Billing code 24545: Humerus fracture repairMedicare rate & RVUs

Medicare pays $860.41 for 24545 nationally in a facility.

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

What 24545 covers

This service covers operative exposure and repair of a supracondylar or transcondylar fracture of the humerus that does not extend between the distal humeral condyles. An orthopedic surgeon typically performs the procedure in a hospital operating room, reducing the fracture and stabilizing it with internal fixation when needed. The fracture pattern and fixation approach distinguish this repair from surgery for an intercondylar fracture or a fracture treated through a closed or percutaneous method.

Report the code when the operative record supports open treatment and documents the fracture location and absence of intercondylar extension. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral procedures reported with modifier 50, payment is at 150%. Medicare may pay for an assistant at surgery; 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.

Where 24545 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

24545 rates by state

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

How the 24545 rate is calculated

Each of 24545’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 24545

24545 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

24545 compared with similar codes

How to choose

24546Distal humerus repair

This code is for a supracondylar or transcondylar fracture without intercondylar extension. Code 24546 applies when the fracture extends between the condyles.

24538Humerus fracture fixation

Code 24538 describes percutaneous skeletal fixation. This code is for open treatment of the fracture.

24535Fracture treatment

Code 24535 is for closed treatment with manipulation. This code applies when the fracture is treated through an open operative approach.

24579Humeral fracture repair

Code 24579 is for open treatment of a humeral epicondylar fracture. This code applies to a supracondylar or transcondylar fracture without intercondylar extension.

Codes related to 24545

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