No office rate
Code 24400 describes humeral osteotomy, with or without internal fixation. Code 24420 applies when the operative service is osteoplasty, such as changing humeral length or shape.
On this page
CMS RVU26D · Effective 2026-10-01
24420 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1009.69
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 24420: Humeral bone reshaping or lengthening
Corrective humeral surgery that reshapes or changes bone length, reported for procedures such as shortening or lengthening the upper-arm bone.
This operation changes the shape or length of the humerus to correct a deformity or length discrepancy. An orthopedic surgeon typically performs it in an operating room, with or without fixation as needed to maintain the correction. The documented work should show that the humerus itself was reshaped or its length altered, rather than simply treating a fracture-healing problem.
Report the code when the operative work is humeral osteoplasty, not a single or multiple humeral osteotomy or repair of a nonunion or malunion. The record should identify the indication, side, bone work performed, and any fixation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral reporting with modifier 50, payment is at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24420
- 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 RVU13.39 · 45%
- Practice expense (office) RVU13.75 · 46%
- Malpractice RVU2.85 · 10%
49
Medicare services in 2024 · #5363 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.
24420 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Code 24410 is for multiple osteotomies of the humeral shaft. Code 24420 is not selected simply because the correction involves the humerus; the operative technique and purpose must support osteoplasty.
No office rate
Code 24430 addresses repair of a humeral nonunion or malunion without graft. Use 24420 for humeral reshaping or length alteration when the service is not repair of a nonunion or malunion.
No office rate
Code 24435 describes nonunion or malunion repair with graft. The graft-supported repair distinguishes it from humeral osteoplasty reported with 24420.
The same code, a different location
How does El Centro compare?
24420 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 24420
Office
Unavailable
Facility
$1009.22
No comparable office rate is available.
Modesto
California · 24420
Office
Unavailable
Facility
$1009.22
No comparable office rate is available.
Napa
California · 24420
Office
Unavailable
Facility
$1129.08
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24420
Office
Unavailable
Facility
$1061.91
No comparable office rate is available.
Redding
California · 24420
Office
Unavailable
Facility
$1009.22
No comparable office rate is available.
Rest Of California
California · 24420
Office
Unavailable
Facility
$1009.22
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24420
Office
Unavailable
Facility
$1039.84
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24420
Office
Unavailable
Facility
$1048.48
No comparable office rate is available.
Salinas
California · 24420
Office
Unavailable
Facility
$1044.41
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24420
Office
Unavailable
Facility
$1061.53
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24420
Office
Unavailable
Facility
$1180.98
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24420
Office
Unavailable
Facility
$1177.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24420
Office
Unavailable
Facility
$1209.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24420
Office
Unavailable
Facility
$1196.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24420
Office
Unavailable
Facility
$1028.96
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24420
Office
Unavailable
Facility
$1065.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24420
Office
Unavailable
Facility
$1046.28
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24420
Office
Unavailable
Facility
$1075.65
No comparable office rate is available.
Stockton
California · 24420
Office
Unavailable
Facility
$1009.22
No comparable office rate is available.
Vallejo
California · 24420
Office
Unavailable
Facility
$1124.42
No comparable office rate is available.
Visalia
California · 24420
Office
Unavailable
Facility
$1009.22
No comparable office rate is available.
Yuba City
California · 24420
Office
Unavailable
Facility
$1009.22
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 24420
Office
Unavailable
Facility
$1118.35
No comparable office rate is available.
Miami
Florida · 24420
Office
Unavailable
Facility
$1166.07
No comparable office rate is available.
Chicago
Illinois · 24420
Office
Unavailable
Facility
$1130.39
No comparable office rate is available.
Manhattan
New York · 24420
Office
Unavailable
Facility
$1160.50
No comparable office rate is available.
Alaska*
Alaska · 24420
Office
Unavailable
Facility
$1212.42
No comparable office rate is available.
Alabama
Alabama · 24420
Office
Unavailable
Facility
$902.97
No comparable office rate is available.
Arkansas
Arkansas · 24420
Office
Unavailable
Facility
$890.77
No comparable office rate is available.
Arizona
Arizona · 24420
Office
Unavailable
Facility
$973.75
No comparable office rate is available.
Colorado
Colorado · 24420
Office
Unavailable
Facility
$1015.61
No comparable office rate is available.
Connecticut
Connecticut · 24420
Office
Unavailable
Facility
$1065.99
No comparable office rate is available.
Delaware
Delaware · 24420
Office
Unavailable
Facility
$988.80
No comparable office rate is available.
Fort Lauderdale
Florida · 24420
Office
Unavailable
Facility
$1084.58
No comparable office rate is available.
Rest Of Florida
Florida · 24420
Office
Unavailable
Facility
$1029.37
No comparable office rate is available.
Atlanta
Georgia · 24420
Office
Unavailable
Facility
$1029.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 24420
Office
Unavailable
Facility
$970.37
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24420
Office
Unavailable
Facility
$1024.54
No comparable office rate is available.
Iowa
Iowa · 24420
Office
Unavailable
Facility
$905.25
No comparable office rate is available.
Idaho
Idaho · 24420
Office
Unavailable
Facility
$914.79
No comparable office rate is available.
East St. Louis
Illinois · 24420
Office
Unavailable
Facility
$1061.48
No comparable office rate is available.
Rest Of Illinois
Illinois · 24420
Office
Unavailable
Facility
$1015.33
No comparable office rate is available.
Suburban Chicago
Illinois · 24420
Office
Unavailable
Facility
$1090.71
No comparable office rate is available.
Indiana
Indiana · 24420
Office
Unavailable
Facility
$919.24
No comparable office rate is available.
Kansas
Kansas · 24420
Office
Unavailable
Facility
$910.39
No comparable office rate is available.
Kentucky
Kentucky · 24420
Office
Unavailable
Facility
$942.62
No comparable office rate is available.
New Orleans
Louisiana · 24420
Office
Unavailable
Facility
$987.54
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24420
Office
Unavailable
Facility
$944.88
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24420
Office
Unavailable
Facility
$1098.66
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24420
Office
Unavailable
Facility
$1013.87
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24420
Office
Unavailable
Facility
$1064.94
No comparable office rate is available.
Rest Of Maryland
Maryland · 24420
Office
Unavailable
Facility
$1003.87
No comparable office rate is available.
Rest Of Maine
Maine · 24420
Office
Unavailable
Facility
$928.97
No comparable office rate is available.
Southern Maine
Maine · 24420
Office
Unavailable
Facility
$962.43
No comparable office rate is available.
Detroit
Michigan · 24420
Office
Unavailable
Facility
$1050.92
No comparable office rate is available.
Rest Of Michigan
Michigan · 24420
Office
Unavailable
Facility
$974.02
No comparable office rate is available.
Minnesota
Minnesota · 24420
Office
Unavailable
Facility
$948.00
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24420
Office
Unavailable
Facility
$971.49
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24420
Office
Unavailable
Facility
$979.84
No comparable office rate is available.
Rest Of Missouri
Missouri · 24420
Office
Unavailable
Facility
$935.84
No comparable office rate is available.
Mississippi
Mississippi · 24420
Office
Unavailable
Facility
$913.01
No comparable office rate is available.
Montana**
Montana · 24420
Office
Unavailable
Facility
$1001.50
No comparable office rate is available.
North Carolina
North Carolina · 24420
Office
Unavailable
Facility
$936.56
No comparable office rate is available.
North Dakota**
North Dakota · 24420
Office
Unavailable
Facility
$945.15
No comparable office rate is available.
Nebraska
Nebraska · 24420
Office
Unavailable
Facility
$907.12
No comparable office rate is available.
New Hampshire
New Hampshire · 24420
Office
Unavailable
Facility
$1008.62
No comparable office rate is available.
Northern Nj
New Jersey · 24420
Office
Unavailable
Facility
$1109.82
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24420
Office
Unavailable
Facility
$1071.07
No comparable office rate is available.
New Mexico
New Mexico · 24420
Office
Unavailable
Facility
$982.71
No comparable office rate is available.
Nevada**
Nevada · 24420
Office
Unavailable
Facility
$986.26
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24420
Office
Unavailable
Facility
$1198.70
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24420
Office
Unavailable
Facility
$1085.44
No comparable office rate is available.
Queens
New York · 24420
Office
Unavailable
Facility
$1155.98
No comparable office rate is available.
Rest Of New York
New York · 24420
Office
Unavailable
Facility
$950.46
No comparable office rate is available.
Ohio
Ohio · 24420
Office
Unavailable
Facility
$962.50
No comparable office rate is available.
Oklahoma
Oklahoma · 24420
Office
Unavailable
Facility
$931.32
No comparable office rate is available.
Portland
Oregon · 24420
Office
Unavailable
Facility
$1035.46
No comparable office rate is available.
Rest Of Oregon
Oregon · 24420
Office
Unavailable
Facility
$971.58
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24420
Office
Unavailable
Facility
$1046.95
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24420
Office
Unavailable
Facility
$958.80
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24420
Office
Unavailable
Facility
$1005.32
No comparable office rate is available.
Rhode Island
Rhode Island · 24420
Office
Unavailable
Facility
$1015.07
No comparable office rate is available.
South Carolina
South Carolina · 24420
Office
Unavailable
Facility
$952.51
No comparable office rate is available.
South Dakota**
South Dakota · 24420
Office
Unavailable
Facility
$938.49
No comparable office rate is available.
Tennessee
Tennessee · 24420
Office
Unavailable
Facility
$915.83
No comparable office rate is available.
Austin
Texas · 24420
Office
Unavailable
Facility
$1018.37
No comparable office rate is available.
Beaumont
Texas · 24420
Office
Unavailable
Facility
$953.60
No comparable office rate is available.
Brazoria
Texas · 24420
Office
Unavailable
Facility
$980.20
No comparable office rate is available.
Dallas
Texas · 24420
Office
Unavailable
Facility
$990.36
No comparable office rate is available.
Fort Worth
Texas · 24420
Office
Unavailable
Facility
$987.01
No comparable office rate is available.
Galveston
Texas · 24420
Office
Unavailable
Facility
$985.68
No comparable office rate is available.
Houston
Texas · 24420
Office
Unavailable
Facility
$1037.85
No comparable office rate is available.
Rest Of Texas
Texas · 24420
Office
Unavailable
Facility
$969.04
No comparable office rate is available.
Utah
Utah · 24420
Office
Unavailable
Facility
$964.43
No comparable office rate is available.
Virginia
Virginia · 24420
Office
Unavailable
Facility
$965.90
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24420
Office
Unavailable
Facility
$1005.32
No comparable office rate is available.
Vermont
Vermont · 24420
Office
Unavailable
Facility
$950.08
No comparable office rate is available.
Rest Of Washington
Washington · 24420
Office
Unavailable
Facility
$1009.10
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24420
Office
Unavailable
Facility
$1110.89
No comparable office rate is available.
Wisconsin
Wisconsin · 24420
Office
Unavailable
Facility
$916.53
No comparable office rate is available.
West Virginia
West Virginia · 24420
Office
Unavailable
Facility
$982.56
No comparable office rate is available.
Wyoming**
Wyoming · 24420
Office
Unavailable
Facility
$976.94
No comparable office rate is available.
See how rates vary across the country
24420 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 24420 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1110.66
$1009.69 × 110% = $1110.66
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 24420 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,320
- Code
- 24420
- Physician work
- 13.39
- Practice expense
- 13.75
- Malpractice
- 2.85
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.39 | × 1.017 | 13.6176 |
| Practice expense | 13.75 | × 1.096 | 15.0700 |
| Malpractice | 2.85 | × 0.541 | 1.5419 |
| Total RVUs | 30.2295 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1009.69
Open 24420 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.39 | 1.017 |
| Practice expense | 13.75 | 1.096 |
| Malpractice | 2.85 | 0.541 |
(13.39 × 1.017 + 13.75 × 1.096 + 2.85 × 0.541) × $33.4009 = $1009.69
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
24420 · 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 | $1009.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $1009.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $1009.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $1009.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $1061.27 | RVU25D |
| 2025-07-01 | Not available in this setting | $1061.27 | RVU25C |
| 2025-04-01 | Not available in this setting | $1061.27 | RVU25B |
| 2025-01-01 | Not available in this setting | $1061.27 | RVU25A |
24420 billing questions
How is this different from humeral osteotomy code 24400?
Use 24420 for reshaping or changing the length of the humerus. Code 24400 describes an osteotomy, where the operative approach is cutting the bone to correct its position or alignment.
When would code 24410 be more appropriate?
Code 24410 is for multiple osteotomies of the humeral shaft, such as a correction using multiple bone cuts. Choose 24420 when the documented procedure is humeral osteoplasty.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
For bilateral performance, report modifier 50; CMS payment for the bilateral procedure is at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
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.
2,31724371,,Revise reconst elbow joint,A,,26.81,14.88,NA,14.88,,5.36,47.05,47.05,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31824400,,Osteot humerus w/wo int fixj,A,,11.05,9.81,NA,9.81,,2.34,23.20,23.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31924410,,Mlt osteot rlgnm imed rd hum,A,,14.73,11.39,NA,11.39,,3.13,29.25,29.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32024420,,Osteoplasty humerus,A,,13.39,13.75,NA,13.75,,2.85,29.99,29.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32124430,,Rpr non/mal humerus wo graft,A,,14.87,11.10,NA,11.10,,3.06,29.03,29.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32224435,,Rpr non/mal hum with agrft,A,,14.62,12.39,NA,12.39,,3.05,30.06,30.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32324470,,Hemiepiphyseal arrest,A,,8.71,8.56,NA,8.56,,1.85,19.12,19.12,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664