Billing code 24530: Humerus fracture careMedicare rate & RVUs
Report this service for closed care of a supracondylar or transcondylar humerus fracture near the elbow when treatment requires no manipulation.
Medicare pays $434.21 for 24530 nationally in the office and $359.39 in a hospital or facility. Local office rates run $381.32–$563.52.
Medicare rate · 24530
Humerus fracture care
- Work RVUs
- 3.6
- Total RVUs
- 13.00
- Global days
- 090
National rate · 2026
$434.21
Office setting, before claim adjustments.
See every locality for 24530 →Billed by an NP, PA or therapist? →
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 10 sections
What 24530 covers
This code describes nonoperative care of a supracondylar or transcondylar fracture of the distal humerus, near the elbow, when the fracture is treated without manipulating the fragments. An orthopedic surgeon commonly manages these injuries, including in children with supracondylar fractures. Care may involve immobilization in a cast or splint, with follow-up to monitor healing and function.
Select the code when documentation identifies the fracture as supracondylar or transcondylar and supports treatment without manipulation; use a different code when the fracture is manipulated or fixed. CMS assigns a 90-day global period, including 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%. Assistant-at-surgery payment is restricted, and 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 24530 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$381.32 to $563.52
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $387.22 | $321.76 |
| Alaska* | $501.87 | $422.18 |
| Arizona | $421.65 | $349.15 |
| Arkansas | $381.32 | $317.06 |
| Atlanta | $444.23 | $368.22 |
| Austin | $448.35 | $369.20 |
| Bakersfield | $454.44 | $372.44 |
| Baltimore/Surr. Cntys | $463.16 | $382.88 |
| Beaumont | $406.43 | $338.35 |
| Brazoria | $427.06 | $352.92 |
| Chicago | $468.94 | $393.75 |
| Chico | $452.37 | $370.37 |
| Colorado | $448.66 | $369.05 |
| Connecticut | $464.12 | $383.54 |
| Dallas | $430.58 | $356.06 |
| Dc + Md/Va Suburbs | $494.96 | $406.83 |
| Delaware | $428.82 | $354.90 |
| Detroit | $441.28 | $369.08 |
| East St. Louis | $436.50 | $367.67 |
| El Centro | $452.49 | $370.49 |
| Fort Lauderdale | $458.21 | $382.42 |
| Fort Worth | $428.02 | $354.25 |
| Fresno | $452.37 | $370.37 |
| Galveston | $428.84 | $354.55 |
| Hanford-Corcoran | $452.37 | $370.37 |
| Hawaii, Guam | $463.25 | $378.18 |
| Houston | $442.57 | $368.28 |
| Idaho | $397.90 | $329.06 |
| Indiana | $400.24 | $330.89 |
| Iowa | $394.55 | $326.09 |
| Kansas | $394.05 | $326.41 |
| Kentucky | $400.01 | $333.50 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $483.60 | $395.09 |
| Madera | $452.37 | $370.37 |
| Manhattan | $503.39 | $416.45 |
| Merced | $452.37 | $370.37 |
| Metropolitan Boston | $492.44 | $403.10 |
| Metropolitan Kansas City | $416.01 | $345.76 |
| Metropolitan Philadelphia | $453.06 | $375.17 |
| Metropolitan St. Louis | $420.39 | $349.17 |
| Miami | $484.36 | $406.47 |
| Minnesota | $424.95 | $347.97 |
| Mississippi | $387.51 | $323.10 |
| Modesto | $452.37 | $370.37 |
| Montana** | $434.16 | $359.34 |
| Napa | $521.34 | $422.73 |
| Nebraska | $396.38 | $327.33 |
| Nevada** | $430.32 | $355.42 |
| New Hampshire | $442.93 | $365.04 |
| New Mexico | $415.27 | $346.66 |
| New Orleans | $420.57 | $350.17 |
| North Carolina | $405.81 | $336.01 |
| North Dakota** | $419.33 | $344.51 |
| Northern Nj | $489.72 | $402.93 |
| Nyc Suburbs/Long Island | $517.98 | $429.02 |
| Ohio | $409.28 | $340.97 |
| Oklahoma | $397.71 | $330.90 |
| Oxnard-Thousand Oaks-Ventura | $480.72 | $392.28 |
| Portland | $461.79 | $378.67 |
| Poughkpsie/N Nyc Suburbs | $472.33 | $390.40 |
| Puerto Rico | $437.01 | $361.37 |
| Queens | $505.56 | $417.13 |
| Redding | $452.37 | $370.37 |
| Rest Of California | $452.37 | $370.37 |
| Rest Of Florida | $434.10 | $362.57 |
| Rest Of Georgia | $407.82 | $341.08 |
| Rest Of Illinois | $423.18 | $354.87 |
| Rest Of Louisiana | $399.93 | $333.72 |
| Rest Of Maine | $401.63 | $332.80 |
| Rest Of Maryland | $436.83 | $361.11 |
| Rest Of Massachusetts | $446.36 | $367.58 |
| Rest Of Michigan | $412.31 | $344.00 |
| Rest Of Missouri | $393.69 | $329.20 |
| Rest Of New Jersey | $468.03 | $386.33 |
| Rest Of New York | $412.33 | $341.25 |
| Rest Of Oregon | $425.62 | $351.10 |
| Rest Of Pennsylvania | $409.14 | $340.46 |
| Rest Of Texas | $417.05 | $346.04 |
| Rest Of Washington | $445.10 | $366.32 |
| Rhode Island | $443.33 | $366.04 |
| Riverside-San Bernardino-Ontario | $460.43 | $378.43 |
| Sacramento-Roseville-Folsom | $474.01 | $387.00 |
| Salinas | $472.25 | $385.54 |
| San Diego-Chula Vista-Carlsbad | $482.97 | $393.49 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $550.54 | $445.05 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $549.69 | $444.19 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $563.52 | $455.63 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $560.03 | $452.15 |
| San Luis Obispo-Paso Robles | $464.79 | $379.57 |
| Santa Cruz-Watsonville | $487.23 | $396.33 |
| Santa Maria-Santa Barbara | $473.92 | $386.68 |
| Santa Rosa-Petaluma | $492.07 | $400.19 |
| Seattle (King Cnty) | $501.22 | $409.42 |
| South Carolina | $408.50 | $339.36 |
| South Dakota** | $417.58 | $342.76 |
| Southern Maine | $422.37 | $348.22 |
| Stockton | $452.37 | $370.37 |
| Suburban Chicago | $462.19 | $385.36 |
| Tennessee | $396.32 | $328.31 |
| Utah | $414.32 | $343.99 |
| Vallejo | $520.11 | $421.50 |
| Vermont | $418.95 | $344.88 |
| Virgin Islands | $437.01 | $361.37 |
| Virginia | $421.94 | $348.39 |
| Visalia | $452.37 | $370.37 |
| West Virginia | $407.16 | $342.14 |
| Wisconsin | $404.74 | $333.07 |
| Wyoming** | $427.70 | $352.88 |
| Yuba City | $452.37 | $370.37 |
24530 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.
$381.32
$507.95
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 | $501.87 | 1 |
| AL | $387.22 | 1 |
| AR | $381.32 | 1 |
| AZ | $421.65 | 1 |
| CA | $452.37–$563.52 | 29 |
| CO | $448.66 | 1 |
| CT | $464.12 | 1 |
| DC | $494.96 | 1 |
| DE | $428.82 | 1 |
| FL | $434.10–$484.36 | 3 |
| GA | $407.82–$444.23 | 2 |
| GU | $463.25 | 1 |
| HI | $463.25 | 1 |
| IA | $394.55 | 1 |
| ID | $397.90 | 1 |
| IL | $423.18–$468.94 | 4 |
| IN | $400.24 | 1 |
| KS | $394.05 | 1 |
| KY | $400.01 | 1 |
| LA | $399.93–$420.57 | 2 |
| MA | $446.36–$492.44 | 2 |
| MD | $436.83–$494.96 | 3 |
| ME | $401.63–$422.37 | 2 |
| MI | $412.31–$441.28 | 2 |
| MN | $424.95 | 1 |
| MO | $393.69–$420.39 | 3 |
| MS | $387.51 | 1 |
| MT | $434.16 | 1 |
| NC | $405.81 | 1 |
| ND | $419.33 | 1 |
| NE | $396.38 | 1 |
| NH | $442.93 | 1 |
| NJ | $468.03–$489.72 | 2 |
| NM | $415.27 | 1 |
| NV | $430.32 | 1 |
| NY | $412.33–$517.98 | 5 |
| OH | $409.28 | 1 |
| OK | $397.71 | 1 |
| OR | $425.62–$461.79 | 2 |
| PA | $409.14–$453.06 | 2 |
| PR | $437.01 | 1 |
| RI | $443.33 | 1 |
| SC | $408.50 | 1 |
| SD | $417.58 | 1 |
| TN | $396.32 | 1 |
| TX | $406.43–$448.35 | 8 |
| UT | $414.32 | 1 |
| VA | $421.94–$494.96 | 2 |
| VI | $437.01 | 1 |
| VT | $418.95 | 1 |
| WA | $445.10–$501.22 | 2 |
| WI | $404.74 | 1 |
| WV | $407.16 | 1 |
| WY | $427.70 | 1 |
How the 24530 rate is calculated
Each of 24530’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 · 24530
RVUs × geographic indexes × conversion factor
Work3.60
3.60 RVUs× 1.000 GPCI
Practice expense8.65
8.65 RVUs× 1.000 GPCI
Malpractice0.75
0.75 RVUs× 1.000 GPCI
Adjusted RVUs
13.0000
Conversion factor
$33.4009
Medicare rate
$434.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24530
24530 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24530
Humerus fracture care
| 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 · 24530
Humerus fracture care
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
24530 without 50 · national office
$434.21
Humerus fracture care
24530-50 · Bilateral: 150%
$651.32
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).
24530 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24535Fracture treatment
- Both address supracondylar or transcondylar humeral fractures. Choose 24530 for care without manipulation and 24535 when manipulation is performed.
- 24538Humerus fracture fixation
- 24538 is for a supracondylar fracture treated with percutaneous skeletal fixation; 24530 describes closed care without manipulation or fixation.
- 24500Fracture treatment
- 24500 applies to a humeral shaft fracture treated without manipulation. This code is for a supracondylar or transcondylar fracture near the elbow.
- 24576Humeral fracture care
- 24576 describes closed care without manipulation for a humeral condylar fracture. Distinguish the condylar location from a supracondylar or transcondylar fracture.
24530 billing questions
When should 24530 be chosen over 24535?
Use 24530 when the supracondylar or transcondylar fracture is treated without manipulating the fragments. Use 24535 when manipulation is performed.
Does applying a cast or splint change the code selection?
No. Select the fracture-care code based on the fracture location and whether manipulation was performed, not simply on the immobilization method.
What documentation supports reporting 24530?
Document the supracondylar or transcondylar fracture location, the treatment plan, and that the fracture was managed without manipulation.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Can an assistant surgeon or co-surgeon be paid for this service?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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