$351.99
24670 describes closed treatment of a proximal ulna fracture without manipulation. Use 24685 when the fracture receives open surgical treatment.
On this page
CMS RVU26D · Effective 2026-10-01
24685 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$629.23
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 24685: Open treatment of proximal ulna fracture
Open surgical treatment of a proximal ulna fracture, such as an olecranon fracture, with internal fixation when performed.
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.
CMS billing rules for 24685
- 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 RVU8.16 · 44%
- Practice expense (office) RVU8.80 · 47%
- Malpractice RVU1.67 · 9%
9.7K
Medicare services in 2024 · #1484 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.
24685 compared with similar codes
Office rates for Chico, from the same CMS release.
$534.79
24675 is for closed treatment with manipulation. It does not describe open surgical treatment of the fracture.
No office rate
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.
No office rate
24665 covers open treatment of a radial head or neck fracture. Code 24685 concerns the proximal ulna, a different bone.
The same code, a different location
How does Chico compare?
24685 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 24685
Office
Unavailable
Facility
$629.23
No comparable office rate is available.
Modesto
California · 24685
Office
Unavailable
Facility
$629.23
No comparable office rate is available.
Napa
California · 24685
Office
Unavailable
Facility
$705.46
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24685
Office
Unavailable
Facility
$662.36
No comparable office rate is available.
Redding
California · 24685
Office
Unavailable
Facility
$629.23
No comparable office rate is available.
Rest Of California
California · 24685
Office
Unavailable
Facility
$629.23
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24685
Office
Unavailable
Facility
$647.18
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24685
Office
Unavailable
Facility
$654.10
No comparable office rate is available.
Salinas
California · 24685
Office
Unavailable
Facility
$651.56
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24685
Office
Unavailable
Facility
$662.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24685
Office
Unavailable
Facility
$738.48
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24685
Office
Unavailable
Facility
$736.59
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24685
Office
Unavailable
Facility
$756.27
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24685
Office
Unavailable
Facility
$748.52
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24685
Office
Unavailable
Facility
$641.87
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24685
Office
Unavailable
Facility
$665.30
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24685
Office
Unavailable
Facility
$652.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24685
Office
Unavailable
Facility
$671.57
No comparable office rate is available.
Stockton
California · 24685
Office
Unavailable
Facility
$629.23
No comparable office rate is available.
Vallejo
California · 24685
Office
Unavailable
Facility
$702.72
No comparable office rate is available.
Visalia
California · 24685
Office
Unavailable
Facility
$629.23
No comparable office rate is available.
Yuba City
California · 24685
Office
Unavailable
Facility
$629.23
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 24685
Office
Unavailable
Facility
$695.60
No comparable office rate is available.
Miami
Florida · 24685
Office
Unavailable
Facility
$719.60
No comparable office rate is available.
Chicago
Illinois · 24685
Office
Unavailable
Facility
$697.87
No comparable office rate is available.
Manhattan
New York · 24685
Office
Unavailable
Facility
$720.01
No comparable office rate is available.
Alaska*
Alaska · 24685
Office
Unavailable
Facility
$752.59
No comparable office rate is available.
Alabama
Alabama · 24685
Office
Unavailable
Facility
$561.31
No comparable office rate is available.
Arkansas
Arkansas · 24685
Office
Unavailable
Facility
$553.76
No comparable office rate is available.
Arizona
Arizona · 24685
Office
Unavailable
Facility
$605.11
No comparable office rate is available.
Colorado
Colorado · 24685
Office
Unavailable
Facility
$632.13
No comparable office rate is available.
Connecticut
Connecticut · 24685
Office
Unavailable
Facility
$662.06
No comparable office rate is available.
Delaware
Delaware · 24685
Office
Unavailable
Facility
$614.46
No comparable office rate is available.
Fort Lauderdale
Florida · 24685
Office
Unavailable
Facility
$671.15
No comparable office rate is available.
Rest Of Florida
Florida · 24685
Office
Unavailable
Facility
$637.38
No comparable office rate is available.
Atlanta
Georgia · 24685
Office
Unavailable
Facility
$638.99
No comparable office rate is available.
Rest Of Georgia
Georgia · 24685
Office
Unavailable
Facility
$601.22
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24685
Office
Unavailable
Facility
$639.04
No comparable office rate is available.
Iowa
Iowa · 24685
Office
Unavailable
Facility
$563.64
No comparable office rate is available.
Idaho
Idaho · 24685
Office
Unavailable
Facility
$569.35
No comparable office rate is available.
East St. Louis
Illinois · 24685
Office
Unavailable
Facility
$655.30
No comparable office rate is available.
Rest Of Illinois
Illinois · 24685
Office
Unavailable
Facility
$628.09
No comparable office rate is available.
Suburban Chicago
Illinois · 24685
Office
Unavailable
Facility
$675.16
No comparable office rate is available.
Indiana
Indiana · 24685
Office
Unavailable
Facility
$572.13
No comparable office rate is available.
Kansas
Kansas · 24685
Office
Unavailable
Facility
$566.38
No comparable office rate is available.
Kentucky
Kentucky · 24685
Office
Unavailable
Facility
$584.89
No comparable office rate is available.
New Orleans
Louisiana · 24685
Office
Unavailable
Facility
$612.50
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24685
Office
Unavailable
Facility
$586.11
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24685
Office
Unavailable
Facility
$684.32
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24685
Office
Unavailable
Facility
$630.87
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24685
Office
Unavailable
Facility
$661.30
No comparable office rate is available.
Rest Of Maryland
Maryland · 24685
Office
Unavailable
Facility
$623.94
No comparable office rate is available.
Rest Of Maine
Maine · 24685
Office
Unavailable
Facility
$577.66
No comparable office rate is available.
Southern Maine
Maine · 24685
Office
Unavailable
Facility
$599.03
No comparable office rate is available.
Detroit
Michigan · 24685
Office
Unavailable
Facility
$650.24
No comparable office rate is available.
Rest Of Michigan
Michigan · 24685
Office
Unavailable
Facility
$603.88
No comparable office rate is available.
Minnesota
Minnesota · 24685
Office
Unavailable
Facility
$591.51
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24685
Office
Unavailable
Facility
$603.05
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24685
Office
Unavailable
Facility
$608.26
No comparable office rate is available.
Rest Of Missouri
Missouri · 24685
Office
Unavailable
Facility
$580.25
No comparable office rate is available.
Mississippi
Mississippi · 24685
Office
Unavailable
Facility
$566.84
No comparable office rate is available.
Montana**
Montana · 24685
Office
Unavailable
Facility
$622.15
No comparable office rate is available.
North Carolina
North Carolina · 24685
Office
Unavailable
Facility
$582.43
No comparable office rate is available.
North Dakota**
North Dakota · 24685
Office
Unavailable
Facility
$589.13
No comparable office rate is available.
Nebraska
Nebraska · 24685
Office
Unavailable
Facility
$564.93
No comparable office rate is available.
New Hampshire
New Hampshire · 24685
Office
Unavailable
Facility
$627.34
No comparable office rate is available.
Northern Nj
New Jersey · 24685
Office
Unavailable
Facility
$690.25
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24685
Office
Unavailable
Facility
$665.61
No comparable office rate is available.
New Mexico
New Mexico · 24685
Office
Unavailable
Facility
$609.07
No comparable office rate is available.
Nevada**
Nevada · 24685
Office
Unavailable
Facility
$613.24
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24685
Office
Unavailable
Facility
$743.06
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24685
Office
Unavailable
Facility
$674.16
No comparable office rate is available.
Queens
New York · 24685
Office
Unavailable
Facility
$717.85
No comparable office rate is available.
Rest Of New York
New York · 24685
Office
Unavailable
Facility
$591.00
No comparable office rate is available.
Ohio
Ohio · 24685
Office
Unavailable
Facility
$597.13
No comparable office rate is available.
Oklahoma
Oklahoma · 24685
Office
Unavailable
Facility
$578.37
No comparable office rate is available.
Portland
Oregon · 24685
Office
Unavailable
Facility
$644.97
No comparable office rate is available.
Rest Of Oregon
Oregon · 24685
Office
Unavailable
Facility
$604.52
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24685
Office
Unavailable
Facility
$649.98
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24685
Office
Unavailable
Facility
$595.09
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24685
Office
Unavailable
Facility
$624.66
No comparable office rate is available.
Rhode Island
Rhode Island · 24685
Office
Unavailable
Facility
$631.11
No comparable office rate is available.
South Carolina
South Carolina · 24685
Office
Unavailable
Facility
$591.55
No comparable office rate is available.
South Dakota**
South Dakota · 24685
Office
Unavailable
Facility
$585.22
No comparable office rate is available.
Tennessee
Tennessee · 24685
Office
Unavailable
Facility
$569.69
No comparable office rate is available.
Austin
Texas · 24685
Office
Unavailable
Facility
$633.49
No comparable office rate is available.
Beaumont
Texas · 24685
Office
Unavailable
Facility
$591.84
No comparable office rate is available.
Brazoria
Texas · 24685
Office
Unavailable
Facility
$609.52
No comparable office rate is available.
Dallas
Texas · 24685
Office
Unavailable
Facility
$615.62
No comparable office rate is available.
Fort Worth
Texas · 24685
Office
Unavailable
Facility
$613.40
No comparable office rate is available.
Galveston
Texas · 24685
Office
Unavailable
Facility
$612.79
No comparable office rate is available.
Houston
Texas · 24685
Office
Unavailable
Facility
$643.35
No comparable office rate is available.
Rest Of Texas
Texas · 24685
Office
Unavailable
Facility
$601.86
No comparable office rate is available.
Utah
Utah · 24685
Office
Unavailable
Facility
$598.93
No comparable office rate is available.
Virginia
Virginia · 24685
Office
Unavailable
Facility
$600.86
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24685
Office
Unavailable
Facility
$624.66
No comparable office rate is available.
Vermont
Vermont · 24685
Office
Unavailable
Facility
$591.76
No comparable office rate is available.
Rest Of Washington
Washington · 24685
Office
Unavailable
Facility
$628.05
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24685
Office
Unavailable
Facility
$692.40
No comparable office rate is available.
Wisconsin
Wisconsin · 24685
Office
Unavailable
Facility
$571.31
No comparable office rate is available.
West Virginia
West Virginia · 24685
Office
Unavailable
Facility
$607.80
No comparable office rate is available.
Wyoming**
Wyoming · 24685
Office
Unavailable
Facility
$607.76
No comparable office rate is available.
See how rates vary across the country
24685 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 24685 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$692.15
$629.23 × 110% = $692.15
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 24685 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,357
- Code
- 24685
- Physician work
- 8.16
- Practice expense
- 8.80
- Malpractice
- 1.67
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.16 | × 1.017 | 8.2987 |
| Practice expense | 8.80 | × 1.096 | 9.6448 |
| Malpractice | 1.67 | × 0.536 | 0.8951 |
| Total RVUs | 18.8386 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$629.23
Open 24685 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.16 | 1.017 |
| Practice expense | 8.8 | 1.096 |
| Malpractice | 1.67 | 0.536 |
(8.16 × 1.017 + 8.8 × 1.096 + 1.67 × 0.536) × $33.4009 = $629.23
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
24685 · 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 | $629.23 | RVU26D |
| 2026-07-01 | Not available in this setting | $629.23 | RVU26C |
| 2026-04-01 | Not available in this setting | $629.23 | RVU26B |
| 2026-01-01 | Not available in this setting | $629.23 | RVU26A |
| 2025-10-01 | Not available in this setting | $662.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $662.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $662.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $662.21 | RVU25A |
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 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.
2,35424666,,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
2,35824800,,Arthrodesis elbw joint local,A,,11.12,9.89,NA,9.89,,2.37,23.38,23.38,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35924802,,Arthrd elbow jt autog graft,A,,13.96,10.80,NA,10.80,,2.98,27.74,27.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36024900,,Amputation of upper arm,A,,9.93,9.52,NA,9.52,,2.11,21.56,21.56,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536