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CPT code 24670: Fracture care, without manipulation2026 Medicare rate & RVUs in North Carolina

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 North Carolina, Medicare pays $314.68 for 24670 in the office and $263.26 when it’s performed in a hospital or facility.

$314.68Office (non-facility)
$263.26Hospital or facility
−6.5%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 North Carolina
  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 North Carolina 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. North Carolina pays $314.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

24670 in North Carolina vs other payment areas
  1. North Carolina · this page$314.68
  2. Los Angeles, CA · California$376.51+$61.83
  3. Washington, DC area · District of Columbia$384.59+$69.91
  4. Miami, FL · Florida$373.74+$59.06
  5. Chicago, IL · Illinois$361.81+$47.13
  6. Manhattan, NY · New York$390.29+$75.61
  7. Alaska · Alaska$387.36+$72.68

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

Every other payment area

24670 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$299.96$251.74
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

24670 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 24670 in North Carolina
ComponentRVULocality factorAdjusted
Physician work2.62× 1.0002.6200
Practice expense6.92× 0.9336.4564
Malpractice0.54× 0.6390.3451
Total RVUs9.4214
Conversion factor× 33.4009

Office rate, North Carolina$314.68

Office: (2.62 × 1 + 6.92 × 0.933 + 0.54 × 0.639) × $33.4009 = $314.68

Facility: (2.62 × 1 + 5.27 × 0.933 + 0.54 × 0.639) × $33.4009 = $263.26

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

Codes related to 24670

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

Codes related to 24670
CodeHow it relatesOffice range, North Carolina
Same family
24675Fracture treatment, proximal ulna, with manipulationClosed treatment of a proximal ulna fracture when manipulation is performed.$482.89
24685Ulna fracture repair, proximal end, open treatmentOperative treatment of a proximal ulna fracture, rather than closed treatment.No office rate
Used instead
24620Monteggia treatment, closed, without manipulationFor closed treatment of a Monteggia fracture-dislocation pattern involving the elbow.No office rate

How 24670 has changed in North Carolina

24670 · Office / nonfacility

$314.68

Effective 2026-10-01

The base rate is $34.15 higher than on 2025-10-01, moving from $280.53 to $314.68 (12.2%).

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

    $280.53changed to$314.68

    • 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 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $285.30changed to$280.53

    • 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

    $280.64changed to$285.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $287.00changed to$280.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.81 changed to 5.97
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $287.92changed to$287.00

    • 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 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $286.21changed to$287.92

    • 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

    $284.14changed to$286.21

    • 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 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $280.51changed to$284.14

    • 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 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $282.12changed to$280.51

    • 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

    $279.22changed to$282.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.09 changed to 5.17
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $279.27changed to$279.22

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.49 changed to 0.48
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $280.95changed to$279.27

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.11 changed to 5.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $279.55changed to$280.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $276.68changed to$279.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.04 changed to 5.11
    • Malpractice RVU 0.48 changed to 0.49
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $279.97changed to$276.68

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.60 changed to 5.04
    • Malpractice RVU 0.50 changed to 0.48
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $279.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$314.68$263.26RVU26D
2026-07-01$314.68$263.26RVU26C
2026-04-01$314.68$263.26RVU26B
2026-01-01$314.68$263.26RVU26A
2025-10-01$280.53$256.56RVU25D
2025-07-01$280.53$256.56RVU25C
2025-04-01$280.53$256.56RVU25B
2025-01-01$280.53$256.56RVU25A
2024-10-01$285.30$260.95RVU24D
2024-07-01$285.30$260.95RVU24C
2024-04-01$285.30$260.95RVU24B
2024-03-09$285.30$260.95RVU24AR
2024-01-01$280.64$256.69RVU24A
2023-10-01$287.00$262.81RVU23D
2023-07-01$287.00$262.81RVU23C
2023-04-01$287.00$262.81RVU23B
2023-01-01$287.00$262.81RVU23A
2022-10-01$287.92$263.83RVU22D
2022-07-01$287.92$263.83RVU22C
2022-04-01$287.92$263.83RVU22B
2022-01-01$287.92$263.83RVU22A
2021-10-01$286.21$261.60RVU21D
2021-07-01$286.21$261.60RVU21C
2021-04-01$286.21$261.60RVU21B
2021-01-01$286.21$261.60RVU21A
2020-10-01$284.14$259.30RVU20D
2020-07-01$284.14$259.30RVU20C
2020-04-01$284.14$259.30RVU20B
2020-01-01$284.14$259.30RVU20A
2019-10-01$280.51$255.34RVU19D
2019-07-01$280.51$255.34RVU19C
2019-04-01$280.51$255.34RVU19B
2019-01-01$280.51$255.34RVU19A
2018-10-01$282.12$253.97RVU18D
2018-07-01$282.12$253.97RVU18C
2018-04-01$282.12$253.97RVU18B
2018-01-01$282.12$253.97RVU18AR1
2017-10-01$279.22$252.82RVU17D
2017-07-01$279.22$252.82RVU17C
2017-04-01$279.22$252.82RVU17B
2017-01-01$279.22$252.82RVU17A
2016-10-01$279.27$252.97RVU16D
2016-07-01$279.27$252.97RVU16C
2016-04-01$279.27$252.97RVU16B
2016-01-01$279.27$252.97RVU16A
2015-10-01$280.95$253.55RVU15D
2015-07-01$280.95$253.55RVU15C
2015-04-01$279.55$252.29RVU15B
2015-01-01$279.55$252.29RVU15A
2014-10-01$276.68$250.72RVU14D
2014-07-01$276.68$250.72RVU14C
2014-04-01$276.68$250.72RVU14B
2014-01-01$276.68$250.72RVU14A
2013-10-01$279.97$252.21RVU13D
2013-07-01$279.97$252.21RVU13C
2013-04-01$279.97$252.21RVU13B
2013-01-01$279.97$252.21RVU13AR

Price 24670 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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 North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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