CPT code 24670: Fracture care, without manipulation2026 Medicare rate & RVUs in California
Closed management of a proximal ulna fracture without manipulation, typically for a stable fracture treated with immobilization and ongoing fracture care.
Medicare pays $351.99–$440.10 for 24670 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 24670 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$351.99 to $440.10
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $353.48 | $293.08 |
| Chico, CA | $351.99 | $291.59 |
| El Centro, CA | $352.08 | $291.68 |
| Fresno, CA | $351.99 | $291.59 |
| Hanford, CA | $351.99 | $291.59 |
| Los Angeles, CA | $376.51 | $311.31 |
| Madera, CA | $351.99 | $291.59 |
| Marin County, CA | $430.00 | $352.29 |
| Merced, CA | $351.99 | $291.59 |
| Modesto, CA | $351.99 | $291.59 |
| Napa, CA | $406.82 | $334.18 |
| Oxnard, CA | $374.40 | $309.26 |
| Redding, CA | $351.99 | $291.59 |
| Rest of California | $351.99 | $291.59 |
| Riverside, CA | $357.79 | $297.39 |
| Sacramento, CA | $369.14 | $305.04 |
| Salinas, CA | $367.78 | $303.90 |
| San Benito County, CA | $440.10 | $360.63 |
| San Diego, CA | $376.35 | $310.43 |
| San Francisco, CA | $429.39 | $351.68 |
| San Luis Obispo, CA | $361.93 | $299.16 |
| Santa Clara County, CA | $437.59 | $358.12 |
| Santa Cruz, CA | $379.84 | $312.88 |
| Santa Maria, CA | $369.13 | $304.87 |
| Santa Rosa, CA | $383.64 | $315.96 |
| Stockton, CA | $351.99 | $291.59 |
| Vallejo, CA | $405.94 | $333.30 |
| Visalia, CA | $351.99 | $291.59 |
| Yuba City, CA | $351.99 | $291.59 |
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.
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).
24670 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24675Fracture treatmentProximal ulna, with manipulation
- Both address closed treatment of a proximal ulna fracture. Choose 24675 when manipulation is performed; 24670 is for treatment without it.
- 24685Ulna fracture repairProximal end, open treatment
- 24685 describes operative treatment of a proximal ulna fracture. Use 24670 for closed treatment without manipulation.
- 24620Monteggia treatmentClosed, without manipulation
- 24620 is for a Monteggia fracture-dislocation pattern, which includes an associated radial head dislocation; 24670 addresses a proximal ulna fracture without that pattern.
- 24650Radial fracture careHead or neck, no manipulation
- 24650 treats a radial head or neck fracture without manipulation. 24670 is for the proximal ulna, a different bone and fracture site.
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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