No office rate
Both describe open treatment of a radial head or neck fracture. Choose 24666 when the procedure includes prosthetic replacement; 24665 is for open treatment without that replacement.
On this page
CMS RVU26D · Effective 2026-10-01
24666 Radial head surgery Medicare reimbursement rates
Open surgery for a radial head or neck fracture that includes replacing the radial head with a prosthesis, typically when reconstruction is not feasible. Compare 24666 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 24666?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 24666 pays more and less
Orthopedic surgery
About 24666: Radial head fracture replacement surgery
Open surgery for a radial head or neck fracture that includes replacing the radial head with a prosthesis, typically when reconstruction is not feasible.
This code describes open treatment of a radial head or neck fracture that includes replacement of the radial head with a prosthesis. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery center, using an open approach to address the fracture and place the replacement. It is generally selected when the radial head cannot be adequately reconstructed, such as with a severely comminuted fracture. The service is distinct from open fracture treatment without prosthetic replacement.
Report the code when the operative record supports open treatment and radial head prosthetic replacement; documentation should identify the fracture and describe the procedure performed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. 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. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24666
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.61 · 47%
- Practice expense (office) RVU8.95 · 44%
- Malpractice RVU1.95 · 10%
1.2K
Medicare services in 2024 · #2810 by national volume
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.
24666 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$264.51–$396.35
24650 describes closed fracture treatment without manipulation. It does not describe open treatment with radial head prosthetic replacement.
$466.99–$687.15
24655 describes closed treatment with manipulation. Report 24666 when the surgeon performs open treatment that includes radial head prosthetic replacement.
See how rates vary across the country
24666 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 24666 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $619.42 |
| Alaska* | Office Unavailable | Facility $835.73 |
| Arizona | Office Unavailable | Facility $666.41 |
| Arkansas | Office Unavailable | Facility $611.31 |
| Atlanta | Office Unavailable | Facility $703.89 |
| Austin | Office Unavailable | Facility $695.61 |
| Bakersfield | Office Unavailable | Facility $694.38 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $727.45 |
| Beaumont | Office Unavailable | Facility $653.52 |
| Brazoria | Office Unavailable | Facility $670.60 |
| Chicago | Office Unavailable | Facility $773.14 |
| Chico | Office Unavailable | Facility $688.99 |
| Colorado | Office Unavailable | Facility $693.77 |
| Connecticut | Office Unavailable | Facility $728.17 |
| Dallas | Office Unavailable | Facility $677.50 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $762.96 |
| Delaware | Office Unavailable | Facility $676.49 |
| Detroit | Office Unavailable | Facility $719.27 |
| East St. Louis | Office Unavailable | Facility $727.18 |
| El Centro | Office Unavailable | Facility $689.31 |
| Fort Lauderdale | Office Unavailable | Facility $741.57 |
| Fort Worth | Office Unavailable | Facility $675.35 |
| Fresno | Office Unavailable | Facility $688.99 |
| Galveston | Office Unavailable | Facility $674.33 |
| Hanford-Corcoran | Office Unavailable | Facility $688.99 |
| Hawaii, Guam | Office Unavailable | Facility $698.59 |
| Houston | Office Unavailable | Facility $710.02 |
| Idaho | Office Unavailable | Facility $626.81 |
| Indiana | Office Unavailable | Facility $629.75 |
| Iowa | Office Unavailable | Facility $620.37 |
| Kansas | Office Unavailable | Facility $624.05 |
| Kentucky | Office Unavailable | Facility $646.33 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $731.03 |
| Madera | Office Unavailable | Facility $688.99 |
| Manhattan | Office Unavailable | Facility $792.19 |
| Merced | Office Unavailable | Facility $688.99 |
| Metropolitan Boston | Office Unavailable | Facility $749.04 |
| Metropolitan Kansas City | Office Unavailable | Facility $665.32 |
| Metropolitan Philadelphia | Office Unavailable | Facility $715.66 |
| Metropolitan St. Louis | Office Unavailable | Facility $670.83 |
| Miami | Office Unavailable | Facility $796.90 |
| Minnesota | Office Unavailable | Facility $647.87 |
| Mississippi | Office Unavailable | Facility $626.50 |
| Modesto | Office Unavailable | Facility $688.99 |
| Montana** | Office Unavailable | Facility $684.92 |
| Napa | Office Unavailable | Facility $768.29 |
| Nebraska | Office Unavailable | Facility $621.52 |
| Nevada** | Office Unavailable | Facility $674.47 |
| New Hampshire | Office Unavailable | Facility $689.17 |
| New Mexico | Office Unavailable | Facility $673.33 |
| New Orleans | Office Unavailable | Facility $676.27 |
| North Carolina | Office Unavailable | Facility $641.51 |
| North Dakota** | Office Unavailable | Facility $646.36 |
| Northern Nj | Office Unavailable | Facility $757.53 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $817.91 |
| Ohio | Office Unavailable | Facility $659.57 |
| Oklahoma | Office Unavailable | Facility $638.54 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $723.89 |
| Portland | Office Unavailable | Facility $706.70 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $741.57 |
| Puerto Rico | Office Unavailable | Facility $687.36 |
| Queens | Office Unavailable | Facility $788.79 |
| Redding | Office Unavailable | Facility $688.99 |
| Rest Of California | Office Unavailable | Facility $688.99 |
| Rest Of Florida | Office Unavailable | Facility $704.66 |
| Rest Of Georgia | Office Unavailable | Facility $665.27 |
| Rest Of Illinois | Office Unavailable | Facility $695.71 |
| Rest Of Louisiana | Office Unavailable | Facility $647.94 |
| Rest Of Maine | Office Unavailable | Facility $636.52 |
| Rest Of Maryland | Office Unavailable | Facility $686.51 |
| Rest Of Massachusetts | Office Unavailable | Facility $692.81 |
| Rest Of Michigan | Office Unavailable | Facility $667.45 |
| Rest Of Missouri | Office Unavailable | Facility $642.11 |
| Rest Of New Jersey | Office Unavailable | Facility $731.71 |
| Rest Of New York | Office Unavailable | Facility $650.76 |
| Rest Of Oregon | Office Unavailable | Facility $664.51 |
| Rest Of Pennsylvania | Office Unavailable | Facility $656.96 |
| Rest Of Texas | Office Unavailable | Facility $663.49 |
| Rest Of Washington | Office Unavailable | Facility $689.50 |
| Rhode Island | Office Unavailable | Facility $693.98 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $709.95 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $715.11 |
| Salinas | Office Unavailable | Facility $712.31 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $723.44 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $802.87 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $800.66 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $822.27 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $813.22 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $701.84 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $725.84 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $713.44 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $732.62 |
| Seattle (King Cnty) | Office Unavailable | Facility $757.04 |
| South Carolina | Office Unavailable | Facility $652.56 |
| South Dakota** | Office Unavailable | Facility $641.80 |
| Southern Maine | Office Unavailable | Facility $658.33 |
| Stockton | Office Unavailable | Facility $688.99 |
| Suburban Chicago | Office Unavailable | Facility $745.65 |
| Tennessee | Office Unavailable | Facility $627.69 |
| Utah | Office Unavailable | Facility $660.47 |
| Vallejo | Office Unavailable | Facility $765.10 |
| Vermont | Office Unavailable | Facility $649.89 |
| Virgin Islands | Office Unavailable | Facility $687.36 |
| Virginia | Office Unavailable | Facility $660.82 |
| Visalia | Office Unavailable | Facility $688.99 |
| West Virginia | Office Unavailable | Facility $673.96 |
| Wisconsin | Office Unavailable | Facility $627.43 |
| Wyoming** | Office Unavailable | Facility $668.12 |
| Yuba City | Office Unavailable | Facility $688.99 |
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24666 billing questions
When should I report 24666 instead of 24665?
Report 24666 when open treatment includes radial head prosthetic replacement. Use 24665 for the open fracture treatment when no prosthetic replacement is performed.
Can the prosthetic replacement be reported separately?
The replacement is included in this code’s described service. Do not report a separate radial-head replacement procedure for the same work.
How does the global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included. The surgeon’s routine related follow-up during that period is part of the global service.
How are additional procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,35124650,,Cltx rdl head/nck fx wo mnpj,A,,2.25,6.33,,5.04,,0.45,9.03,7.74,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35224655,,Cltx rdl head/nck fx w/mnpj,A,,4.50,10.42,,7.70,,1.03,15.95,13.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35324665,,Optx radial head/neck fx,A,,8.15,8.84,NA,8.84,,1.64,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35424666,,Optx radial head/nck fx rplc,A,,9.61,8.95,NA,8.95,,1.95,20.51,20.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35524670,,Cltx ulnar fx prox w/o mnpj,A,,2.62,6.92,,5.27,,0.54,10.08,8.43,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35624675,,Cltx ulnar fx prox w/mnpj,A,,4.79,9.67,,6.88,,1.01,15.47,12.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35724685,,Optx ulnar fx prox end w/fix,A,,8.16,8.80,NA,8.80,,1.67,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00