CPT code 24685: Ulna fracture repair, proximal end, open treatment2026 Medicare rate & RVUs in Washington, DC area

Open surgical treatment of a proximal ulna fracture, such as an olecranon fracture, with internal fixation when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality9.7K Medicare services in 2024

In Washington, DC area, Medicare pays $695.60 for 24685 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$695.60Hospital or facility

Check a contract rate as a % of Medicare · 24685 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 24685 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 24685 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 24685 covers

This service covers open surgical treatment of a fracture near the elbow at the upper end of the ulna, including the olecranon or coronoid region. An orthopedic surgeon typically exposes the fracture and restores the bone’s position; internal fixation is included when performed. The procedure is commonly done in an operating room for a fracture requiring open treatment rather than closed fracture care.

Report 24685 when the operative record supports open treatment of a proximal ulna fracture. Documentation should identify the fracture location and describe the open treatment and any fixation. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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 Washington, DC area compares for 24685

Across 109 of 109 payment localities, the facility rate for 24685 runs from $553.76 in Arkansas to $756.27 in San Benito County, CA. Washington, DC area pays $695.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

24685 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$695.60
  2. Los Angeles, CA · California$668.48−$27.12
  3. Miami, FL · Florida$719.60+$24.00
  4. Chicago, IL · Illinois$697.87+$2.27
  5. Manhattan, NY · New York$720.01+$24.41
  6. Alaska · Alaska$752.59+$56.99
  7. Alabama · Alabama$561.31−$134.29

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

24685 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$553.76
ArizonaArizona—$605.11
Bakersfield, CACalifornia—$633.84
Chico, CACalifornia—$629.23
El Centro, CACalifornia—$629.51
Fresno, CACalifornia—$629.23
Hanford, CACalifornia—$629.23
Madera, CACalifornia—$629.23

24685 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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24685 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 24685 in every payment locality

How the 24685 rate is calculated

Each of 24685’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 · 24685

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.16

8.16 RVUs× 1.000 GPCI

Practice expense8.80

8.80 RVUs× 1.000 GPCI

Malpractice1.67

1.67 RVUs× 1.000 GPCI

Adjusted RVUs

18.6300

Conversion factor

$33.4009

Medicare rate

$622.26

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,357

Code
24685
Physician work
8.16
Practice expense
8.80
Malpractice
1.67

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 24685 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work8.16× 1.0548.6006
Practice expense8.80× 1.17810.3664
Malpractice1.67× 1.1131.8587
Total RVUs20.8257
Conversion factor× 33.4009

Facility rate, Washington, DC area$695.60

Facility: (8.16 × 1.054 + 8.8 × 1.178 + 1.67 × 1.113) × $33.4009 = $695.60

Open 24685 in the RVU calculator

Payment rules and modifiers for 24685

24685 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24685

Ulna fracture repair, proximal end, open treatment

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 24685

Ulna fracture repair, proximal end, open treatment

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

24685 without 50 · national facility

$622.26

Ulna fracture repair, proximal end, open treatment

24685-50 · Bilateral: 150%

$933.39

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

How 24685 has changed in Washington, DC area

24685 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$695.60RVU26D
2026-07-01Not available in this setting$695.60RVU26C
2026-04-01Not available in this setting$695.60RVU26B
2026-01-01Not available in this setting$695.60RVU26A
2025-10-01Not available in this setting$738.71RVU25D
2025-07-01Not available in this setting$738.71RVU25C
2025-04-01Not available in this setting$738.71RVU25B
2025-01-01Not available in this setting$738.71RVU25A
2024-10-01Not available in this setting$753.44RVU24D
2024-07-01Not available in this setting$753.44RVU24C
2024-04-01Not available in this setting$753.44RVU24B
2024-03-09Not available in this setting$753.44RVU24AR
2024-01-01Not available in this setting$741.14RVU24A
2023-10-01Not available in this setting$769.03RVU23D
2023-07-01Not available in this setting$769.03RVU23C
2023-04-01Not available in this setting$769.03RVU23B
2023-01-01Not available in this setting$769.03RVU23A
2022-10-01Not available in this setting$783.84RVU22D
2022-07-01Not available in this setting$783.84RVU22C
2022-04-01Not available in this setting$783.84RVU22B
2022-01-01Not available in this setting$783.84RVU22A
2021-10-01Not available in this setting$785.06RVU21D
2021-07-01Not available in this setting$785.06RVU21C
2021-04-01Not available in this setting$785.06RVU21B
2021-01-01Not available in this setting$785.06RVU21A
2020-10-01Not available in this setting$781.49RVU20D
2020-07-01Not available in this setting$781.49RVU20C
2020-04-01Not available in this setting$781.49RVU20B
2020-01-01Not available in this setting$781.49RVU20A
2019-10-01Not available in this setting$771.87RVU19D
2019-07-01Not available in this setting$771.87RVU19C
2019-04-01Not available in this setting$771.87RVU19B
2019-01-01Not available in this setting$771.87RVU19A
2018-10-01Not available in this setting$771.02RVU18D
2018-07-01Not available in this setting$771.02RVU18C
2018-04-01Not available in this setting$771.02RVU18B
2018-01-01Not available in this setting$771.02RVU18AR1
2017-10-01Not available in this setting$767.56RVU17D
2017-07-01Not available in this setting$767.56RVU17C
2017-04-01Not available in this setting$767.56RVU17B
2017-01-01Not available in this setting$767.56RVU17A
2016-10-01Not available in this setting$767.66RVU16D
2016-07-01Not available in this setting$767.66RVU16C
2016-04-01Not available in this setting$767.66RVU16B
2016-01-01Not available in this setting$767.66RVU16A
2015-10-01Not available in this setting$771.76RVU15D
2015-07-01Not available in this setting$771.76RVU15C
2015-04-01Not available in this setting$767.92RVU15B
2015-01-01Not available in this setting$767.92RVU15A
2014-10-01Not available in this setting$756.35RVU14D
2014-07-01Not available in this setting$756.35RVU14C
2014-04-01Not available in this setting$756.35RVU14B
2014-01-01Not available in this setting$756.35RVU14A
2013-10-01Not available in this setting$748.63RVU13D
2013-07-01Not available in this setting$748.63RVU13C
2013-04-01Not available in this setting$748.63RVU13B
2013-01-01Not available in this setting$748.63RVU13AR

Price 24685 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

24685 billing questions

When is 24685 appropriate instead of 24675?

Use 24685 for open surgical treatment of the proximal ulna fracture. Code 24675 describes closed treatment with manipulation.

Is internal fixation included?

Yes. Internal fixation is included when performed as part of the open treatment; it is not a separate service under this code.

Should a Monteggia fracture-dislocation be reported with 24685?

The Monteggia fracture-dislocation has a specific open-treatment code, 24635. Distinguish that injury pattern from an isolated proximal ulna fracture.

How does the 90-day global period affect follow-up billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How is modifier 50 handled for bilateral treatment?

Bilateral reporting with modifier 50 is paid at 150%.

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 24685PPRRVU2026_Oct_nonQPP.csv, line 2,357 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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