CPT code 24670: Fracture care, without manipulation2026 Medicare rate & RVUs in Alabama
Closed management of a proximal ulna fracture without manipulation, typically for a stable fracture treated with immobilization and ongoing fracture care.
In Alabama, Medicare pays $299.96 for 24670 in the office and $251.74 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 24670 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 24670 covers
Code 24670 represents closed management of a proximal ulna fracture without manipulating bone fragments to restore alignment. Care commonly includes immobilization in a cast or splint and planned fracture follow-up. A stable, nondisplaced fracture of the proximal ulna, including an olecranon-region fracture, may fit when treated without manipulation. The orthopedic surgeon or other practitioner who assumes definitive fracture care reports the service; an emergency evaluation or temporary splint alone is not the full fracture treatment.
Documentation should identify the proximal ulna fracture, support treatment without manipulation, and describe the immobilization and care plan. CMS assigns a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. A statutory restriction bars assistant-at-surgery payment; 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 Alabama compares for 24670
Across 109 of 109 payment localities, the office rate for 24670 runs from $295.34 in Arkansas to $440.10 in San Benito County, CA. Alabama pays $299.96. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$299.96
- Los Angeles, CA · California$376.51+$76.55
- Washington, DC area · District of Columbia$384.59+$84.63
- Miami, FL · Florida$373.74+$73.78
- Chicago, IL · Illinois$361.81+$61.85
- Manhattan, NY · New York$390.29+$90.33
- Alaska · Alaska$387.36+$87.40
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $295.34 | $248.00 |
| ArizonaArizona | $326.92 | $273.52 |
| Bakersfield, CACalifornia | $353.48 | $293.08 |
| Chico, CACalifornia | $351.99 | $291.59 |
| El Centro, CACalifornia | $352.08 | $291.68 |
| Fresno, CACalifornia | $351.99 | $291.59 |
| Hanford, CACalifornia | $351.99 | $291.59 |
| Madera, CACalifornia | $351.99 | $291.59 |
| Merced, CACalifornia | $351.99 | $291.59 |
| Modesto, CACalifornia | $351.99 | $291.59 |
| Napa, CACalifornia | $406.82 | $334.18 |
| Oxnard, CACalifornia | $374.40 | $309.26 |
| Redding, CACalifornia | $351.99 | $291.59 |
| Rest of CaliforniaCalifornia | $351.99 | $291.59 |
| Riverside, CACalifornia | $357.79 | $297.39 |
| Sacramento, CACalifornia | $369.14 | $305.04 |
| Salinas, CACalifornia | $367.78 | $303.90 |
| San Diego, CACalifornia | $376.35 | $310.43 |
| Marin County, CACalifornia | $430.00 | $352.29 |
| San Francisco, CACalifornia | $429.39 | $351.68 |
| San Benito County, CACalifornia | $440.10 | $360.63 |
| Santa Clara County, CACalifornia | $437.59 | $358.12 |
| San Luis Obispo, CACalifornia | $361.93 | $299.16 |
| Santa Cruz, CACalifornia | $379.84 | $312.88 |
| Santa Maria, CACalifornia | $369.13 | $304.87 |
| Santa Rosa, CACalifornia | $383.64 | $315.96 |
| Stockton, CACalifornia | $351.99 | $291.59 |
| Vallejo, CACalifornia | $405.94 | $333.30 |
| Visalia, CACalifornia | $351.99 | $291.59 |
| Yuba City, CACalifornia | $351.99 | $291.59 |
| ColoradoColorado | $348.57 | $289.94 |
| ConnecticutConnecticut | $360.02 | $300.66 |
| DelawareDelaware | $332.52 | $278.07 |
| Fort Lauderdale, FLFlorida | $354.26 | $298.43 |
| Rest of FloridaFlorida | $335.58 | $282.90 |
| Atlanta, GAGeorgia | $344.27 | $288.27 |
| Rest of GeorgiaGeorgia | $315.18 | $266.02 |
| Hawaii, Guam, HIHawaii | $360.75 | $298.09 |
| IowaIowa | $306.16 | $255.73 |
| IdahoIdaho | $308.69 | $257.98 |
| East St. Louis, ILIllinois | $336.48 | $285.78 |
| Rest of IllinoisIllinois | $326.73 | $276.41 |
| Suburban Chicago, ILIllinois | $357.46 | $300.86 |
| IndianaIndiana | $310.54 | $259.45 |
| KansasKansas | $305.55 | $255.73 |
| KentuckyKentucky | $309.49 | $260.50 |
| New Orleans, LALouisiana | $325.50 | $273.64 |
| Rest of LouisianaLouisiana | $309.34 | $260.57 |
| Metropolitan Boston, MAMassachusetts | $383.13 | $317.32 |
| Rest of MassachusettsMassachusetts | $346.67 | $288.64 |
| Baltimore area, MDMaryland | $359.23 | $300.09 |
| Rest of MarylandMaryland | $338.85 | $283.08 |
| Rest of MaineMaine | $311.37 | $260.67 |
| Southern Maine, MEMaine | $327.95 | $273.33 |
| Detroit, MIMichigan | $340.96 | $287.78 |
| Rest of MichiganMichigan | $318.90 | $268.58 |
| MinnesotaMinnesota | $330.69 | $273.98 |
| Metropolitan Kansas City, MOMissouri | $322.17 | $270.42 |
| Metropolitan St. Louis, MOMissouri | $325.62 | $273.16 |
| Rest of MissouriMissouri | $304.32 | $256.81 |
| MississippiMississippi | $299.85 | $252.39 |
| MontanaMontana | $336.64 | $281.53 |
| North CarolinaNorth Carolina | $314.68 | $263.26 |
| North DakotaNorth Dakota | $325.97 | $270.86 |
| NebraskaNebraska | $307.67 | $256.80 |
| New HampshireNew Hampshire | $343.90 | $286.53 |
| Northern New JerseyNew Jersey | $380.40 | $316.47 |
| Rest of New JerseyNew Jersey | $363.20 | $303.01 |
| New MexicoNew Mexico | $321.12 | $270.59 |
| NevadaNevada | $333.90 | $278.73 |
| NYC suburbs and Long Island, NYNew York | $401.42 | $335.90 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $366.36 | $306.02 |
| Queens, NYNew York | $392.32 | $327.18 |
| Rest of New YorkNew York | $319.77 | $267.41 |
| OhioOhio | $316.72 | $266.40 |
| OklahomaOklahoma | $307.93 | $258.71 |
| Portland, OROregon | $359.12 | $297.89 |
| Rest of OregonOregon | $330.40 | $275.51 |
| Metropolitan Philadelphia, PAPennsylvania | $351.21 | $293.84 |
| Rest of PennsylvaniaPennsylvania | $316.74 | $266.14 |
| Puerto RicoPuerto Rico | $338.95 | $283.24 |
| Rhode IslandRhode Island | $344.02 | $287.09 |
| South CarolinaSouth Carolina | $316.41 | $265.49 |
| South DakotaSouth Dakota | $324.70 | $269.59 |
| TennesseeTennessee | $307.30 | $257.20 |
| Austin, TXTexas | $348.21 | $289.90 |
| Beaumont, TXTexas | $314.60 | $264.45 |
| Brazoria, TXTexas | $331.33 | $276.72 |
| Dallas, TXTexas | $333.98 | $279.09 |
| Fort Worth, TXTexas | $331.91 | $277.57 |
| Galveston, TXTexas | $332.66 | $277.94 |
| Houston, TXTexas | $342.54 | $287.82 |
| Rest of TexasTexas | $323.14 | $270.84 |
| UtahUtah | $320.97 | $269.17 |
| VirginiaVirginia | $327.45 | $273.27 |
| Virgin Islands, VIUnited States Virgin Islands | $338.95 | $283.24 |
| VermontVermont | $325.46 | $270.90 |
| Rest of WashingtonWashington | $345.76 | $287.73 |
| King County, WAWashington | $390.22 | $322.60 |
| WisconsinWisconsin | $314.49 | $261.70 |
| West VirginiaWest Virginia | $314.18 | $266.28 |
| WyomingWyoming | $331.99 | $276.88 |
24670 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$295.34
$396.05
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $387.36 | 1 |
| AL | $299.96 | 1 |
| AR | $295.34 | 1 |
| AZ | $326.92 | 1 |
| CA | $351.99–$440.10 | 29 |
| CO | $348.57 | 1 |
| CT | $360.02 | 1 |
| DC | $384.59 | 1 |
| DE | $332.52 | 1 |
| FL | $335.58–$373.74 | 3 |
| GA | $315.18–$344.27 | 2 |
| GU | $360.75 | 1 |
| HI | $360.75 | 1 |
| IA | $306.16 | 1 |
| ID | $308.69 | 1 |
| IL | $326.73–$361.81 | 4 |
| IN | $310.54 | 1 |
| KS | $305.55 | 1 |
| KY | $309.49 | 1 |
| LA | $309.34–$325.50 | 2 |
| MA | $346.67–$383.13 | 2 |
| MD | $338.85–$384.59 | 3 |
| ME | $311.37–$327.95 | 2 |
| MI | $318.90–$340.96 | 2 |
| MN | $330.69 | 1 |
| MO | $304.32–$325.62 | 3 |
| MS | $299.85 | 1 |
| MT | $336.64 | 1 |
| NC | $314.68 | 1 |
| ND | $325.97 | 1 |
| NE | $307.67 | 1 |
| NH | $343.90 | 1 |
| NJ | $363.20–$380.40 | 2 |
| NM | $321.12 | 1 |
| NV | $333.90 | 1 |
| NY | $319.77–$401.42 | 5 |
| OH | $316.72 | 1 |
| OK | $307.93 | 1 |
| OR | $330.40–$359.12 | 2 |
| PA | $316.74–$351.21 | 2 |
| PR | $338.95 | 1 |
| RI | $344.02 | 1 |
| SC | $316.41 | 1 |
| SD | $324.70 | 1 |
| TN | $307.30 | 1 |
| TX | $314.60–$348.21 | 8 |
| UT | $320.97 | 1 |
| VA | $327.45–$384.59 | 2 |
| VI | $338.95 | 1 |
| VT | $325.46 | 1 |
| WA | $345.76–$390.22 | 2 |
| WI | $314.49 | 1 |
| WV | $314.18 | 1 |
| WY | $331.99 | 1 |
How the 24670 rate is calculated
Each of 24670’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 · 24670
RVUs × geographic indexes × conversion factor
Work2.62
2.62 RVUs× 1.000 GPCI
Practice expense6.92
6.92 RVUs× 1.000 GPCI
Malpractice0.54
0.54 RVUs× 1.000 GPCI
Adjusted RVUs
10.0800
Conversion factor
$33.4009
Medicare rate
$336.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,355
- Code
- 24670
- Physician work
- 2.62
- Practice expense
- 6.92
- Malpractice
- 0.54
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.62 | × 1.000 | 2.6200 |
| Practice expense | 6.92 | × 0.875 | 6.0550 |
| Malpractice | 0.54 | × 0.566 | 0.3056 |
| Total RVUs | 8.9806 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$299.96
Office: (2.62 × 1 + 6.92 × 0.875 + 0.54 × 0.566) × $33.4009 = $299.96
Facility: (2.62 × 1 + 5.27 × 0.875 + 0.54 × 0.566) × $33.4009 = $251.74
Payment rules and modifiers for 24670
24670 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24670
Fracture care, without manipulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24670
Fracture care, without 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24670 without 50 · national office
$336.68
Fracture care, without manipulation
24670-50 · Bilateral: 150%
$505.02
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).
How 24670 has changed in Alabama
24670 · Office / nonfacility
$299.96
Effective 2026-10-01
The base rate is $32.19 higher than on 2025-10-01, moving from $267.77 to $299.96 (12.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$267.77changed to$299.96
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.69 changed to 2.62
- Practice expense RVU 6.08 changed to 6.92
- Malpractice RVU 0.53 changed to 0.54
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$272.38changed to$267.77
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.97 changed to 6.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$267.94changed to$272.38
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$277.46changed to$267.94
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.81 changed to 5.97
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$282.08changed to$277.46
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.59 changed to 5.81
- Malpractice RVU 0.54 changed to 0.53
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$280.36changed to$282.08
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.49 changed to 5.59
- Malpractice RVU 0.51 changed to 0.54
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$275.58changed to$280.36
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.15 changed to 5.49
- Malpractice RVU 0.52 changed to 0.51
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$269.50changed to$275.58
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.12 changed to 5.15
- Malpractice RVU 0.47 changed to 0.52
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$270.99changed to$269.50
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.17 changed to 5.12
- Malpractice RVU 0.48 changed to 0.47
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$270.99
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $299.96 | $251.74 | RVU26D |
| 2026-07-01 | $299.96 | $251.74 | RVU26C |
| 2026-04-01 | $299.96 | $251.74 | RVU26B |
| 2026-01-01 | $299.96 | $251.74 | RVU26A |
| 2025-10-01 | $267.77 | $245.29 | RVU25D |
| 2025-07-01 | $267.77 | $245.29 | RVU25C |
| 2025-04-01 | $267.77 | $245.29 | RVU25B |
| 2025-01-01 | $267.77 | $245.29 | RVU25A |
| 2024-10-01 | $272.38 | $249.53 | RVU24D |
| 2024-07-01 | $272.38 | $249.53 | RVU24C |
| 2024-04-01 | $272.38 | $249.53 | RVU24B |
| 2024-03-09 | $272.38 | $249.53 | RVU24AR |
| 2024-01-01 | $267.94 | $245.46 | RVU24A |
| 2023-10-01 | $277.46 | $254.55 | RVU23D |
| 2023-07-01 | $277.46 | $254.55 | RVU23C |
| 2023-04-01 | $277.46 | $254.55 | RVU23B |
| 2023-01-01 | $277.46 | $254.55 | RVU23A |
| 2022-10-01 | $282.08 | $259.04 | RVU22D |
| 2022-07-01 | $282.08 | $259.04 | RVU22C |
| 2022-04-01 | $282.08 | $259.04 | RVU22B |
| 2022-01-01 | $282.08 | $259.04 | RVU22A |
| 2021-10-01 | $280.36 | $256.81 | RVU21D |
| 2021-07-01 | $280.36 | $256.81 | RVU21C |
| 2021-04-01 | $280.36 | $256.81 | RVU21B |
| 2021-01-01 | $280.36 | $256.81 | RVU21A |
| 2020-10-01 | $275.58 | $251.84 | RVU20D |
| 2020-07-01 | $275.58 | $251.84 | RVU20C |
| 2020-04-01 | $275.58 | $251.84 | RVU20B |
| 2020-01-01 | $275.58 | $251.84 | RVU20A |
| 2019-10-01 | $269.50 | $245.45 | RVU19D |
| 2019-07-01 | $269.50 | $245.45 | RVU19C |
| 2019-04-01 | $269.50 | $245.45 | RVU19B |
| 2019-01-01 | $269.50 | $245.45 | RVU19A |
| 2018-10-01 | $270.99 | $244.07 | RVU18D |
| 2018-07-01 | $270.99 | $244.07 | RVU18C |
| 2018-04-01 | $270.99 | $244.07 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
24670 billing questions
When should 24670 be chosen instead of 24675?
Use 24670 when the proximal ulna fracture is treated without manipulating the fragments. If the clinician manipulates the fracture to restore alignment, consider 24675.
Can the cast or splint be billed separately?
Routine immobilization and related fracture follow-up are part of the fracture-treatment service. A temporary splint used only during evaluation does not by itself establish that definitive fracture care was provided.
What documentation supports 24670?
Record the fracture location in the proximal ulna, the closed treatment plan, and that no manipulation was performed. Include the immobilization and follow-up plan.
How should bilateral proximal ulna fractures be reported?
For bilateral treatment, CMS pays 24670 with modifier 50 at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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