Billing code 24577: Fracture treatmentMedicare rate & RVUs
Closed treatment of a humeral condylar fracture with manipulation is reported when the clinician realigns the fracture without open surgical exposure.
Medicare pays $617.92 for 24577 nationally in the office and $498.34 in a hospital or facility. Local office rates run $544.03–$788.23.
Medicare rate · 24577
Fracture treatment
Swap in your local Medicare rate.
- Work RVUs
- 5.86
- Total RVUs
- 18.50
- Global days
- 090
National rate · 2026
$617.92
Office setting, before claim adjustments.
See every locality for 24577 → · 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 24577 covers
This service treats a humeral condylar fracture by manipulating the bone fragments into alignment without surgically opening the fracture site. An orthopedic surgeon typically performs the reduction, often in a facility when sedation or anesthesia is needed, and may immobilize the arm afterward. The code distinguishes a reduction requiring manipulation from closed treatment without manipulation; it does not describe open exposure or percutaneous skeletal fixation.
Report the service when documentation identifies the humeral condylar fracture and supports that the clinician performed manipulation to reduce it. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same 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, CMS pays 150%. Assistant-at-surgery payment is restricted; 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 24577 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
$544.03 to $788.23
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $552.24 | $447.61 |
| Alaska* | $721.76 | $594.42 |
| Arizona | $600.11 | $484.24 |
| Arkansas | $544.03 | $441.31 |
| Atlanta | $632.98 | $511.49 |
| Austin | $635.61 | $509.10 |
| Bakersfield | $641.83 | $510.78 |
| Baltimore/Surr. Cntys | $658.72 | $530.41 |
| Beaumont | $580.71 | $471.90 |
| Brazoria | $606.87 | $488.37 |
| Chicago | $675.26 | $555.08 |
| Chico | $638.39 | $507.34 |
| Colorado | $635.47 | $508.24 |
| Connecticut | $659.89 | $531.11 |
| Dallas | $612.23 | $493.13 |
| Dc + Md/Va Suburbs | $700.92 | $560.06 |
| Delaware | $610.11 | $491.97 |
| Detroit | $633.24 | $517.85 |
| East St. Louis | $629.82 | $519.81 |
| El Centro | $638.60 | $507.55 |
| Fort Lauderdale | $656.60 | $535.47 |
| Fort Worth | $608.97 | $491.07 |
| Fresno | $638.39 | $507.34 |
| Galveston | $609.64 | $490.90 |
| Hanford-Corcoran | $638.39 | $507.34 |
| Hawaii, Guam | $652.46 | $516.50 |
| Houston | $632.52 | $513.78 |
| Idaho | $565.48 | $455.47 |
| Indiana | $568.68 | $457.84 |
| Iowa | $560.40 | $450.99 |
| Kansas | $560.69 | $452.59 |
| Kentucky | $572.14 | $465.84 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $681.53 | $540.08 |
| Madera | $638.39 | $507.34 |
| Manhattan | $716.54 | $577.59 |
| Merced | $638.39 | $507.34 |
| Metropolitan Boston | $695.15 | $552.38 |
| Metropolitan Kansas City | $593.75 | $481.47 |
| Metropolitan Philadelphia | $645.10 | $520.62 |
| Metropolitan St. Louis | $599.74 | $485.90 |
| Miami | $697.35 | $572.87 |
| Minnesota | $599.56 | $476.51 |
| Mississippi | $554.14 | $451.18 |
| Modesto | $638.39 | $507.34 |
| Montana** | $617.83 | $498.26 |
| Napa | $730.68 | $573.08 |
| Nebraska | $562.65 | $452.29 |
| Nevada** | $611.32 | $491.63 |
| New Hampshire | $628.30 | $503.82 |
| New Mexico | $594.73 | $485.08 |
| New Orleans | $601.15 | $488.63 |
| North Carolina | $577.36 | $465.79 |
| North Dakota** | $593.12 | $473.54 |
| Northern Nj | $693.96 | $555.25 |
| Nyc Suburbs/Long Island | $738.13 | $595.95 |
| Ohio | $585.15 | $475.98 |
| Oklahoma | $567.90 | $461.12 |
| Oxnard-Thousand Oaks-Ventura | $676.90 | $535.56 |
| Portland | $652.59 | $519.74 |
| Poughkpsie/N Nyc Suburbs | $671.63 | $540.70 |
| Puerto Rico | $621.48 | $500.58 |
| Queens | $718.14 | $576.80 |
| Redding | $638.39 | $507.34 |
| Rest Of California | $638.39 | $507.34 |
| Rest Of Florida | $622.18 | $507.86 |
| Rest Of Georgia | $584.85 | $478.18 |
| Rest Of Illinois | $608.32 | $499.15 |
| Rest Of Louisiana | $572.41 | $466.59 |
| Rest Of Maine | $571.70 | $461.69 |
| Rest Of Maryland | $621.02 | $500.01 |
| Rest Of Massachusetts | $632.74 | $506.82 |
| Rest Of Michigan | $590.20 | $481.03 |
| Rest Of Missouri | $564.33 | $461.26 |
| Rest Of New Jersey | $664.80 | $534.22 |
| Rest Of New York | $586.49 | $472.90 |
| Rest Of Oregon | $603.99 | $484.90 |
| Rest Of Pennsylvania | $584.42 | $474.65 |
| Rest Of Texas | $594.46 | $480.99 |
| Rest Of Washington | $630.65 | $504.73 |
| Rhode Island | $629.68 | $506.16 |
| Riverside-San Bernardino-Ontario | $651.82 | $520.77 |
| Sacramento-Roseville-Folsom | $667.60 | $528.54 |
| Salinas | $665.10 | $526.51 |
| San Diego-Chula Vista-Carlsbad | $679.23 | $536.22 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $769.90 | $601.30 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $768.48 | $599.88 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $788.23 | $615.80 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $782.42 | $610.00 |
| San Luis Obispo-Paso Robles | $654.75 | $518.56 |
| Santa Cruz-Watsonville | $684.45 | $539.16 |
| Santa Maria-Santa Barbara | $667.18 | $527.75 |
| Santa Rosa-Petaluma | $691.16 | $544.32 |
| Seattle (King Cnty) | $706.42 | $559.70 |
| South Carolina | $582.74 | $472.25 |
| South Dakota** | $590.19 | $470.62 |
| Southern Maine | $599.09 | $480.59 |
| Stockton | $638.39 | $507.34 |
| Suburban Chicago | $661.79 | $538.99 |
| Tennessee | $563.97 | $455.27 |
| Utah | $590.83 | $478.43 |
| Vallejo | $728.64 | $571.04 |
| Vermont | $593.49 | $475.11 |
| Virgin Islands | $621.48 | $500.58 |
| Virginia | $599.17 | $481.63 |
| Visalia | $638.39 | $507.34 |
| West Virginia | $586.07 | $482.16 |
| Wisconsin | $573.05 | $458.49 |
| Wyoming** | $607.06 | $487.49 |
| Yuba City | $638.39 | $507.34 |
24577 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.
$544.03
$721.76
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 | $721.76 | 1 |
| AL | $552.24 | 1 |
| AR | $544.03 | 1 |
| AZ | $600.11 | 1 |
| CA | $638.39–$788.23 | 29 |
| CO | $635.47 | 1 |
| CT | $659.89 | 1 |
| DC | $700.92 | 1 |
| DE | $610.11 | 1 |
| FL | $622.18–$697.35 | 3 |
| GA | $584.85–$632.98 | 2 |
| GU | $652.46 | 1 |
| HI | $652.46 | 1 |
| IA | $560.40 | 1 |
| ID | $565.48 | 1 |
| IL | $608.32–$675.26 | 4 |
| IN | $568.68 | 1 |
| KS | $560.69 | 1 |
| KY | $572.14 | 1 |
| LA | $572.41–$601.15 | 2 |
| MA | $632.74–$695.15 | 2 |
| MD | $621.02–$700.92 | 3 |
| ME | $571.70–$599.09 | 2 |
| MI | $590.20–$633.24 | 2 |
| MN | $599.56 | 1 |
| MO | $564.33–$599.74 | 3 |
| MS | $554.14 | 1 |
| MT | $617.83 | 1 |
| NC | $577.36 | 1 |
| ND | $593.12 | 1 |
| NE | $562.65 | 1 |
| NH | $628.30 | 1 |
| NJ | $664.80–$693.96 | 2 |
| NM | $594.73 | 1 |
| NV | $611.32 | 1 |
| NY | $586.49–$738.13 | 5 |
| OH | $585.15 | 1 |
| OK | $567.90 | 1 |
| OR | $603.99–$652.59 | 2 |
| PA | $584.42–$645.10 | 2 |
| PR | $621.48 | 1 |
| RI | $629.68 | 1 |
| SC | $582.74 | 1 |
| SD | $590.19 | 1 |
| TN | $563.97 | 1 |
| TX | $580.71–$635.61 | 8 |
| UT | $590.83 | 1 |
| VA | $599.17–$700.92 | 2 |
| VI | $621.48 | 1 |
| VT | $593.49 | 1 |
| WA | $630.65–$706.42 | 2 |
| WI | $573.05 | 1 |
| WV | $586.07 | 1 |
| WY | $607.06 | 1 |
How the 24577 rate is calculated
Each of 24577’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 · 24577
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.86Practice expense 11.39Malpractice 1.25
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24577
24577 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24577
Fracture treatment
| 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 · 24577
Fracture 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24577 without 50 · national office
$617.92
Fracture treatment
24577-50 · Bilateral: 150%
$926.88
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).
24577 compared with similar codes
Compare codes
24577 vs 24576 vs 24579 vs 24582 vs 24535: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24576Humeral fracture care
- Both describe closed treatment of a humeral condylar fracture. Choose 24577 when manipulation is performed to reduce the fracture; 24576 is for treatment without manipulation.
- 24579Humeral fracture repair
- 24579 describes open treatment with surgical exposure. Use 24577 for closed reduction by manipulation without opening the fracture site.
- 24582Humeral fracture fixation
- 24582 describes percutaneous skeletal fixation of a humeral condylar fracture. 24577 is closed treatment with manipulation, without that fixation approach.
- 24535Fracture treatment
- 24535 is for a supracondylar humeral fracture treated closed with manipulation. 24577 applies to a humeral condylar fracture.
24577 billing questions
How does this differ from 24576?
24577 is for closed treatment with manipulation to reduce the humeral condylar fracture. 24576 is the corresponding closed-treatment code without manipulation.
When would 24579 be reported instead?
Use 24579 when treatment involves open surgical exposure of the humeral condylar fracture. This code describes closed reduction by manipulation.
Is routine follow-up included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are also not permitted.
How is a bilateral service handled?
When the procedure is bilateral and reported with modifier 50, CMS pays 150%.
What documentation supports 24577?
Document the humeral condylar fracture and the manipulation performed to restore alignment. The record should support closed treatment rather than open exposure or percutaneous skeletal fixation.
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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