CPT code 24675: Fracture treatment, proximal ulna, with manipulation2026 Medicare rate & RVUs in New Mexico
Closed treatment with manipulation is reported for a proximal ulna fracture that requires reduction without an incision, followed by nonoperative fracture care.
In New Mexico, Medicare pays $496.68 for 24675 in the office and $411.23 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 24675 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 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.
How New Mexico compares for 24675
Across 109 of 109 payment localities, the office rate for 24675 runs from $454.81 in Arkansas to $661.42 in San Benito County, CA. New Mexico pays $496.68. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$496.68
- Los Angeles, CA · California$571.04+$74.36
- Washington, DC area · District of Columbia$586.66+$89.98
- Miami, FL · Florida$581.54+$84.86
- Chicago, IL · Illinois$563.13+$66.45
- Manhattan, NY · New York$599.04+$102.36
- Alaska · Alaska$602.55+$105.87
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $461.70 | $380.16 |
| ArkansasArkansas | $454.81 | $374.76 |
| ArizonaArizona | $501.84 | $411.54 |
| Bakersfield, CACalifornia | $537.57 | $435.43 |
| Chico, CACalifornia | $534.79 | $432.65 |
| El Centro, CACalifornia | $534.95 | $432.82 |
| Fresno, CACalifornia | $534.79 | $432.65 |
| Hanford, CACalifornia | $534.79 | $432.65 |
| Madera, CACalifornia | $534.79 | $432.65 |
| Merced, CACalifornia | $534.79 | $432.65 |
| Modesto, CACalifornia | $534.79 | $432.65 |
| Napa, CACalifornia | $612.90 | $490.08 |
| Oxnard, CACalifornia | $567.26 | $457.11 |
| Redding, CACalifornia | $534.79 | $432.65 |
| Rest of CaliforniaCalifornia | $534.79 | $432.65 |
| Riverside, CACalifornia | $545.64 | $443.50 |
| Sacramento, CACalifornia | $559.47 | $451.09 |
| Salinas, CACalifornia | $557.37 | $449.37 |
| San Diego, CACalifornia | $569.37 | $457.91 |
| Marin County, CACalifornia | $646.08 | $514.69 |
| San Francisco, CACalifornia | $644.94 | $513.54 |
| San Benito County, CACalifornia | $661.42 | $527.04 |
| Santa Clara County, CACalifornia | $656.73 | $522.35 |
| San Luis Obispo, CACalifornia | $548.67 | $442.53 |
| Santa Cruz, CACalifornia | $573.86 | $460.64 |
| Santa Maria, CACalifornia | $559.15 | $450.50 |
| Santa Rosa, CACalifornia | $579.50 | $465.06 |
| Stockton, CACalifornia | $534.79 | $432.65 |
| Vallejo, CACalifornia | $611.25 | $488.43 |
| Visalia, CACalifornia | $534.79 | $432.65 |
| Yuba City, CACalifornia | $534.79 | $432.65 |
| ColoradoColorado | $531.92 | $432.76 |
| ConnecticutConnecticut | $551.87 | $451.50 |
| DelawareDelaware | $510.23 | $418.16 |
| Fort Lauderdale, FLFlorida | $548.17 | $453.77 |
| Rest of FloridaFlorida | $519.47 | $430.38 |
| Atlanta, GAGeorgia | $529.14 | $434.46 |
| Rest of GeorgiaGeorgia | $488.31 | $405.18 |
| Hawaii, Guam, HIHawaii | $546.76 | $440.80 |
| IowaIowa | $468.92 | $383.65 |
| IdahoIdaho | $473.09 | $387.36 |
| East St. Louis, ILIllinois | $525.08 | $439.35 |
| Rest of IllinoisIllinois | $507.60 | $422.52 |
| Suburban Chicago, ILIllinois | $552.60 | $456.89 |
| IndianaIndiana | $475.79 | $389.41 |
| KansasKansas | $468.97 | $384.73 |
| KentuckyKentucky | $477.99 | $395.15 |
| New Orleans, LALouisiana | $502.24 | $414.55 |
| Rest of LouisianaLouisiana | $478.15 | $395.68 |
| Metropolitan Boston, MAMassachusetts | $582.22 | $470.95 |
| Rest of MassachusettsMassachusetts | $529.54 | $431.41 |
| Baltimore area, MDMaryland | $550.84 | $450.85 |
| Rest of MarylandMaryland | $519.42 | $425.11 |
| Rest of MaineMaine | $478.12 | $392.39 |
| Southern Maine, MEMaine | $501.36 | $409.01 |
| Detroit, MIMichigan | $528.55 | $438.62 |
| Rest of MichiganMichigan | $492.96 | $407.88 |
| MinnesotaMinnesota | $502.33 | $406.44 |
| Metropolitan Kansas City, MOMissouri | $496.23 | $408.73 |
| Metropolitan St. Louis, MOMissouri | $501.28 | $412.56 |
| Rest of MissouriMissouri | $471.26 | $390.93 |
| MississippiMississippi | $463.01 | $382.78 |
| MontanaMontana | $516.64 | $423.46 |
| North CarolinaNorth Carolina | $482.89 | $395.95 |
| North DakotaNorth Dakota | $496.67 | $403.48 |
| NebraskaNebraska | $470.86 | $384.85 |
| New HampshireNew Hampshire | $525.74 | $428.73 |
| Northern New JerseyNew Jersey | $580.76 | $472.66 |
| Rest of New JerseyNew Jersey | $556.10 | $454.34 |
| NevadaNevada | $511.40 | $418.12 |
| NYC suburbs and Long Island, NYNew York | $616.91 | $506.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $561.68 | $459.64 |
| Queens, NYNew York | $600.65 | $490.50 |
| Rest of New YorkNew York | $490.54 | $402.01 |
| OhioOhio | $488.88 | $403.80 |
| OklahomaOklahoma | $474.63 | $391.41 |
| Portland, OROregon | $546.49 | $442.95 |
| Rest of OregonOregon | $505.40 | $412.58 |
| Metropolitan Philadelphia, PAPennsylvania | $539.35 | $442.34 |
| Rest of PennsylvaniaPennsylvania | $488.37 | $402.82 |
| Puerto RicoPuerto Rico | $519.76 | $425.55 |
| Rhode IslandRhode Island | $526.77 | $430.50 |
| South CarolinaSouth Carolina | $487.10 | $401.00 |
| South DakotaSouth Dakota | $494.31 | $401.12 |
| TennesseeTennessee | $471.70 | $386.99 |
| Austin, TXTexas | $531.92 | $433.33 |
| Beaumont, TXTexas | $485.25 | $400.45 |
| Brazoria, TXTexas | $507.66 | $415.31 |
| Dallas, TXTexas | $512.07 | $419.25 |
| Fort Worth, TXTexas | $509.28 | $417.39 |
| Galveston, TXTexas | $509.93 | $417.39 |
| Houston, TXTexas | $528.42 | $435.88 |
| Rest of TexasTexas | $496.97 | $408.53 |
| UtahUtah | $493.89 | $406.29 |
| VirginiaVirginia | $501.30 | $409.70 |
| Virgin Islands, VIUnited States Virgin Islands | $519.76 | $425.55 |
| VermontVermont | $496.82 | $404.56 |
| Rest of WashingtonWashington | $527.85 | $429.72 |
| King County, WAWashington | $591.86 | $477.51 |
| WisconsinWisconsin | $479.80 | $390.53 |
| West VirginiaWest Virginia | $488.94 | $407.96 |
| WyomingWyoming | $507.94 | $414.75 |
24675 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.
$454.81
$602.55
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 | $602.55 | 1 |
| AL | $461.70 | 1 |
| AR | $454.81 | 1 |
| AZ | $501.84 | 1 |
| CA | $534.79–$661.42 | 29 |
| CO | $531.92 | 1 |
| CT | $551.87 | 1 |
| DC | $586.66 | 1 |
| DE | $510.23 | 1 |
| FL | $519.47–$581.54 | 3 |
| GA | $488.31–$529.14 | 2 |
| GU | $546.76 | 1 |
| HI | $546.76 | 1 |
| IA | $468.92 | 1 |
| ID | $473.09 | 1 |
| IL | $507.60–$563.13 | 4 |
| IN | $475.79 | 1 |
| KS | $468.97 | 1 |
| KY | $477.99 | 1 |
| LA | $478.15–$502.24 | 2 |
| MA | $529.54–$582.22 | 2 |
| MD | $519.42–$586.66 | 3 |
| ME | $478.12–$501.36 | 2 |
| MI | $492.96–$528.55 | 2 |
| MN | $502.33 | 1 |
| MO | $471.26–$501.28 | 3 |
| MS | $463.01 | 1 |
| MT | $516.64 | 1 |
| NC | $482.89 | 1 |
| ND | $496.67 | 1 |
| NE | $470.86 | 1 |
| NH | $525.74 | 1 |
| NJ | $556.10–$580.76 | 2 |
| NM | $496.68 | 1 |
| NV | $511.40 | 1 |
| NY | $490.54–$616.91 | 5 |
| OH | $488.88 | 1 |
| OK | $474.63 | 1 |
| OR | $505.40–$546.49 | 2 |
| PA | $488.37–$539.35 | 2 |
| PR | $519.76 | 1 |
| RI | $526.77 | 1 |
| SC | $487.10 | 1 |
| SD | $494.31 | 1 |
| TN | $471.70 | 1 |
| TX | $485.25–$531.92 | 8 |
| UT | $493.89 | 1 |
| VA | $501.30–$586.66 | 2 |
| VI | $519.76 | 1 |
| VT | $496.82 | 1 |
| WA | $527.85–$591.86 | 2 |
| WI | $479.80 | 1 |
| WV | $488.94 | 1 |
| WY | $507.94 | 1 |
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.
How the rate is built · 24675
RVUs × geographic indexes × conversion factor
Work4.79
4.79 RVUs× 1.000 GPCI
Practice expense9.67
9.67 RVUs× 1.000 GPCI
Malpractice1.01
1.01 RVUs× 1.000 GPCI
Adjusted RVUs
15.4700
Conversion factor
$33.4009
Medicare rate
$516.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,356
- Code
- 24675
- Physician work
- 4.79
- Practice expense
- 9.67
- Malpractice
- 1.01
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.79 | × 1.000 | 4.7900 |
| Practice expense | 9.67 | × 0.917 | 8.8674 |
| Malpractice | 1.01 | × 1.201 | 1.2130 |
| Total RVUs | 14.8704 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$496.68
Office: (4.79 × 1 + 9.67 × 0.917 + 1.01 × 1.201) × $33.4009 = $496.68
Facility: (4.79 × 1 + 6.88 × 0.917 + 1.01 × 1.201) × $33.4009 = $411.23
Payment rules and modifiers for 24675
24675 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24675
Fracture treatment, proximal ulna, with 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 · 24675
Fracture treatment, proximal ulna, with 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
24675 without 50 · national office
$516.71
Fracture treatment, proximal ulna, with manipulation
24675-50 · Bilateral: 150%
$775.07
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 24675 has changed in New Mexico
24675 · Office / nonfacility
$496.68
Effective 2026-10-01
The base rate is $50.76 higher than on 2025-10-01, moving from $445.92 to $496.68 (11.4%).
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
$445.92changed to$496.68
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.91 changed to 4.79
- Practice expense RVU 8.51 changed to 9.67
- Malpractice RVU 0.98 changed to 1.01
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$456.86changed to$445.92
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.43 changed to 8.51
- Malpractice RVU 0.99 changed to 0.98
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$449.40changed to$456.86
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$456.41changed to$449.40
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.27 changed to 8.43
- Malpractice RVU 0.94 changed to 0.99
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$460.18changed to$456.41
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.06 changed to 8.27
- Malpractice RVU 1.00 changed to 0.94
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$452.80changed to$460.18
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.78 changed to 8.06
- Malpractice RVU 0.94 changed to 1.00
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$458.89changed to$452.80
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.32 changed to 7.78
- Malpractice RVU 0.96 changed to 0.94
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$460.27changed to$458.89
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.29 changed to 7.32
- Malpractice RVU 0.92 changed to 0.96
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$456.33changed to$460.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 7.20 changed to 7.29
- Malpractice RVU 0.91 changed to 0.92
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$447.98changed to$456.33
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 7.04 changed to 7.20
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$447.58changed to$447.98
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 7.11 changed to 7.04
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$452.09changed to$447.58
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 7.16 changed to 7.11
- Malpractice RVU 0.94 changed to 0.91
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$449.84changed to$452.09
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$442.46changed to$449.84
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 7.06 changed to 7.16
- Malpractice RVU 0.89 changed to 0.94
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$443.25changed to$442.46
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 7.85 changed to 7.06
- Malpractice RVU 0.93 changed to 0.89
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $443.25
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $496.68 | $411.23 | RVU26D |
| 2026-07-01 | $496.68 | $411.23 | RVU26C |
| 2026-04-01 | $496.68 | $411.23 | RVU26B |
| 2026-01-01 | $496.68 | $411.23 | RVU26A |
| 2025-10-01 | $445.92 | $406.27 | RVU25D |
| 2025-07-01 | $445.92 | $406.27 | RVU25C |
| 2025-04-01 | $445.92 | $406.27 | RVU25B |
| 2025-01-01 | $445.92 | $406.27 | RVU25A |
| 2024-10-01 | $456.86 | $415.76 | RVU24D |
| 2024-07-01 | $456.86 | $415.76 | RVU24C |
| 2024-04-01 | $456.86 | $415.76 | RVU24B |
| 2024-03-09 | $456.86 | $415.76 | RVU24AR |
| 2024-01-01 | $449.40 | $408.97 | RVU24A |
| 2023-10-01 | $456.41 | $415.45 | RVU23D |
| 2023-07-01 | $456.41 | $415.45 | RVU23C |
| 2023-04-01 | $456.41 | $415.45 | RVU23B |
| 2023-01-01 | $456.41 | $415.45 | RVU23A |
| 2022-10-01 | $460.18 | $419.26 | RVU22D |
| 2022-07-01 | $460.18 | $419.26 | RVU22C |
| 2022-04-01 | $460.18 | $419.26 | RVU22B |
| 2022-01-01 | $460.18 | $419.26 | RVU22A |
| 2021-10-01 | $452.80 | $412.47 | RVU21D |
| 2021-07-01 | $452.80 | $412.47 | RVU21C |
| 2021-04-01 | $452.80 | $412.47 | RVU21B |
| 2021-01-01 | $452.80 | $412.47 | RVU21A |
| 2020-10-01 | $458.89 | $419.57 | RVU20D |
| 2020-07-01 | $458.89 | $419.57 | RVU20C |
| 2020-04-01 | $458.89 | $419.57 | RVU20B |
| 2020-01-01 | $458.89 | $419.57 | RVU20A |
| 2019-10-01 | $460.27 | $420.77 | RVU19D |
| 2019-07-01 | $460.27 | $420.77 | RVU19C |
| 2019-04-01 | $460.27 | $420.77 | RVU19B |
| 2019-01-01 | $460.27 | $420.77 | RVU19A |
| 2018-10-01 | $456.33 | $417.21 | RVU18D |
| 2018-07-01 | $456.33 | $417.21 | RVU18C |
| 2018-04-01 | $456.33 | $417.21 | RVU18B |
| 2018-01-01 | $456.33 | $417.21 | RVU18AR1 |
| 2017-10-01 | $447.98 | $411.33 | RVU17D |
| 2017-07-01 | $447.98 | $411.33 | RVU17C |
| 2017-04-01 | $447.98 | $411.33 | RVU17B |
| 2017-01-01 | $447.98 | $411.33 | RVU17A |
| 2016-10-01 | $447.58 | $410.72 | RVU16D |
| 2016-07-01 | $447.58 | $410.72 | RVU16C |
| 2016-04-01 | $447.58 | $410.72 | RVU16B |
| 2016-01-01 | $447.58 | $410.72 | RVU16A |
| 2015-10-01 | $452.09 | $414.78 | RVU15D |
| 2015-07-01 | $452.09 | $414.78 | RVU15C |
| 2015-04-01 | $449.84 | $412.71 | RVU15B |
| 2015-01-01 | $449.84 | $412.71 | RVU15A |
| 2014-10-01 | $442.46 | $405.96 | RVU14D |
| 2014-07-01 | $442.46 | $405.96 | RVU14C |
| 2014-04-01 | $442.46 | $405.96 | RVU14B |
| 2014-01-01 | $442.46 | $405.96 | RVU14A |
| 2013-10-01 | $443.25 | $404.60 | RVU13D |
| 2013-07-01 | $443.25 | $404.60 | RVU13C |
| 2013-04-01 | $443.25 | $404.60 | RVU13B |
| 2013-01-01 | $443.25 | $404.60 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
24675 billing questions
How do I distinguish this code from 24670?
Use 24675 when the physician manipulates the proximal ulna fracture to improve alignment. Use 24670 for closed treatment of a proximal ulna fracture without manipulation.
Does a Monteggia fracture-dislocation belong here?
No. A Monteggia injury includes a proximal ulna fracture with radial head dislocation and is represented by a separate fracture-dislocation code family.
What documentation supports reporting manipulation?
Document the proximal ulna fracture, the need for reduction, the manipulation performed, and the resulting alignment or treatment plan. A record of immobilization alone does not establish that manipulation occurred.
Are related visits included in the global period?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral fractures and additional same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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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