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

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 Virginia, Medicare pays $501.30 for 24675 in the office and $409.70 when it’s performed in a hospital or facility.

$501.30Office (non-facility)
$409.70Hospital or facility
−3.0%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 Virginia
  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 Virginia 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. Virginia pays $501.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

24675 in Virginia vs other payment areas
  1. Virginia · this page$501.30
  2. Los Angeles, CA · California$571.04+$69.74
  3. Washington, DC area · District of Columbia$586.66+$85.36
  4. Miami, FL · Florida$581.54+$80.24
  5. Chicago, IL · Illinois$563.13+$61.83
  6. Manhattan, NY · New York$599.04+$97.74
  7. Alaska · Alaska$602.55+$101.25

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

Every other payment area

24675 in every other Medicare payment locality
Payment localityOfficeFacility
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

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 24675 in Virginia
ComponentRVULocality factorAdjusted
Physician work4.79× 1.0004.7900
Practice expense9.67× 0.9839.5056
Malpractice1.01× 0.7060.7131
Total RVUs15.0087
Conversion factor× 33.4009

Office rate, Virginia$501.30

Office: (4.79 × 1 + 9.67 × 0.983 + 1.01 × 0.706) × $33.4009 = $501.30

Facility: (4.79 × 1 + 6.88 × 0.983 + 1.01 × 0.706) × $33.4009 = $409.70

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, Virginia
Same family
24670Fracture care, without manipulationClosed treatment of a proximal ulna fracture without manipulation.$327.45
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.$516.71

How 24675 has changed in Virginia

24675 · Office / nonfacility

$501.30

Effective 2026-10-01

The base rate is $47.36 higher than on 2025-10-01, moving from $453.94 to $501.30 (10.4%).

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

    $453.94changed to$501.30

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $464.77changed to$453.94

    • 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

    $457.19changed to$464.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $470.14changed to$457.19

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $478.49changed to$470.14

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $470.86changed to$478.49

    • 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

    $470.28changed to$470.86

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $466.10changed to$470.28

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $462.07changed to$466.10

    • 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

    $453.36changed to$462.07

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.04 changed to 7.20
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $452.89changed to$453.36

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.11 changed to 7.04
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $457.18changed to$452.89

    • 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

    $454.90changed to$457.18

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $448.55changed to$454.90

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $451.12changed to$448.55

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $451.12

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$501.30$409.70RVU26D
2026-07-01$501.30$409.70RVU26C
2026-04-01$501.30$409.70RVU26B
2026-01-01$501.30$409.70RVU26A
2025-10-01$453.94$410.97RVU25D
2025-07-01$453.94$410.97RVU25C
2025-04-01$453.94$410.97RVU25B
2025-01-01$453.94$410.97RVU25A
2024-10-01$464.77$420.23RVU24D
2024-07-01$464.77$420.23RVU24C
2024-04-01$464.77$420.23RVU24B
2024-03-09$464.77$420.23RVU24AR
2024-01-01$457.19$413.37RVU24A
2023-10-01$470.14$425.19RVU23D
2023-07-01$470.14$425.19RVU23C
2023-04-01$470.14$425.19RVU23B
2023-01-01$470.14$425.19RVU23A
2022-10-01$478.49$433.04RVU22D
2022-07-01$478.49$433.04RVU22C
2022-04-01$478.49$433.04RVU22B
2022-01-01$478.49$433.04RVU22A
2021-10-01$470.86$426.07RVU21D
2021-07-01$470.86$426.07RVU21C
2021-04-01$470.86$426.07RVU21B
2021-01-01$470.86$426.07RVU21A
2020-10-01$470.28$427.37RVU20D
2020-07-01$470.28$427.37RVU20C
2020-04-01$470.28$427.37RVU20B
2020-01-01$470.28$427.37RVU20A
2019-10-01$466.10$423.82RVU19D
2019-07-01$466.10$423.82RVU19C
2019-04-01$466.10$423.82RVU19B
2019-01-01$466.10$423.82RVU19A
2018-10-01$462.07$420.19RVU18D
2018-07-01$462.07$420.19RVU18C
2018-04-01$462.07$420.19RVU18B
2018-01-01$462.07$420.19RVU18AR1
2017-10-01$453.36$414.12RVU17D
2017-07-01$453.36$414.12RVU17C
2017-04-01$453.36$414.12RVU17B
2017-01-01$453.36$414.12RVU17A
2016-10-01$452.89$413.47RVU16D
2016-07-01$452.89$413.47RVU16C
2016-04-01$452.89$413.47RVU16B
2016-01-01$452.89$413.47RVU16A
2015-10-01$457.18$417.26RVU15D
2015-07-01$457.18$417.26RVU15C
2015-04-01$454.90$415.19RVU15B
2015-01-01$454.90$415.19RVU15A
2014-10-01$448.55$409.58RVU14D
2014-07-01$448.55$409.58RVU14C
2014-04-01$448.55$409.58RVU14B
2014-01-01$448.55$409.58RVU14A
2013-10-01$451.12$409.90RVU13D
2013-07-01$451.12$409.90RVU13C
2013-04-01$451.12$409.90RVU13B
2013-01-01$451.12$409.90RVU13AR

Price 24675 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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