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CMS RVU26D · Effective 2026-10-01

24600 in Austin

Office / nonfacility

$490.45

Base rate per service

Facility setting

$411.64

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 treatment

About 24600: Closed elbow dislocation reduction without anesthesia

Closed reduction of an elbow dislocation performed without anesthesia, typically in an emergency department or office when the joint is restored without an open procedure.

This code describes closed treatment of an elbow dislocation by restoring the joint alignment without anesthesia. Emergency physicians and orthopedic clinicians may perform the reduction in an emergency department, clinic, or office. It is distinct from treatment of a fracture-dislocation or a radial head subluxation, which has its own code selection.

Report the code when the documented treatment is a closed reduction without anesthesia; use the anesthesia-requiring sibling when anesthesia is used. The record should identify the elbow and dislocation, describe the reduction, and support the treatment performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. For bilateral treatment reported with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 24600

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 RVU4.26 · 30%
  • Practice expense (office) RVU8.99 · 63%
  • Malpractice RVU1.02 · 7%

994

Medicare services in 2024 · #2974 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.

24600 compared with similar codes

Office rates for Austin, from the same CMS release.

24605

Elbow reduction

With anesthesia

No office rate

Both codes describe closed treatment of an elbow dislocation. The key distinction is whether anesthesia is required for the reduction.

24615

Elbow dislocation

Open treatment

No office rate

24615 is for open treatment of an elbow dislocation. Use 24600 when the dislocation is reduced by a closed approach without anesthesia.

24620

Monteggia treatment

Closed, without manipulation

No office rate

24620 addresses a Monteggia fracture-dislocation, which includes an associated proximal ulna fracture; 24600 is for an elbow dislocation without that fracture pattern.

24640

Nursemaid's elbow

Radial head subluxation

$107.57

24640 is for radial head subluxation, often seen in young children. It is not the code for a true elbow dislocation treated under 24600.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 24600 is $447.19—$43.26 lower than the $490.45 rate in Austin. Both use the same code, release and participation basis.

24600 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $490.45

  2. Beaumont

    $447.19

    $43.26 lower than Austin

  3. Brazoria

    $467.57

    $22.88 lower than Austin

  4. Dallas

    $471.87

    $18.58 lower than Austin

  5. Fort Worth

    $469.31

    $21.14 lower than Austin

  6. Galveston

    $469.81

    $20.64 lower than Austin

  7. Houston

    $488.48

    $1.97 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 24600 ranges from $417.77 in Arkansas to $609.20 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 24600

    Office

    $458.01

    Facility

    $387.33

    $32.44 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 24600

    Office

    $525.97

    Facility

    $437.85

    $35.52 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 24600

    Office

    $541.61

    Facility

    $453.87

    $51.16 higher than Austin for the office setting.

  • Miami

    Florida · 24600

    Office

    $541.03

    Facility

    $463.50

    $50.58 higher than Austin for the office setting.

  • Chicago

    Illinois · 24600

    Office

    $523.25

    Facility

    $448.39

    $32.80 higher than Austin for the office setting.

  • Manhattan

    New York · 24600

    Office

    $554.35

    Facility

    $467.80

    $63.90 higher than Austin for the office setting.

  • Alaska*

    Alaska · 24600

    Office

    $552.00

    Facility

    $472.67

    $61.55 higher than Austin for the office setting.

  • Alabama

    Alabama · 24600

    Office

    $424.31

    Facility

    $359.14

    $66.14 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 24600

    Office

    $417.77

    Facility

    $353.79

    $72.68 lower than Austin for the office setting.

  • Arizona

    Arizona · 24600

    Office

    $462.42

    Facility

    $390.24

    $28.03 lower than Austin for the office setting.

  • Bakersfield

    California · 24600

    Office

    $494.84

    Facility

    $413.21

    $4.39 higher than Austin for the office setting.

  • Chico

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • El Centro

    California · 24600

    Office

    $492.24

    Facility

    $410.60

    $1.79 higher than Austin for the office setting.

  • Fresno

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Madera

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Merced

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Modesto

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Napa

    California · 24600

    Office

    $564.32

    Facility

    $466.15

    $73.87 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 24600

    Office

    $522.42

    Facility

    $434.38

    $31.97 higher than Austin for the office setting.

  • Redding

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Rest Of California

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 24600

    Office

    $503.01

    Facility

    $421.38

    $12.56 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 24600

    Office

    $514.89

    Facility

    $428.27

    $24.44 higher than Austin for the office setting.

  • Salinas

    California · 24600

    Office

    $512.98

    Facility

    $426.65

    $22.53 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 24600

    Office

    $524.15

    Facility

    $435.07

    $33.70 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 24600

    Office

    $594.83

    Facility

    $489.81

    $104.38 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 24600

    Office

    $593.67

    Facility

    $488.65

    $103.22 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 24600

    Office

    $609.20

    Facility

    $501.79

    $118.75 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 24600

    Office

    $604.46

    Facility

    $497.05

    $114.01 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 24600

    Office

    $504.98

    Facility

    $420.14

    $14.53 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 24600

    Office

    $528.37

    Facility

    $437.87

    $37.92 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 24600

    Office

    $514.65

    Facility

    $427.80

    $24.20 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 24600

    Office

    $533.55

    Facility

    $442.09

    $43.10 higher than Austin for the office setting.

  • Stockton

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Vallejo

    California · 24600

    Office

    $562.65

    Facility

    $464.48

    $72.20 higher than Austin for the office setting.

  • Visalia

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Yuba City

    California · 24600

    Office

    $492.07

    Facility

    $410.43

    $1.62 higher than Austin for the office setting.

  • Colorado

    Colorado · 24600

    Office

    $490.09

    Facility

    $410.84

    $0.36 lower than Austin for the office setting.

  • Connecticut

    Connecticut · 24600

    Office

    $509.75

    Facility

    $429.53

    $19.30 higher than Austin for the office setting.

  • Delaware

    Delaware · 24600

    Office

    $470.30

    Facility

    $396.71

    $20.15 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 24600

    Office

    $508.06

    Facility

    $432.61

    $17.61 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 24600

    Office

    $480.56

    Facility

    $409.35

    $9.89 lower than Austin for the office setting.

  • Atlanta

    Georgia · 24600

    Office

    $488.71

    Facility

    $413.03

    $1.74 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 24600

    Office

    $450.74

    Facility

    $384.30

    $39.71 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 24600

    Office

    $503.43

    Facility

    $418.74

    $12.98 higher than Austin for the office setting.

  • Iowa

    Iowa · 24600

    Office

    $430.56

    Facility

    $362.41

    $59.89 lower than Austin for the office setting.

  • Idaho

    Idaho · 24600

    Office

    $434.65

    Facility

    $366.13

    $55.80 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 24600

    Office

    $487.15

    Facility

    $418.63

    $3.30 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 24600

    Office

    $469.69

    Facility

    $401.68

    $20.76 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 24600

    Office

    $512.04

    Facility

    $435.54

    $21.59 higher than Austin for the office setting.

  • Indiana

    Indiana · 24600

    Office

    $437.20

    Facility

    $368.15

    $53.25 lower than Austin for the office setting.

  • Kansas

    Kansas · 24600

    Office

    $430.91

    Facility

    $363.57

    $59.54 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 24600

    Office

    $440.40

    Facility

    $374.19

    $50.05 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 24600

    Office

    $463.55

    Facility

    $393.46

    $26.90 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 24600

    Office

    $440.67

    Facility

    $374.75

    $49.78 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 24600

    Office

    $536.97

    Facility

    $448.04

    $46.52 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 24600

    Office

    $487.91

    Facility

    $409.47

    $2.54 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 24600

    Office

    $508.90

    Facility

    $428.98

    $18.45 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 24600

    Office

    $478.86

    Facility

    $403.49

    $11.59 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 24600

    Office

    $439.73

    Facility

    $371.21

    $50.72 lower than Austin for the office setting.

  • Southern Maine

    Maine · 24600

    Office

    $461.36

    Facility

    $387.54

    $29.09 lower than Austin for the office setting.

  • Detroit

    Michigan · 24600

    Office

    $489.49

    Facility

    $417.62

    $0.96 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 24600

    Office

    $454.90

    Facility

    $386.90

    $35.55 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 24600

    Office

    $461.35

    Facility

    $384.71

    $29.10 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 24600

    Office

    $457.53

    Facility

    $387.59

    $32.92 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 24600

    Office

    $462.29

    Facility

    $391.38

    $28.16 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 24600

    Office

    $434.31

    Facility

    $370.10

    $56.14 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 24600

    Office

    $426.00

    Facility

    $361.87

    $64.45 lower than Austin for the office setting.

  • Montana**

    Montana · 24600

    Office

    $476.56

    Facility

    $402.08

    $13.89 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 24600

    Office

    $444.21

    Facility

    $374.72

    $46.24 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 24600

    Office

    $456.39

    Facility

    $381.91

    $34.06 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 24600

    Office

    $432.32

    Facility

    $363.57

    $58.13 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 24600

    Office

    $484.68

    Facility

    $407.15

    $5.77 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 24600

    Office

    $535.96

    Facility

    $449.55

    $45.51 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 24600

    Office

    $513.25

    Facility

    $431.92

    $22.80 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 24600

    Office

    $458.56

    Facility

    $390.25

    $31.89 lower than Austin for the office setting.

  • Nevada**

    Nevada · 24600

    Office

    $471.24

    Facility

    $396.68

    $19.21 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 24600

    Office

    $571.69

    Facility

    $483.12

    $81.24 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 24600

    Office

    $518.71

    Facility

    $437.15

    $28.26 higher than Austin for the office setting.

  • Queens

    New York · 24600

    Office

    $555.45

    Facility

    $467.41

    $65.00 higher than Austin for the office setting.

  • Rest Of New York

    New York · 24600

    Office

    $451.50

    Facility

    $380.74

    $38.95 lower than Austin for the office setting.

  • Ohio

    Ohio · 24600

    Office

    $450.78

    Facility

    $382.78

    $39.67 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 24600

    Office

    $436.90

    Facility

    $370.39

    $53.55 lower than Austin for the office setting.

  • Portland

    Oregon · 24600

    Office

    $503.52

    Facility

    $420.76

    $13.07 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 24600

    Office

    $465.31

    Facility

    $391.13

    $25.14 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 24600

    Office

    $498.08

    Facility

    $420.54

    $7.63 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 24600

    Office

    $450.13

    Facility

    $381.76

    $40.32 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 24600

    Office

    $479.42

    Facility

    $404.12

    $11.03 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 24600

    Office

    $485.56

    Facility

    $408.62

    $4.89 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 24600

    Office

    $448.70

    Facility

    $379.88

    $41.75 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 24600

    Office

    $454.01

    Facility

    $379.53

    $36.44 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 24600

    Office

    $433.53

    Facility

    $365.83

    $56.92 lower than Austin for the office setting.

  • Utah

    Utah · 24600

    Office

    $455.14

    Facility

    $385.12

    $35.31 lower than Austin for the office setting.

  • Virginia

    Virginia · 24600

    Office

    $461.51

    Facility

    $388.29

    $28.94 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 24600

    Office

    $479.42

    Facility

    $404.12

    $11.03 lower than Austin for the office setting.

  • Vermont

    Vermont · 24600

    Office

    $456.80

    Facility

    $383.06

    $33.65 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 24600

    Office

    $486.25

    Facility

    $407.82

    $4.20 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 24600

    Office

    $545.67

    Facility

    $454.28

    $55.22 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 24600

    Office

    $440.44

    Facility

    $369.09

    $50.01 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 24600

    Office

    $451.98

    Facility

    $387.25

    $38.47 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 24600

    Office

    $467.77

    Facility

    $393.29

    $22.68 lower than Austin for the office setting.

See how rates vary across the country

24600 · 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.

$417.77

$552.00

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$552.001
AL$424.311
AR$417.771
AZ$462.421
CA$492.07–$609.2029
CO$490.091
CT$509.751
DC$541.611
DE$470.301
FL$480.56–$541.033
GA$450.74–$488.712
GU$503.431
HI$503.431
IA$430.561
ID$434.651
IL$469.69–$523.254
IN$437.201
KS$430.911
KY$440.401
LA$440.67–$463.552
MA$487.91–$536.972
MD$478.86–$541.613
ME$439.73–$461.362
MI$454.90–$489.492
MN$461.351
MO$434.31–$462.293
MS$426.001
MT$476.561
NC$444.211
ND$456.391
NE$432.321
NH$484.681
NJ$513.25–$535.962
NM$458.561
NV$471.241
NY$451.50–$571.695
OH$450.781
OK$436.901
OR$465.31–$503.522
PA$450.13–$498.082
PR$479.421
RI$485.561
SC$448.701
SD$454.011
TN$433.531
TX$447.19–$490.458
UT$455.141
VA$461.51–$541.612
VI$479.421
VT$456.801
WA$486.25–$545.672
WI$440.441
WV$451.981
WY$467.771

Explore 24600 on the national rate map →

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.

Why are the office and facility amounts different?

For 24600 in Austin, the physician’s office rate is $490.45 and the facility-setting rate is $411.64: a difference of $78.81.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 24600 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$539.50

$490.45 × 110% = $539.50

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.

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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 24600 in Austin.

PPRRVU2026_Oct_nonQPP.csv

2,345

Code
24600
Physician work
4.26
Practice expense
8.99
Malpractice
1.02

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 24600 in Austin
ComponentRVULocality factorAdjusted
Physician work4.26× 1.0024.2685
Practice expense8.99× 1.0589.5114
Malpractice1.02× 0.8860.9037
Total RVUs14.6837
Conversion factor× 33.4009

Office / nonfacility rate, Austin$490.45

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 24600 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.261.002
Practice expense8.991.058
Malpractice1.020.886

(4.26 × 1.002 + 8.99 × 1.058 + 1.02 × 0.886) × $33.4009 = $490.45

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.261.002
Practice expense6.761.058
Malpractice1.020.886

(4.26 × 1.002 + 6.76 × 1.058 + 1.02 × 0.886) × $33.4009 = $411.64

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

24600 · Office / nonfacility

$490.45

Effective 2026-10-01

The base rate is $98.12 higher than on 2025-10-01, moving from $392.33 to $490.45 (25.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $392.33changed to$490.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.37 changed to 4.26
    • Practice expense RVU 6.64 changed to 8.99
    • Malpractice RVU 0.89 changed to 1.02
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $392.33

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$490.45$411.64RVU26D
2026-07-01$490.45$411.64RVU26C
2026-04-01$490.45$411.64RVU26B
2026-01-01$490.45$411.64RVU26A
2025-10-01$392.33$354.43RVU25D
2025-07-01$392.33$354.43RVU25C
2025-04-01$392.33$354.43RVU25B
2025-01-01$392.33$354.43RVU25A

24600 billing questions

When should 24600 be chosen over 24605?

Use 24600 for closed elbow dislocation treatment performed without anesthesia. Choose 24605 when anesthesia is required for the reduction.

What documentation supports reporting this code?

Document the elbow dislocation, the side treated, and the closed reduction performed without anesthesia. The record should make clear that treatment was for the dislocation rather than a fracture-dislocation or radial head subluxation.

How is bilateral treatment reported?

For treatment of both elbows, report modifier 50; CMS pays the bilateral procedure at 150%.

Is routine follow-up included?

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

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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.

RVUs for 24600PPRRVU2026_Oct_nonQPP.csv, line 2,345 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)