FeeBase
Log inGet started
Menu

Billing code 24685: Ulna fracture repairMedicare rate & RVUs

Open surgical treatment of a proximal ulna fracture, such as an olecranon fracture, with internal fixation when performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities9.7K Medicare services in 2024

Medicare pays $622.26 for 24685 nationally in a facility.

Medicare rate · 24685

Ulna fracture repair

Swap in your local Medicare rate.

Work RVUs
8.16
Total RVUs
18.63
Global days
090

National rate · 2026

$622.26

Facility setting, before claim adjustments.

See every locality for 24685 → · 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 24685 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 24685 covers

This service covers open surgical treatment of a fracture near the elbow at the upper end of the ulna, including the olecranon or coronoid region. An orthopedic surgeon typically exposes the fracture and restores the bone’s position; internal fixation is included when performed. The procedure is commonly done in an operating room for a fracture requiring open treatment rather than closed fracture care.

Report 24685 when the operative record supports open treatment of a proximal ulna fracture. Documentation should identify the fracture location and describe the open treatment and any fixation. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 24685 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

24685 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$561.31
Alaska*Unavailable$752.59
ArizonaUnavailable$605.11
ArkansasUnavailable$553.76
AtlantaUnavailable$638.99
AustinUnavailable$633.49
BakersfieldUnavailable$633.84
Baltimore/Surr. CntysUnavailable$661.30
BeaumontUnavailable$591.84
BrazoriaUnavailable$609.52

24685 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 every state and territory as a table
24685 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 24685 rate is calculated

Each of 24685’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 · 24685

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.16Practice expense 8.80Malpractice 1.67

18.6300 adjusted RVUs×$33.4009 conversion factor=$622.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 24685

24685 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24685

Ulna 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 · 24685

Ulna 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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

24685 without 50 · national facility

$622.26

Ulna fracture repair

24685-50 · Bilateral: 150%

$933.39

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

24685 compared with similar codes

Compare codes

24685 vs 24670 vs 24675 vs 24635 vs 24665: national Medicare rates

Swap in your local Medicare rate.

  • 24685
    Ulna fracture repair · 8.16 wRVU
    —
  • 24670
    Fracture care · 2.62 wRVU
    $336.68
  • 24675
    Fracture treatment · 4.79 wRVU
    $516.71
  • 24635
    Monteggia repair · 8.58 wRVU
    —
  • 24665
    Radial head surgery · 8.15 wRVU
    —

How to choose

24670Fracture care
24670 describes closed treatment of a proximal ulna fracture without manipulation. Use 24685 when the fracture receives open surgical treatment.
24675Fracture treatment
24675 is for closed treatment with manipulation. It does not describe open surgical treatment of the fracture.
24635Monteggia repair
24635 is the specific open-treatment code for a Monteggia fracture-dislocation. Use 24685 for open treatment of a proximal ulna fracture that is not coded as that injury pattern.
24665Radial head surgery
24665 covers open treatment of a radial head or neck fracture. Code 24685 concerns the proximal ulna, a different bone.

Codes related to 24685

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

Codes related to 24685
CodeHow it relatesNational office range
Same family
24670Fracture careClosed treatment of a proximal ulna fracture without manipulation.$295.34–$440.10
24675Fracture treatmentClosed treatment of a proximal ulna fracture with manipulation.$454.81–$661.42
Used instead
24635Monteggia repairSpecific open-treatment code for a Monteggia fracture-dislocation.No office rate

24685 billing questions

When is 24685 appropriate instead of 24675?

Use 24685 for open surgical treatment of the proximal ulna fracture. Code 24675 describes closed treatment with manipulation.

Is internal fixation included?

Yes. Internal fixation is included when performed as part of the open treatment; it is not a separate service under this code.

Should a Monteggia fracture-dislocation be reported with 24685?

The Monteggia fracture-dislocation has a specific open-treatment code, 24635. Distinguish that injury pattern from an isolated proximal ulna fracture.

How does the 90-day global period affect follow-up billing?

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

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How is modifier 50 handled for bilateral treatment?

Bilateral reporting with modifier 50 is paid at 150% under the CMS facts 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 24685PPRRVU2026_Oct_nonQPP.csv, line 2,357 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 24685 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 24685 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →