CPT code 24675: Fracture treatment, proximal ulna, with manipulation2026 Medicare rate & RVUs

Medicare pays $516.71 for 24675 nationally in the office and $423.52 in a hospital or facility. Local office rates run $454.81–$661.42.

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

What 24675 covers

This service covers closed treatment of a fracture at the proximal end of the ulna when the physician manipulates the fracture to improve alignment. An orthopedic surgeon or other qualified physician typically performs the reduction and provides the associated nonoperative care, such as immobilization, in an office, emergency department, or hospital setting. The code describes treatment of the fracture, not simply application of a cast or splint. A Monteggia fracture-dislocation is a distinct injury pattern with its own treatment codes.

Select this code when documentation supports a proximal ulna fracture and manipulation to reduce it; use the no-manipulation sibling when reduction is not performed. Record the fracture site, displacement or alignment findings, manipulation performed, and immobilization or follow-up plan. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 24675 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

24675 rates by state

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

How the 24675 rate is calculated

Each of 24675’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.

Payment rules and modifiers for 24675

24675 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

24675 compared with similar codes

How to choose

24670Fracture careWithout manipulation

Both describe closed treatment of a proximal ulna fracture. Choose 24675 when manipulation is performed; choose 24670 when it is not.

24685Ulna fracture repairProximal end, open treatment

24685 describes open treatment with internal fixation. This code is for closed treatment with manipulation and no operative exposure for fixation.

24620Monteggia treatmentClosed, without manipulation

24620 is for a Monteggia fracture-dislocation involving the proximal ulna and radial head. This code describes a proximal ulna fracture treated with manipulation without that injury pattern.

24655Fracture reductionWith manipulation

24655 is closed treatment with manipulation of a radial head or neck fracture. Select this code for a proximal ulna fracture.

Codes related to 24675

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

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

Open CMS sourceHow we calculate rates