CPT code 24670: Fracture care, without manipulation2026 Medicare rate & RVUs in Napa, CA

Closed management of a proximal ulna fracture without manipulation, typically for a stable fracture treated with immobilization and ongoing fracture care.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Napa, CA, Medicare pays $406.82 for 24670 in the office and $334.18 when it’s performed in a hospital or facility.

$406.82Office (non-facility)
$334.18Hospital or facility
+20.8%vs the national office rate ($336.68)

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.

We’ll open 24670 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Napa, CA
  2. What 24670 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 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 Napa, CA 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. Napa, CA pays $406.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

24670 in Napa, CA vs other payment areas
  1. Napa, CA · this page$406.82
  2. Bakersfield, CA · California$353.48−$53.34
  3. Chico, CA · California$351.99−$54.83
  4. El Centro, CA · California$352.08−$54.74
  5. Fresno, CA · California$351.99−$54.83
  6. Hanford, CA · California$351.99−$54.83
  7. Los Angeles, CA · California$376.51−$30.31

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

Every other payment area

24670 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$351.99$291.59
Merced, CACalifornia$351.99$291.59
Modesto, CACalifornia$351.99$291.59
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

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
24670 office rate range by state
State / territoryOffice rate rangeLocalities
AK$387.361
AL$299.961
AR$295.341
AZ$326.921
CA$351.99–$440.1029
CO$348.571
CT$360.021
DC$384.591
DE$332.521
FL$335.58–$373.743
GA$315.18–$344.272
GU$360.751
HI$360.751
IA$306.161
ID$308.691
IL$326.73–$361.814
IN$310.541
KS$305.551
KY$309.491
LA$309.34–$325.502
MA$346.67–$383.132
MD$338.85–$384.593
ME$311.37–$327.952
MI$318.90–$340.962
MN$330.691
MO$304.32–$325.623
MS$299.851
MT$336.641
NC$314.681
ND$325.971
NE$307.671
NH$343.901
NJ$363.20–$380.402
NM$321.121
NV$333.901
NY$319.77–$401.425
OH$316.721
OK$307.931
OR$330.40–$359.122
PA$316.74–$351.212
PR$338.951
RI$344.021
SC$316.411
SD$324.701
TN$307.301
TX$314.60–$348.218
UT$320.971
VA$327.45–$384.592
VI$338.951
VT$325.461
WA$345.76–$390.222
WI$314.491
WV$314.181
WY$331.991

See 24670 in every payment locality

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

Office or facility?

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 Napa, CA 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

17

Locality
Napa, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.508
Office calculation for 24670 in Napa, CA
ComponentRVULocality factorAdjusted
Physician work2.62× 1.0632.7851
Practice expense6.92× 1.3189.1206
Malpractice0.54× 0.5080.2743
Total RVUs12.1799
Conversion factor× 33.4009

Office rate, Napa, CA$406.82

Office: (2.62 × 1.063 + 6.92 × 1.318 + 0.54 × 0.508) × $33.4009 = $406.82

Facility: (2.62 × 1.063 + 5.27 × 1.318 + 0.54 × 0.508) × $33.4009 = $334.18

Open 24670 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

How 24670 has changed in Napa, CA

24670 · Office / nonfacility

$406.82

Effective 2026-10-01

The base rate is $48.20 higher than on 2025-10-01, moving from $358.62 to $406.82 (13.4%).

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

    $358.62changed to$406.82

    • 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
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.521 changed to 0.508

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $364.26changed to$358.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.97 changed to 6.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $358.31changed to$364.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $354.08changed to$358.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.81 changed to 5.97
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.513 changed to 0.521
  5. January 1, 2023

    RVU23A

    $342.61changed to$354.08

    • 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
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.513

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $340.67changed to$342.61

    • 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.

  7. January 1, 2021

    RVU21A

    $341.24changed to$340.67

    • 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
    • Work GPCI 1.049 changed to 1.044
    • Practice expense GPCI 1.238 changed to 1.220
    • Malpractice GPCI 0.496 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $341.79changed to$341.24

    • 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
    • Work GPCI 1.055 changed to 1.049
    • Practice expense GPCI 1.256 changed to 1.238
    • Malpractice GPCI 0.458 changed to 0.496

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $343.84changed to$341.79

    • 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.

  10. January 1, 2018

    RVU18AR1

    $342.44changed to$343.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.09 changed to 5.17
    • Work GPCI 1.057 changed to 1.055
    • Practice expense GPCI 1.271 changed to 1.256
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$342.44

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$406.82$334.18RVU26D
2026-07-01$406.82$334.18RVU26C
2026-04-01$406.82$334.18RVU26B
2026-01-01$406.82$334.18RVU26A
2025-10-01$358.62$324.72RVU25D
2025-07-01$358.62$324.72RVU25C
2025-04-01$358.62$324.72RVU25B
2025-01-01$358.62$324.72RVU25A
2024-10-01$364.26$329.81RVU24D
2024-07-01$364.26$329.81RVU24C
2024-04-01$364.26$329.81RVU24B
2024-03-09$364.26$329.81RVU24AR
2024-01-01$358.31$324.43RVU24A
2023-10-01$354.08$321.07RVU23D
2023-07-01$354.08$321.07RVU23C
2023-04-01$354.08$321.07RVU23B
2023-01-01$354.08$321.07RVU23A
2022-10-01$342.61$310.95RVU22D
2022-07-01$342.61$310.95RVU22C
2022-04-01$342.61$310.95RVU22B
2022-01-01$342.61$310.95RVU22A
2021-10-01$340.67$308.32RVU21D
2021-07-01$340.67$308.32RVU21C
2021-04-01$340.67$308.32RVU21B
2021-01-01$340.67$308.32RVU21A
2020-10-01$341.24$308.18RVU20D
2020-07-01$341.24$308.18RVU20C
2020-04-01$341.24$308.18RVU20B
2020-01-01$341.24$308.18RVU20A
2019-10-01$341.79$307.84RVU19D
2019-07-01$341.79$307.84RVU19C
2019-04-01$341.79$307.84RVU19B
2019-01-01$341.79$307.84RVU19A
2018-10-01$343.84$305.86RVU18D
2018-07-01$343.84$305.86RVU18C
2018-04-01$343.84$305.86RVU18B
2018-01-01$343.84$305.86RVU18AR1
2017-10-01$342.44$306.40RVU17D
2017-07-01$342.44$306.40RVU17C
2017-04-01$342.44$306.40RVU17B
2017-01-01$342.44$306.40RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 24670 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Napa
  • American Canyon
  • Angwin
  • Calistoga
  • Deer Park
  • Moskowite Corner
  • Oakville
  • Rutherford

Browse all communities in California

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
RVUs for 24670PPRRVU2026_Oct_nonQPP.csv, line 2,355 (RVU26D)
Geographic factors for Napa, CAGPCI2026.csv, line 17 (RVU26D)

Open CMS sourceHow we calculate rates

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