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CMS RVU26D · Effective 2026-10-01

24560 in Delaware

Office / nonfacility

$385.91

Base rate per service

Facility setting

$315.95

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 24560: Closed humeral epicondyle fracture treatment

Reports closed care of a humeral epicondyle fracture managed without manipulation, such as immobilization and ongoing fracture management by the treating clinician.

This code describes closed management of a fracture at a humeral epicondyle near the elbow when the clinician treats the fracture without manipulating the fragments. Care may include immobilization in a cast or splint and the physician’s management of healing. Orthopedic surgeons and other clinicians qualified to manage fractures may provide this service in an office, emergency department, or hospital setting. The fracture must involve an epicondyle of the humerus; a supracondylar or condylar fracture is a different location.

Choose this code when the documented treatment does not involve manipulation, percutaneous skeletal fixation, or open treatment. The record should identify the fracture site and support the closed treatment provided. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment reported with modifier 50, payment is at 150%. Medicare does not pay for an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 24560

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 RVU2.91 · 25%
  • Practice expense (office) RVU8.17 · 70%
  • Malpractice RVU0.62 · 5%

325

Medicare services in 2024 · #3933 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.

24560 compared with similar codes

Office rates for Delaware, from the same CMS release.

24565

Fracture treatment

With manipulation

$593.94

Both codes concern closed treatment of a humeral epicondyle fracture. Choose 24565 when manipulation is performed; choose 24560 when it is not.

24566

Epicondyle fixation

Percutaneous skeletal fixation

No office rate

24566 describes percutaneous skeletal fixation of the epicondylar fracture, unlike 24560, which is closed treatment without manipulation or percutaneous fixation.

24575

Epicondylar fracture repair

Open treatment

No office rate

24575 is for open treatment of the humeral epicondyle fracture. Use 24560 for closed care without manipulation.

24530

Humerus fracture care

Without manipulation

$428.82

24530 concerns a supracondylar humeral fracture, above the condyles. Code 24560 is for a fracture at a humeral epicondyle.

The same code, a different location

How does Delaware compare?

24560 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $385.91

  2. $51.85 higher than Delaware

  3. $61.04 higher than Delaware

  4. Miami

    $433.64

    $47.73 higher than Delaware

  5. Chicago

    $419.65

    $33.74 higher than Delaware

  6. Manhattan

    $453.35

    $67.44 higher than Delaware

  7. Alaska*

    $447.83

    $61.92 higher than Delaware

Other payment areas listed in Delaware 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, 24560 ranges from $342.27 in Arkansas to $512.49 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
  • Alabama

    Alabama · 24560

    Office

    $347.69

    Facility

    $285.73

    $38.22 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 24560

    Office

    $342.27

    Facility

    $281.44

    $43.64 lower than Delaware for the office setting.

  • Arizona

    Arizona · 24560

    Office

    $379.35

    Facility

    $310.73

    $6.56 lower than Delaware for the office setting.

  • Bakersfield

    California · 24560

    Office

    $410.74

    Facility

    $333.13

    $24.83 higher than Delaware for the office setting.

  • Chico

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • El Centro

    California · 24560

    Office

    $409.13

    Facility

    $331.53

    $23.22 higher than Delaware for the office setting.

  • Fresno

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Madera

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Merced

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Modesto

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Napa

    California · 24560

    Office

    $473.50

    Facility

    $380.18

    $87.59 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 24560

    Office

    $435.37

    Facility

    $351.67

    $49.46 higher than Delaware for the office setting.

  • Redding

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Rest Of California

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 24560

    Office

    $415.69

    Facility

    $338.09

    $29.78 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 24560

    Office

    $429.16

    Facility

    $346.81

    $43.25 higher than Delaware for the office setting.

  • Salinas

    California · 24560

    Office

    $427.58

    Facility

    $345.51

    $41.67 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 24560

    Office

    $437.71

    Facility

    $353.02

    $51.80 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 24560

    Office

    $500.70

    Facility

    $400.86

    $114.79 higher than Delaware for the office setting.

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

    California · 24560

    Office

    $500.00

    Facility

    $400.16

    $114.09 higher than Delaware for the office setting.

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

    California · 24560

    Office

    $512.49

    Facility

    $410.38

    $126.58 higher than Delaware for the office setting.

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

    California · 24560

    Office

    $509.61

    Facility

    $407.50

    $123.70 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 24560

    Office

    $420.77

    Facility

    $340.11

    $34.86 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 24560

    Office

    $441.89

    Facility

    $355.86

    $55.98 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 24560

    Office

    $429.20

    Facility

    $346.64

    $43.29 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 24560

    Office

    $446.32

    Facility

    $359.36

    $60.41 higher than Delaware for the office setting.

  • Stockton

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Vallejo

    California · 24560

    Office

    $472.49

    Facility

    $379.16

    $86.58 higher than Delaware for the office setting.

  • Visalia

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Yuba City

    California · 24560

    Office

    $409.03

    Facility

    $331.42

    $23.12 higher than Delaware for the office setting.

  • Colorado

    Colorado · 24560

    Office

    $404.89

    Facility

    $329.54

    $18.98 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 24560

    Office

    $418.10

    Facility

    $341.83

    $32.19 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 24560

    Office

    $411.07

    Facility

    $339.34

    $25.16 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 24560

    Office

    $389.20

    Facility

    $321.51

    $3.29 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 24560

    Office

    $399.61

    Facility

    $327.67

    $13.70 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 24560

    Office

    $365.29

    Facility

    $302.13

    $20.62 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 24560

    Office

    $419.46

    Facility

    $338.95

    $33.55 higher than Delaware for the office setting.

  • Iowa

    Iowa · 24560

    Office

    $355.11

    Facility

    $290.32

    $30.80 lower than Delaware for the office setting.

  • Idaho

    Idaho · 24560

    Office

    $358.05

    Facility

    $292.90

    $27.86 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 24560

    Office

    $389.96

    Facility

    $324.81

    $4.05 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 24560

    Office

    $378.71

    Facility

    $314.06

    $7.20 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 24560

    Office

    $414.83

    Facility

    $342.10

    $28.92 higher than Delaware for the office setting.

  • Indiana

    Indiana · 24560

    Office

    $360.23

    Facility

    $294.58

    $25.68 lower than Delaware for the office setting.

  • Kansas

    Kansas · 24560

    Office

    $354.32

    Facility

    $290.31

    $31.59 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 24560

    Office

    $358.74

    Facility

    $295.79

    $27.17 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 24560

    Office

    $377.51

    Facility

    $310.87

    $8.40 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 24560

    Office

    $358.54

    Facility

    $295.87

    $27.37 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 24560

    Office

    $445.44

    Facility

    $360.89

    $59.53 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 24560

    Office

    $402.60

    Facility

    $328.04

    $16.69 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 24560

    Office

    $417.17

    Facility

    $341.20

    $31.26 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 24560

    Office

    $393.34

    Facility

    $321.68

    $7.43 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 24560

    Office

    $361.13

    Facility

    $295.99

    $24.78 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 24560

    Office

    $380.69

    Facility

    $310.52

    $5.22 lower than Delaware for the office setting.

  • Detroit

    Michigan · 24560

    Office

    $395.45

    Facility

    $327.11

    $9.54 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 24560

    Office

    $369.72

    Facility

    $305.07

    $16.19 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 24560

    Office

    $384.13

    Facility

    $311.26

    $1.78 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 24560

    Office

    $373.67

    Facility

    $307.18

    $12.24 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 24560

    Office

    $377.73

    Facility

    $310.32

    $8.18 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 24560

    Office

    $352.59

    Facility

    $291.56

    $33.32 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 24560

    Office

    $347.45

    Facility

    $286.49

    $38.46 lower than Delaware for the office setting.

  • Montana**

    Montana · 24560

    Office

    $390.75

    Facility

    $319.94

    $4.84 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 24560

    Office

    $365.03

    Facility

    $298.97

    $20.88 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 24560

    Office

    $378.49

    Facility

    $307.68

    $7.42 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 24560

    Office

    $356.90

    Facility

    $291.54

    $29.01 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 24560

    Office

    $399.39

    Facility

    $325.68

    $13.48 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 24560

    Office

    $441.98

    Facility

    $359.84

    $56.07 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 24560

    Office

    $421.79

    Facility

    $344.47

    $35.88 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 24560

    Office

    $372.30

    Facility

    $307.37

    $13.61 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 24560

    Office

    $387.61

    Facility

    $316.72

    $1.70 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 24560

    Office

    $466.33

    Facility

    $382.14

    $80.42 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 24560

    Office

    $425.44

    Facility

    $347.90

    $39.53 higher than Delaware for the office setting.

  • Queens

    New York · 24560

    Office

    $455.83

    Facility

    $372.13

    $69.92 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 24560

    Office

    $371.00

    Facility

    $303.73

    $14.91 lower than Delaware for the office setting.

  • Ohio

    Ohio · 24560

    Office

    $367.22

    Facility

    $302.57

    $18.69 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 24560

    Office

    $356.97

    Facility

    $293.74

    $28.94 lower than Delaware for the office setting.

  • Portland

    Oregon · 24560

    Office

    $417.33

    Facility

    $338.66

    $31.42 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 24560

    Office

    $383.55

    Facility

    $313.02

    $2.36 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 24560

    Office

    $407.73

    Facility

    $334.01

    $21.82 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 24560

    Office

    $367.27

    Facility

    $302.27

    $18.64 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 24560

    Office

    $393.48

    Facility

    $321.89

    $7.57 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 24560

    Office

    $399.41

    Facility

    $326.26

    $13.50 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 24560

    Office

    $366.94

    Facility

    $301.52

    $18.97 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 24560

    Office

    $377.04

    Facility

    $306.23

    $8.87 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 24560

    Office

    $356.37

    Facility

    $292.00

    $29.54 lower than Delaware for the office setting.

  • Austin

    Texas · 24560

    Office

    $404.45

    Facility

    $329.53

    $18.54 higher than Delaware for the office setting.

  • Beaumont

    Texas · 24560

    Office

    $364.76

    Facility

    $300.32

    $21.15 lower than Delaware for the office setting.

  • Brazoria

    Texas · 24560

    Office

    $384.56

    Facility

    $314.38

    $1.35 lower than Delaware for the office setting.

  • Dallas

    Texas · 24560

    Office

    $387.63

    Facility

    $317.11

    $1.72 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 24560

    Office

    $385.17

    Facility

    $315.35

    $0.74 lower than Delaware for the office setting.

  • Galveston

    Texas · 24560

    Office

    $386.10

    Facility

    $315.78

    $0.19 higher than Delaware for the office setting.

  • Houston

    Texas · 24560

    Office

    $397.44

    Facility

    $327.13

    $11.53 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 24560

    Office

    $374.86

    Facility

    $307.67

    $11.05 lower than Delaware for the office setting.

  • Utah

    Utah · 24560

    Office

    $372.31

    Facility

    $305.74

    $13.60 lower than Delaware for the office setting.

  • Virginia

    Virginia · 24560

    Office

    $380.06

    Facility

    $310.46

    $5.85 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 24560

    Office

    $393.48

    Facility

    $321.89

    $7.57 higher than Delaware for the office setting.

  • Vermont

    Vermont · 24560

    Office

    $377.83

    Facility

    $307.73

    $8.08 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 24560

    Office

    $401.57

    Facility

    $327.00

    $15.66 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 24560

    Office

    $453.81

    Facility

    $366.92

    $67.90 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 24560

    Office

    $365.00

    Facility

    $297.16

    $20.91 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 24560

    Office

    $363.97

    Facility

    $302.43

    $21.94 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 24560

    Office

    $385.41

    Facility

    $314.60

    $0.50 lower than Delaware for the office setting.

See how rates vary across the country

24560 · 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.

$342.27

$460.76

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$447.831
AL$347.691
AR$342.271
AZ$379.351
CA$409.03–$512.4929
CO$404.891
CT$418.101
DC$446.951
DE$385.911
FL$389.20–$433.643
GA$365.29–$399.612
GU$419.461
HI$419.461
IA$355.111
ID$358.051
IL$378.71–$419.654
IN$360.231
KS$354.321
KY$358.741
LA$358.54–$377.512
MA$402.60–$445.442
MD$393.34–$446.953
ME$361.13–$380.692
MI$369.72–$395.452
MN$384.131
MO$352.59–$377.733
MS$347.451
MT$390.751
NC$365.031
ND$378.491
NE$356.901
NH$399.391
NJ$421.79–$441.982
NM$372.301
NV$387.611
NY$371.00–$466.335
OH$367.221
OK$356.971
OR$383.55–$417.332
PA$367.27–$407.732
PR$393.481
RI$399.411
SC$366.941
SD$377.041
TN$356.371
TX$364.76–$404.458
UT$372.311
VA$380.06–$446.952
VI$393.481
VT$377.831
WA$401.57–$453.812
WI$365.001
WV$363.971
WY$385.411

Explore 24560 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 24560 in Delaware, the physician’s office rate is $385.91 and the facility-setting rate is $315.95: a difference of $69.96.

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 24560 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$424.50

$385.91 × 110% = $424.50

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 24560 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

2,335

Code
24560
Physician work
2.91
Practice expense
8.17
Malpractice
0.62

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 24560 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.91× 1.0052.9245
Practice expense8.17× 0.9888.0720
Malpractice0.62× 0.8990.5574
Total RVUs11.5539
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$385.91

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

Open 24560 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.911.005
Practice expense8.170.988
Malpractice0.620.899

(2.91 × 1.005 + 8.17 × 0.988 + 0.62 × 0.899) × $33.4009 = $385.91

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.911.005
Practice expense6.050.988
Malpractice0.620.899

(2.91 × 1.005 + 6.05 × 0.988 + 0.62 × 0.899) × $33.4009 = $315.95

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

24560 · Office / nonfacility

$385.91

Effective 2026-10-01

The base rate is $46.90 higher than on 2025-10-01, moving from $339.01 to $385.91 (13.8%).

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

    $339.01changed to$385.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.98 changed to 2.91
    • Practice expense RVU 6.96 changed to 8.17
    • Malpractice RVU 0.60 changed to 0.62
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $339.01

    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$385.91$315.95RVU26D
2026-07-01$385.91$315.95RVU26C
2026-04-01$385.91$315.95RVU26B
2026-01-01$385.91$315.95RVU26A
2025-10-01$339.01$300.50RVU25D
2025-07-01$339.01$300.50RVU25C
2025-04-01$339.01$300.50RVU25B
2025-01-01$339.01$300.50RVU25A

24560 billing questions

When should 24560 be chosen instead of 24565?

Use 24560 when the humeral epicondyle fracture is treated without manipulation. Use 24565 when the clinician manipulates the fracture as part of closed treatment.

Does percutaneous pinning fit this code?

No. Percutaneous skeletal fixation of a humeral epicondyle fracture is represented by 24566, rather than closed treatment without manipulation.

How does 24560 differ from open treatment?

24560 describes closed management without manipulation. When the fracture is treated through an open approach, the related code is 24575.

What documentation supports reporting 24560?

Document that the fracture involves a humeral epicondyle, the closed treatment provided, and that manipulation or fixation was not performed.

What care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care for this fracture treatment.

How is bilateral treatment handled?

When bilateral treatment is reported with modifier 50, Medicare pays at 150% under the CMS rule 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.

RVUs for 24560PPRRVU2026_Oct_nonQPP.csv, line 2,335 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)