Billing code 24505: Fracture treatmentMedicare rate & RVUs

Medicare pays $582.18 for 24505 nationally in the office and $473.62 in a hospital or facility. Local office rates run $511.19–$745.16.

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

What 24505 covers

This code describes closed management of a fracture through the shaft of the humerus when the physician manipulates the fracture to improve alignment. An orthopedic surgeon or other qualified physician may perform the reduction in an emergency department, operating room, or another appropriate setting, then manage the arm with immobilization. Skeletal traction may be used as part of the treatment. The code is for the humeral shaft, not fractures at the elbow end of the humerus or fractures treated with an operative implant.

Select this service when documentation supports manipulation of the shaft fracture; treatment without manipulation is represented by a different code. The record should identify the fracture site and describe the reduction and treatment plan. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 24505 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

24505 rates by state

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

How the 24505 rate is calculated

Each of 24505’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 24505

24505 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

24505 compared with similar codes

How to choose

24500Fracture treatment

Choose 24500 for closed treatment without manipulation. Choose 24505 when the physician manipulates the humeral shaft fracture.

24515Humeral shaft fixation

24515 describes operative fixation of a humeral shaft fracture with a plate and screws; 24505 describes closed reduction without operative fixation.

24516Fracture fixation

24516 describes humeral shaft fracture treatment with an intramedullary implant. Use 24505 for closed treatment with manipulation rather than implant fixation.

Codes related to 24505

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