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Billing code 24582: Humeral fracture fixationMedicare rate & RVUs

Percutaneous skeletal fixation of a humeral condylar fracture is reported when the fracture is stabilized through percutaneous access rather than open exposure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $782.92 for 24582 nationally in a facility.

Medicare rate · 24582

Humeral fracture fixation

Work RVUs
9.89
Total RVUs
23.44
Global days
090

National rate · 2026

$782.92

Facility setting, before claim adjustments.

See every locality for 24582 →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 24582 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 24582 covers

This operation stabilizes a fracture of a humeral condyle near the elbow using fixation devices placed through percutaneous access, without opening the fracture site. Orthopedic surgeons typically perform it in an operating room when the fracture needs skeletal stabilization but can be treated without open exposure. The operative report should identify the condylar fracture pattern and document the percutaneous fixation performed.

Choose this code based on the fracture location and documented technique: percutaneous fixation, rather than closed fracture care or open treatment. The 90-day global period includes 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 the others at 50%. For bilateral procedures reported with modifier 50, CMS pays 150%. Medicare does not pay an assistant at surgery; 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 24582 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

24582 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$704.67
Alaska*Unavailable$941.45
ArizonaUnavailable$760.96
ArkansasUnavailable$694.97
AtlantaUnavailable$804.13
AustinUnavailable$797.76
BakersfieldUnavailable$798.48
Baltimore/Surr. CntysUnavailable$832.74
BeaumontUnavailable$743.52
BrazoriaUnavailable$766.69

24582 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
24582 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 24582 rate is calculated

Each of 24582’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 · 24582

RVUs × geographic indexes × conversion factor

Work9.89

9.89 RVUs× 1.000 GPCI

Practice expense11.45

11.45 RVUs× 1.000 GPCI

Malpractice2.10

2.10 RVUs× 1.000 GPCI

Adjusted RVUs

23.4400

Conversion factor

$33.4009

Medicare rate

$782.92

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

Payment rules and modifiers for 24582

24582 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24582

Humeral fracture fixation

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 24582

Humeral fracture fixation

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

24582 without 50 · national facility

$782.92

Humeral fracture fixation

24582-50 · Bilateral: 150%

$1,174.38

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

24582 compared with similar codes

Compare codes · National

4 codes, side by side

  • 24582

    Humeral fracture fixation9.89 wRVU

    Not priced

  • 24579

    Humeral fracture repair11.15 wRVU

    Not priced

  • 24576

    Humeral fracture care2.98 wRVU

    $409.83

  • 24538

    Humerus fracture fixation9.53 wRVU

    Not priced

How to choose

24579Humeral fracture repair
Both address a humeral condylar fracture, but 24579 describes open treatment. Use this code for percutaneous fixation without opening the fracture site.
24576Humeral fracture care
24576 is closed treatment without manipulation; this code is for percutaneous skeletal fixation.
24538Humerus fracture fixation
24538 describes percutaneous fixation of a supracondylar humeral fracture. Select by the documented fracture location, not just the fixation method.

Codes related to 24582

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

Codes related to 24582
CodeHow it relatesNational office range
Used instead
24579Humeral fracture repairOpen treatment for a humeral condylar fracture when the fracture site is exposed.No office rate
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

24582 billing questions

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

Use this code when fixation is performed percutaneously without opening the fracture site. Open treatment is reported when the surgeon exposes the fracture for treatment.

How does this differ from closed treatment codes 24576 and 24577?

Those codes describe closed treatment, with or without manipulation. This code describes percutaneous skeletal fixation of the condylar fracture.

What documentation supports reporting this code?

Document the humeral condylar fracture location and the percutaneous fixation technique in the operative report. The documentation should distinguish the service from closed treatment and open exposure.

Are related postoperative visits included?

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

How is a bilateral procedure handled?

CMS pays bilateral procedures reported with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 24582PPRRVU2026_Oct_nonQPP.csv, line 2,342 (RVU26D)

Open CMS sourceHow we calculate rates

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