665?

Fixation used to treat the radial head or neck fracture is part of the reported fracture operation, not a separate fracture-treatment service.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral procedures and additional procedures paid?

Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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 24665PPRRVU2026_Oct_nonQPP.csv, line 2,353 (RVU26D)

Open CMS sourceHow we calculate rates

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