FeeBase
Log inGet started
Menu

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

Closed treatment with manipulation is reported for a proximal ulna fracture that requires reduction without an incision, followed by nonoperative fracture care.

CMS RVU26DEffective Oct 1, 2026One payment locality235 Medicare services in 2024

In Galveston, TX, Medicare pays $509.93 for 24675 in the office and $417.39 when it’s performed in a hospital or facility.

$509.93Office (non-facility)
$417.39Hospital or facility
−1.3%vs the national office rate ($516.71)

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.

We’ll open 24675 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Galveston, TX
  2. What 24675 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 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 Galveston, TX 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. Galveston, TX pays $509.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

24675 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$509.93
  2. Austin, TX · Texas$531.92+$21.99
  3. Beaumont, TX · Texas$485.25−$24.68
  4. Brazoria, TX · Texas$507.66−$2.27
  5. Dallas, TX · Texas$512.07+$2.14
  6. Fort Worth, TX · Texas$509.28−$0.65
  7. Houston, TX · Texas$528.42+$18.49

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

Every other payment area

24675 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$496.97$408.53
Los Angeles, CACalifornia$571.04$460.80
Washington, DC areaDistrict of Columbia$586.66$476.88
Miami, FLFlorida$581.54$484.53
Chicago, ILIllinois$563.13$469.48
Manhattan, NYNew York$599.04$490.76
AlaskaAlaska$602.55$503.31
AlabamaAlabama$461.70$380.16

24675 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.

$454.81

$602.55

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
24675 office rate range by state
State / territoryOffice rate rangeLocalities
AK$602.551
AL$461.701
AR$454.811
AZ$501.841
CA$534.79–$661.4229
CO$531.921
CT$551.871
DC$586.661
DE$510.231
FL$519.47–$581.543
GA$488.31–$529.142
GU$546.761
HI$546.761
IA$468.921
ID$473.091
IL$507.60–$563.134
IN$475.791
KS$468.971
KY$477.991
LA$478.15–$502.242
MA$529.54–$582.222
MD$519.42–$586.663
ME$478.12–$501.362
MI$492.96–$528.552
MN$502.331
MO$471.26–$501.283
MS$463.011
MT$516.641
NC$482.891
ND$496.671
NE$470.861
NH$525.741
NJ$556.10–$580.762
NM$496.681
NV$511.401
NY$490.54–$616.915
OH$488.881
OK$474.631
OR$505.40–$546.492
PA$488.37–$539.352
PR$519.761
RI$526.771
SC$487.101
SD$494.311
TN$471.701
TX$485.25–$531.928
UT$493.891
VA$501.30–$586.662
VI$519.761
VT$496.821
WA$527.85–$591.862
WI$479.801
WV$488.941
WY$507.941

See 24675 in every payment locality

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

Office or facility?

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 Galveston, TX 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

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 24675 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work4.79× 1.0084.8283
Practice expense9.67× 0.9939.6023
Malpractice1.01× 0.8280.8363
Total RVUs15.2669
Conversion factor× 33.4009

Office rate, Galveston, TX$509.93

Office: (4.79 × 1.008 + 9.67 × 0.993 + 1.01 × 0.828) × $33.4009 = $509.93

Facility: (4.79 × 1.008 + 6.88 × 0.993 + 1.01 × 0.828) × $33.4009 = $417.39

Open 24675 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

Codes related to 24675

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

Codes related to 24675
CodeHow it relatesOffice range, Galveston, TX
Same family
24670Fracture care, without manipulationClosed treatment of a proximal ulna fracture without manipulation.$332.66
Used instead
24685Ulna fracture repair, proximal end, open treatmentOpen treatment of a proximal ulna fracture with internal fixation.No office rate
24620Monteggia treatment, closed, without manipulationClosed treatment for a Monteggia fracture-dislocation rather than an isolated proximal ulna fracture.No office rate
24635Monteggia repair, open treatmentOpen treatment for a Monteggia fracture-dislocation.No office rate
24655Fracture reduction, with manipulationClosed treatment with manipulation applies to a radial head or neck fracture, not the ulna.$525.59

How 24675 has changed in Galveston, TX

24675 · Office / nonfacility

$509.93

Effective 2026-10-01

The base rate is $46.51 higher than on 2025-10-01, moving from $463.42 to $509.93 (10.0%).

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

    $463.42changed to$509.93

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $474.52changed to$463.42

    • 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.

  3. March 9, 2024

    RVU24AR

    $466.77changed to$474.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $476.50changed to$466.77

    • 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
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $480.57changed to$476.50

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $473.37changed to$480.57

    • 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.

  7. January 1, 2021

    RVU21A

    $475.08changed to$473.37

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $473.92changed to$475.08

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $469.83changed to$473.92

    • 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.

  10. January 1, 2018

    RVU18AR1

    $464.72changed to$469.83

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.04 changed to 7.20
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $468.13changed to$464.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.11 changed to 7.04
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $472.67changed to$468.13

    • 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.

  13. July 1, 2015

    RVU15C

    $470.32changed to$472.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $463.45changed to$470.32

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $465.74changed to$463.45

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $465.74

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$509.93$417.39RVU26D
2026-07-01$509.93$417.39RVU26C
2026-04-01$509.93$417.39RVU26B
2026-01-01$509.93$417.39RVU26A
2025-10-01$463.42$419.75RVU25D
2025-07-01$463.42$419.75RVU25C
2025-04-01$463.42$419.75RVU25B
2025-01-01$463.42$419.75RVU25A
2024-10-01$474.52$429.25RVU24D
2024-07-01$474.52$429.25RVU24C
2024-04-01$474.52$429.25RVU24B
2024-03-09$474.52$429.25RVU24AR
2024-01-01$466.77$422.24RVU24A
2023-10-01$476.50$430.50RVU23D
2023-07-01$476.50$430.50RVU23C
2023-04-01$476.50$430.50RVU23B
2023-01-01$476.50$430.50RVU23A
2022-10-01$480.57$433.70RVU22D
2022-07-01$480.57$433.70RVU22C
2022-04-01$480.57$433.70RVU22B
2022-01-01$480.57$433.70RVU22A
2021-10-01$473.37$427.19RVU21D
2021-07-01$473.37$427.19RVU21C
2021-04-01$473.37$427.19RVU21B
2021-01-01$473.37$427.19RVU21A
2020-10-01$475.08$430.95RVU20D
2020-07-01$475.08$430.95RVU20C
2020-04-01$475.08$430.95RVU20B
2020-01-01$475.08$430.95RVU20A
2019-10-01$473.92$430.57RVU19D
2019-07-01$473.92$430.57RVU19C
2019-04-01$473.92$430.57RVU19B
2019-01-01$473.92$430.57RVU19A
2018-10-01$469.83$426.88RVU18D
2018-07-01$469.83$426.88RVU18C
2018-04-01$469.83$426.88RVU18B
2018-01-01$469.83$426.88RVU18AR1
2017-10-01$464.72$424.41RVU17D
2017-07-01$464.72$424.41RVU17C
2017-04-01$464.72$424.41RVU17B
2017-01-01$464.72$424.41RVU17A
2016-10-01$468.13$427.51RVU16D
2016-07-01$468.13$427.51RVU16C
2016-04-01$468.13$427.51RVU16B
2016-01-01$468.13$427.51RVU16A
2015-10-01$472.67$431.54RVU15D
2015-07-01$472.67$431.54RVU15C
2015-04-01$470.32$429.39RVU15B
2015-01-01$470.32$429.39RVU15A
2014-10-01$463.45$423.49RVU14D
2014-07-01$463.45$423.49RVU14C
2014-04-01$463.45$423.49RVU14B
2014-01-01$463.45$423.49RVU14A
2013-10-01$465.74$423.72RVU13D
2013-07-01$465.74$423.72RVU13C
2013-04-01$465.74$423.72RVU13B
2013-01-01$465.74$423.72RVU13AR

Price 24675 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 24675 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

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
RVUs for 24675PPRRVU2026_Oct_nonQPP.csv, line 2,356 (RVU26D)
Geographic factors for Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 24675 pays in Galveston, TX?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 24675 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist