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Billing code 24587: Elbow fracture repairMedicare rate & RVUs

Reports open treatment of an elbow periarticular fracture or dislocation when implant arthroplasty is part of the surgical treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities88 Medicare services in 2024

Medicare pays $999.35 for 24587 nationally in a facility.

Medicare rate · 24587

Elbow fracture repair

Work RVUs
15.4
Total RVUs
29.92
Global days
090

National rate · 2026

$999.35

Facility setting, before claim adjustments.

See every locality for 24587 →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 24587 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 24587 covers

An orthopedic surgeon uses this code for open treatment of a fracture or dislocation around the elbow when the operation includes implant arthroplasty. A typical situation is a severely comminuted distal humerus fracture that cannot be reconstructed reliably with fixation and is treated with an elbow implant. The service may include internal fixation when performed, but the implant arthroplasty distinguishes it from open treatment without arthroplasty.

Document the periarticular injury, the open surgical treatment, and the implant arthroplasty performed. This is major surgery with 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 24587 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

24587 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$904.98
Alaska*Unavailable$1,231.93
ArizonaUnavailable$971.98
ArkansasUnavailable$893.40
AtlantaUnavailable$1,028.86
AustinUnavailable$1,009.73
BakersfieldUnavailable$1,002.50
Baltimore/Surr. CntysUnavailable$1,060.90
BeaumontUnavailable$957.78
BrazoriaUnavailable$976.06

24587 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
24587 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 24587 rate is calculated

Each of 24587’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 · 24587

RVUs × geographic indexes × conversion factor

Work15.40

15.40 RVUs× 1.000 GPCI

Practice expense11.25

11.25 RVUs× 1.000 GPCI

Malpractice3.27

3.27 RVUs× 1.000 GPCI

Adjusted RVUs

29.9200

Conversion factor

$33.4009

Medicare rate

$999.35

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

Payment rules and modifiers for 24587

24587 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24587

Elbow 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 · 24587

Elbow 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

24587 without 50 · national facility

$999.35

Elbow fracture repair

24587-50 · Bilateral: 150%

$1,499.03

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

24587 compared with similar codes

Compare codes · National

5 codes, side by side

  • 24587

    Elbow fracture repair15.4 wRVU

    Not priced

  • 24586

    Elbow fracture repair15.39 wRVU

    Not priced

  • 24579

    Humeral fracture repair11.15 wRVU

    Not priced

  • 24545

    Humerus fracture repair12.82 wRVU

    Not priced

  • 24546

    Distal humerus repair14.54 wRVU

    Not priced

How to choose

24586Elbow fracture repair
Both address open treatment of periarticular elbow fracture or dislocation; 24587 is distinguished by implant arthroplasty as part of the treatment.
24579Humeral fracture repair
This code is for open treatment of a humeral condylar fracture. Choose it when that specific fracture code applies rather than the broader periarticular injury treatment with implant arthroplasty.
24545Humerus fracture repair
This code describes open treatment of a humeral fracture without intercondylar extension. 24587 is for periarticular elbow fracture or dislocation treatment that includes implant arthroplasty.
24546Distal humerus repair
This code describes open treatment of a humeral fracture with intercondylar extension. 24587 applies when the operation instead meets the periarticular elbow treatment criteria and includes implant arthroplasty.

Codes related to 24587

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

Codes related to 24587
CodeHow it relatesNational office range
Same family
24586Elbow fracture repairRelated open elbow periarticular fracture or dislocation treatment without implant arthroplasty.No office rate
Used instead
24579Humeral fracture repairOpen treatment for a humeral condylar fracture when the specific condylar fracture code applies.No office rate
24545Humerus fracture repairOpen treatment for a humeral fracture without intercondylar extension.No office rate
24546Distal humerus repairOpen treatment for a humeral fracture with intercondylar extension.No office rate

24587 billing questions

How does 24587 differ from 24586?

Use 24587 when implant arthroplasty is part of the open treatment of the elbow fracture or dislocation. Code 24586 describes the related open treatment without implant arthroplasty.

Should the implant arthroplasty be reported separately?

The arthroplasty is included in 24587 when performed as part of the fracture or dislocation treatment. The operative report should establish that the implant was used to treat the periarticular injury.

What documentation supports 24587?

Document the fracture or dislocation and its periarticular elbow location, the open treatment, and the implant arthroplasty performed. Include internal fixation details when fixation is also performed.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How is bilateral surgery handled?

When the qualifying procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.

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 24587PPRRVU2026_Oct_nonQPP.csv, line 2,344 (RVU26D)

Open CMS sourceHow we calculate rates

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