Billing code 24650: Radial fracture careMedicare rate & RVUs

Medicare pays $301.61 for 24650 nationally in the office and $258.52 in a hospital or facility. Local office rates run $264.51–$396.35.

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

What 24650 covers

This service covers closed treatment of a fracture at the radial head or neck near the elbow when the clinician accepts the bone’s position without manipulation. An orthopedist or other treating clinician may provide this care in an office or facility setting, often using a sling or other support and arranging follow-up. A stable radial head fracture is a typical example. The distinction is whether the clinician takes responsibility for definitive fracture treatment, rather than providing temporary support before referral.

Report one service for the treated fracture and document the fracture location, the decision not to manipulate it, and the treatment plan. Medicare assigns a 90-day global period that 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%. Bilateral treatment reported with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 24650 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

24650 rates by state

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

How the 24650 rate is calculated

Each of 24650’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 24650

24650 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

24650 compared with similar codes

How to choose

24655Fracture reduction

Both describe closed care of a radial head or neck fracture. Choose 24655 if the clinician manipulates the fracture; choose 24650 if treatment proceeds without repositioning.

24665Radial head surgery

24665 is for open treatment of the radial head or neck fracture. Choose 24650 when treatment remains closed and requires no manipulation.

24670Fracture care

Both involve closed fracture treatment without manipulation near the elbow. Choose by the fractured bone: 24650 for the radial head or neck, 24670 for the proximal ulna.

Codes related to 24650

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