$618.94
Use 24565 for closed treatment with manipulation when percutaneous skeletal fixation is not performed. Use 24566 when percutaneous skeletal fixation is part of the treatment.
On this page
CMS RVU26D · Effective 2026-10-01
24566 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$703.48
Base rate per service
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.
Orthopedic surgery
About 24566: Percutaneous fixation of humeral epicondyle fracture
Reports percutaneous skeletal fixation of a medial or lateral humeral epicondyle fracture when the fracture is manipulated and stabilized without open exposure.
An orthopedic surgeon uses a percutaneous approach to manipulate and stabilize a fracture of the medial or lateral epicondyle at the elbow, typically with skeletal fixation such as pins or wires. The procedure is performed in a surgical setting, often with imaging to guide reduction and fixation. The fracture site is the epicondyle, not the supracondylar region or the humeral condyles.
Report this code when the operative record supports percutaneous skeletal fixation and identifies the epicondylar fracture, laterality, manipulation, and fixation performed. Choose a closed-treatment code when the fracture is managed without percutaneous skeletal fixation, or an open-treatment code when the fracture is exposed for fixation. Medicare assigns 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%. Modifier 50 bilateral reporting is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 24566
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.83 · 43%
- Practice expense (office) RVU9.97 · 48%
- Malpractice RVU1.88 · 9%
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.
24566 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
24575 describes open treatment of the epicondylar fracture. 24566 applies when fixation is performed percutaneously rather than through open exposure.
No office rate
24538 concerns a supracondylar humeral fracture, not a fracture of the medial or lateral epicondyle.
No office rate
24582 is for a humeral condylar fracture. Select 24566 when the documented fracture involves an epicondyle.
The same code, a different location
How does Austin compare?
24566 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 24566
Office
Unavailable
Facility
$667.66
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 24566
Office
Unavailable
Facility
$742.66
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 24566
Office
Unavailable
Facility
$773.03
No comparable office rate is available.
Miami
Florida · 24566
Office
Unavailable
Facility
$800.40
No comparable office rate is available.
Chicago
Illinois · 24566
Office
Unavailable
Facility
$775.78
No comparable office rate is available.
Manhattan
New York · 24566
Office
Unavailable
Facility
$800.35
No comparable office rate is available.
Alaska*
Alaska · 24566
Office
Unavailable
Facility
$831.65
No comparable office rate is available.
Alabama
Alabama · 24566
Office
Unavailable
Facility
$621.85
No comparable office rate is available.
Arkansas
Arkansas · 24566
Office
Unavailable
Facility
$613.32
No comparable office rate is available.
Arizona
Arizona · 24566
Office
Unavailable
Facility
$671.37
No comparable office rate is available.
Bakersfield
California · 24566
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Chico
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
El Centro
California · 24566
Office
Unavailable
Facility
$698.89
No comparable office rate is available.
Fresno
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Hanford-Corcoran
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Madera
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Merced
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Modesto
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Napa
California · 24566
Office
Unavailable
Facility
$784.31
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24566
Office
Unavailable
Facility
$735.92
No comparable office rate is available.
Redding
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Rest Of California
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24566
Office
Unavailable
Facility
$718.78
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24566
Office
Unavailable
Facility
$726.49
No comparable office rate is available.
Salinas
California · 24566
Office
Unavailable
Facility
$723.69
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24566
Office
Unavailable
Facility
$736.09
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24566
Office
Unavailable
Facility
$821.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24566
Office
Unavailable
Facility
$819.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24566
Office
Unavailable
Facility
$841.23
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24566
Office
Unavailable
Facility
$832.50
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24566
Office
Unavailable
Facility
$712.90
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24566
Office
Unavailable
Facility
$739.38
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24566
Office
Unavailable
Facility
$725.13
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24566
Office
Unavailable
Facility
$746.37
No comparable office rate is available.
Stockton
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Vallejo
California · 24566
Office
Unavailable
Facility
$781.24
No comparable office rate is available.
Visalia
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Yuba City
California · 24566
Office
Unavailable
Facility
$698.58
No comparable office rate is available.
Colorado
Colorado · 24566
Office
Unavailable
Facility
$701.83
No comparable office rate is available.
Connecticut
Connecticut · 24566
Office
Unavailable
Facility
$735.46
No comparable office rate is available.
Delaware
Delaware · 24566
Office
Unavailable
Facility
$681.87
No comparable office rate is available.
Fort Lauderdale
Florida · 24566
Office
Unavailable
Facility
$745.80
No comparable office rate is available.
Rest Of Florida
Florida · 24566
Office
Unavailable
Facility
$707.66
No comparable office rate is available.
Atlanta
Georgia · 24566
Office
Unavailable
Facility
$709.57
No comparable office rate is available.
Rest Of Georgia
Georgia · 24566
Office
Unavailable
Facility
$666.82
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24566
Office
Unavailable
Facility
$709.92
No comparable office rate is available.
Iowa
Iowa · 24566
Office
Unavailable
Facility
$624.56
No comparable office rate is available.
Idaho
Idaho · 24566
Office
Unavailable
Facility
$631.00
No comparable office rate is available.
East St. Louis
Illinois · 24566
Office
Unavailable
Facility
$727.76
No comparable office rate is available.
Rest Of Illinois
Illinois · 24566
Office
Unavailable
Facility
$697.11
No comparable office rate is available.
Suburban Chicago
Illinois · 24566
Office
Unavailable
Facility
$750.26
No comparable office rate is available.
Indiana
Indiana · 24566
Office
Unavailable
Facility
$634.15
No comparable office rate is available.
Kansas
Kansas · 24566
Office
Unavailable
Facility
$627.62
No comparable office rate is available.
Kentucky
Kentucky · 24566
Office
Unavailable
Facility
$648.43
No comparable office rate is available.
New Orleans
Louisiana · 24566
Office
Unavailable
Facility
$679.62
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24566
Office
Unavailable
Facility
$649.80
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24566
Office
Unavailable
Facility
$760.52
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24566
Office
Unavailable
Facility
$700.35
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24566
Office
Unavailable
Facility
$734.64
No comparable office rate is available.
Rest Of Maryland
Maryland · 24566
Office
Unavailable
Facility
$692.53
No comparable office rate is available.
Rest Of Maine
Maine · 24566
Office
Unavailable
Facility
$640.35
No comparable office rate is available.
Southern Maine
Maine · 24566
Office
Unavailable
Facility
$664.56
No comparable office rate is available.
Detroit
Michigan · 24566
Office
Unavailable
Facility
$722.15
No comparable office rate is available.
Rest Of Michigan
Michigan · 24566
Office
Unavailable
Facility
$669.86
No comparable office rate is available.
Minnesota
Minnesota · 24566
Office
Unavailable
Facility
$656.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24566
Office
Unavailable
Facility
$668.97
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24566
Office
Unavailable
Facility
$674.87
No comparable office rate is available.
Rest Of Missouri
Missouri · 24566
Office
Unavailable
Facility
$643.14
No comparable office rate is available.
Mississippi
Mississippi · 24566
Office
Unavailable
Facility
$628.05
No comparable office rate is available.
Montana**
Montana · 24566
Office
Unavailable
Facility
$690.61
No comparable office rate is available.
North Carolina
North Carolina · 24566
Office
Unavailable
Facility
$645.75
No comparable office rate is available.
North Dakota**
North Dakota · 24566
Office
Unavailable
Facility
$653.43
No comparable office rate is available.
Nebraska
Nebraska · 24566
Office
Unavailable
Facility
$626.03
No comparable office rate is available.
New Hampshire
New Hampshire · 24566
Office
Unavailable
Facility
$696.53
No comparable office rate is available.
Northern Nj
New Jersey · 24566
Office
Unavailable
Facility
$766.86
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24566
Office
Unavailable
Facility
$739.26
No comparable office rate is available.
New Mexico
New Mexico · 24566
Office
Unavailable
Facility
$675.71
No comparable office rate is available.
Nevada**
Nevada · 24566
Office
Unavailable
Facility
$680.58
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24566
Office
Unavailable
Facility
$826.36
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24566
Office
Unavailable
Facility
$748.82
No comparable office rate is available.
Queens
New York · 24566
Office
Unavailable
Facility
$797.97
No comparable office rate is available.
Rest Of New York
New York · 24566
Office
Unavailable
Facility
$655.43
No comparable office rate is available.
Ohio
Ohio · 24566
Office
Unavailable
Facility
$662.26
No comparable office rate is available.
Oklahoma
Oklahoma · 24566
Office
Unavailable
Facility
$641.10
No comparable office rate is available.
Portland
Oregon · 24566
Office
Unavailable
Facility
$716.34
No comparable office rate is available.
Rest Of Oregon
Oregon · 24566
Office
Unavailable
Facility
$670.75
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24566
Office
Unavailable
Facility
$721.81
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24566
Office
Unavailable
Facility
$659.97
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24566
Office
Unavailable
Facility
$693.45
No comparable office rate is available.
Rhode Island
Rhode Island · 24566
Office
Unavailable
Facility
$700.54
No comparable office rate is available.
South Carolina
South Carolina · 24566
Office
Unavailable
Facility
$656.00
No comparable office rate is available.
South Dakota**
South Dakota · 24566
Office
Unavailable
Facility
$649.04
No comparable office rate is available.
Tennessee
Tennessee · 24566
Office
Unavailable
Facility
$631.35
No comparable office rate is available.
Utah
Utah · 24566
Office
Unavailable
Facility
$664.35
No comparable office rate is available.
Virginia
Virginia · 24566
Office
Unavailable
Facility
$666.61
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24566
Office
Unavailable
Facility
$693.45
No comparable office rate is available.
Vermont
Vermont · 24566
Office
Unavailable
Facility
$656.38
No comparable office rate is available.
Rest Of Washington
Washington · 24566
Office
Unavailable
Facility
$697.21
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24566
Office
Unavailable
Facility
$769.58
No comparable office rate is available.
Wisconsin
Wisconsin · 24566
Office
Unavailable
Facility
$633.29
No comparable office rate is available.
West Virginia
West Virginia · 24566
Office
Unavailable
Facility
$674.17
No comparable office rate is available.
Wyoming**
Wyoming · 24566
Office
Unavailable
Facility
$674.40
No comparable office rate is available.
See how rates vary across the country
24566 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 24566 in Austin
Multiple payment areas
- 24566 in Barton Creek
- 24566 in Bee Cave
- 24566 in Briarcliff
- 24566 in Cedar Park
Multiple payment areas
- 24566 in Creedmoor
Multiple payment areas
- 24566 in Elgin
Multiple payment areas
- 24566 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 24566 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$773.83
$703.48 × 110% = $773.83
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 24566 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,337
- Code
- 24566
- Physician work
- 8.83
- Practice expense
- 9.97
- Malpractice
- 1.88
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.83 | × 1.002 | 8.8477 |
| Practice expense | 9.97 | × 1.058 | 10.5483 |
| Malpractice | 1.88 | × 0.886 | 1.6657 |
| Total RVUs | 21.0616 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$703.48
Open 24566 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.83 | 1.002 |
| Practice expense | 9.97 | 1.058 |
| Malpractice | 1.88 | 0.886 |
(8.83 × 1.002 + 9.97 × 1.058 + 1.88 × 0.886) × $33.4009 = $703.48
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
24566 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $703.48 | RVU26D |
| 2026-07-01 | Not available in this setting | $703.48 | RVU26C |
| 2026-04-01 | Not available in this setting | $703.48 | RVU26B |
| 2026-01-01 | Not available in this setting | $703.48 | RVU26A |
| 2025-10-01 | Not available in this setting | $731.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $731.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $731.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $731.35 | RVU25A |
24566 billing questions
When is 24566 appropriate instead of closed treatment?
Use 24566 when the epicondylar fracture is manipulated and stabilized with percutaneous skeletal fixation. Closed-treatment codes apply when percutaneous skeletal fixation is not performed.
How does 24566 differ from open treatment?
This code describes fixation through a percutaneous approach. Use the open-treatment code when the fracture is exposed for fixation.
What documentation supports 24566?
The operative report should identify the medial or lateral epicondyle fracture, laterality, manipulation, and percutaneous skeletal fixation performed.
Does the fracture care global period include follow-up?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for 24566?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How is bilateral reporting handled?
When the procedure is performed bilaterally and reported with modifier 50, Medicare pays 150%.
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.
2,33424546,,Optx hum fx w/ntrcndylr xtn,A,,14.54,11.01,NA,11.01,,3.00,28.55,28.55,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33524560,,Cltx hum epcndylr fx wo mnpj,A,,2.91,8.17,,6.05,,0.62,11.70,9.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33624565,,Cltx hum epcndylr fx w/mnpj,A,,5.64,11.16,,7.74,,1.21,18.01,14.59,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33724566,,Prq skel fix epcndylr hum fx,A,,8.83,9.97,NA,9.97,,1.88,20.68,20.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33824575,,Optx humeral epcndylr fx,A,,9.47,9.39,NA,9.39,,1.94,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33924576,,Cltx humrl cndylr fx wo mnpj,A,,2.98,8.65,,6.49,,0.64,12.27,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34024577,,Cltx humrl cndylr fx w/mnpj,A,,5.86,11.39,,7.81,,1.25,18.50,14.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858