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Billing code 24579: Humeral fracture repairMedicare rate & RVUs

Open surgical treatment of a humeral condylar fracture, with fixation when performed, is reported when the fracture pattern requires operative exposure and reduction.

CMS RVU26DEffective Oct 1, 2026109 payment localities640 Medicare services in 2024

Medicare pays $780.25 for 24579 nationally in a facility.

Medicare rate · 24579

Humeral fracture repair

Work RVUs
11.15
Total RVUs
23.36
Global days
090

National rate · 2026

$780.25

Facility setting, before claim adjustments.

See every locality for 24579 →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
  1. Medicare rate
  2. What 24579 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 24579 covers

An orthopedic surgeon uses an operative approach to expose and reduce a fracture involving a condyle of the distal humerus. The surgeon stabilizes the fracture with internal fixation when performed. This code is for the condylar fracture pattern, not a humeral shaft, epicondylar, or supracondylar fracture. These repairs are typically performed in an operating room in a hospital or ambulatory surgery facility.

Report the code when the operative record supports open treatment of the humeral condylar fracture; document the fracture location, laterality, reduction, and fixation performed. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 applies to bilateral procedures and is paid at 150%. An assistant at surgery may be paid; co-surgeons require 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 24579 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

24579 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$705.53
Alaska*Unavailable$953.48
ArizonaUnavailable$758.92
ArkansasUnavailable$696.31
AtlantaUnavailable$802.10
AustinUnavailable$791.43
BakersfieldUnavailable$789.06
Baltimore/Surr. CntysUnavailable$828.57
BeaumontUnavailable$745.00
BrazoriaUnavailable$763.34

24579 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.

View every state and territory as a table
24579 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

How the 24579 rate is calculated

Each of 24579’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 · 24579

RVUs × geographic indexes × conversion factor

Work11.15

11.15 RVUs× 1.000 GPCI

Practice expense9.91

9.91 RVUs× 1.000 GPCI

Malpractice2.30

2.30 RVUs× 1.000 GPCI

Adjusted RVUs

23.3600

Conversion factor

$33.4009

Medicare rate

$780.25

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

Payment rules and modifiers for 24579

24579 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24579

Humeral fracture repair

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 · 24579

Humeral fracture repair

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

24579 without 50 · national facility

$780.25

Humeral fracture repair

24579-50 · Bilateral: 150%

$1,170.38

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

24579 compared with similar codes

Compare codes · National

5 codes, side by side

  • 24579

    Humeral fracture repair11.15 wRVU

    Not priced

  • 24577

    Fracture treatment5.86 wRVU

    $617.92

  • 24582

    Humeral fracture fixation9.89 wRVU

    Not priced

  • 24575

    Epicondylar fracture repair9.47 wRVU

    Not priced

  • 24545

    Humerus fracture repair12.82 wRVU

    Not priced

How to choose

24577Fracture treatment
Code 24577 is for closed treatment of a humeral condylar fracture with manipulation. Use 24579 when the surgeon treats the fracture through an open approach.
24582Humeral fracture fixation
Code 24582 describes percutaneous skeletal fixation of a humeral condylar fracture; 24579 describes open treatment.
24575Epicondylar fracture repair
Code 24575 applies to an epicondylar fracture. Code 24579 is for a fracture involving a humeral condyle.
24545Humerus fracture repair
Code 24545 is for an open-treated supracondylar humeral fracture without intercondylar extension. Code 24579 applies to a condylar fracture.

Codes related to 24579

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 24579
CodeHow it relatesNational office range
Used instead
24576Humeral fracture careClosed treatment of a humeral condylar fracture without manipulation.$358.72–$538.56
24577Fracture treatmentClosed treatment of a humeral condylar fracture with manipulation.$544.03–$788.23
24582Humeral fracture fixationPercutaneous skeletal fixation for a humeral condylar fracture.No office rate
24575Epicondylar fracture repairOpen treatment for a humeral epicondylar fracture.No office rate
24545Humerus fracture repairOpen treatment for a humeral supracondylar fracture without intercondylar extension.No office rate
24546Distal humerus repairOpen treatment for a humeral supracondylar fracture with intercondylar extension.No office rate

24579 billing questions

How does this differ from closed treatment of a humeral condylar fracture?

Use this code when the surgeon treats the fracture through an open operative approach. Codes 24576 and 24577 describe closed treatment, with 24577 used when manipulation is performed.

Is internal fixation required to report this code?

The code includes internal fixation when performed. The operative note should support open treatment and describe any fixation used.

When should code 24582 be considered instead?

Code 24582 describes percutaneous skeletal fixation of a humeral condylar fracture. Distinguish it from open treatment by the operative approach and documented treatment.

What postoperative care is included?

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

How are bilateral procedures and assistants handled?

Modifier 50 is paid at 150% for a bilateral procedure. An assistant at surgery may be paid; co-surgeons require supporting documentation.

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 24579PPRRVU2026_Oct_nonQPP.csv, line 2,341 (RVU26D)

Open CMS sourceHow we calculate rates

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