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CMS RVU26D · Effective 2026-10-01

24650 in Modesto

Office / nonfacility

$316.21

Base rate per service

Facility setting

$268.99

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 fracture care

About 24650: Closed treatment of radial head or neck fracture without manipulation

Report this code when a clinician provides definitive nonsurgical care for a radial head or neck fracture without repositioning the bone.

This service covers closed treatment of a fracture at the radial head or neck near the elbow when the clinician accepts the bone’s position without manipulation. An orthopedist or other treating clinician may provide this care in an office or facility setting, often using a sling or other support and arranging follow-up. A stable radial head fracture is a typical example. The distinction is whether the clinician takes responsibility for definitive fracture treatment, rather than providing temporary support before referral.

Report one service for the treated fracture and document the fracture location, the decision not to manipulate it, and the treatment plan. Medicare assigns a 90-day global period that 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 the others at 50%. Bilateral treatment reported with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 24650

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 RVU2.25 · 25%
  • Practice expense (office) RVU6.33 · 70%
  • Malpractice RVU0.45 · 5%

6K

Medicare services in 2024 · #1758 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.

24650 compared with similar codes

Office rates for Modesto, from the same CMS release.

24655

Fracture reduction

With manipulation

$552.75

Both describe closed care of a radial head or neck fracture. Choose 24655 if the clinician manipulates the fracture; choose 24650 if treatment proceeds without repositioning.

24665

Radial head surgery

Without prosthetic replacement

No office rate

24665 is for open treatment of the radial head or neck fracture. Choose 24650 when treatment remains closed and requires no manipulation.

24670

Fracture care

Without manipulation

$351.99

Both involve closed fracture treatment without manipulation near the elbow. Choose by the fractured bone: 24650 for the radial head or neck, 24670 for the proximal ulna.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 24650 is $317.46—$1.25 higher than the $316.21 rate in Modesto. Both use the same code, release and participation basis.

24650 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $316.21

  2. Bakersfield

    $317.46

    $1.25 higher than Modesto

  3. Chico

    $316.21

    The same base rate than Modesto

  4. El Centro

    $316.29

    $0.08 higher than Modesto

  5. Fresno

    $316.21

    The same base rate than Modesto

  6. Hanford-Corcoran

    $316.21

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $338.33

    $22.12 higher than Modesto

Other payment areas listed in California 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, 24650 ranges from $264.51 in Arkansas to $396.35 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

  • Madera

    California · 24650

    Office

    $316.21

    Facility

    $268.99

    The same base rate than Modesto for the office setting.

  • Merced

    California · 24650

    Office

    $316.21

    Facility

    $268.99

    The same base rate than Modesto for the office setting.

  • Napa

    California · 24650

    Office

    $366.18

    Facility

    $309.39

    $49.97 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 24650

    Office

    $336.53

    Facility

    $285.60

    $20.32 higher than Modesto for the office setting.

  • Redding

    California · 24650

    Office

    $316.21

    Facility

    $268.99

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 24650

    Office

    $316.21

    Facility

    $268.99

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 24650

    Office

    $321.05

    Facility

    $273.83

    $4.84 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 24650

    Office

    $331.80

    Facility

    $281.69

    $15.59 higher than Modesto for the office setting.

  • Salinas

    California · 24650

    Office

    $330.58

    Facility

    $280.64

    $14.37 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 24650

    Office

    $338.42

    Facility

    $286.89

    $22.21 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 24650

    Office

    $387.30

    Facility

    $326.55

    $71.09 higher than Modesto for the office setting.

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

    California · 24650

    Office

    $386.79

    Facility

    $326.04

    $70.58 higher than Modesto for the office setting.

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

    California · 24650

    Office

    $396.35

    Facility

    $334.22

    $80.14 higher than Modesto for the office setting.

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

    California · 24650

    Office

    $394.26

    Facility

    $332.13

    $78.05 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 24650

    Office

    $325.30

    Facility

    $276.23

    $9.09 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 24650

    Office

    $341.67

    Facility

    $289.32

    $25.46 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 24650

    Office

    $331.84

    Facility

    $281.60

    $15.63 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 24650

    Office

    $345.10

    Facility

    $292.19

    $28.89 higher than Modesto for the office setting.

  • Stockton

    California · 24650

    Office

    $316.21

    Facility

    $268.99

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 24650

    Office

    $365.45

    Facility

    $308.66

    $49.24 higher than Modesto for the office setting.

  • Visalia

    California · 24650

    Office

    $316.21

    Facility

    $268.99

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 24650

    Office

    $316.21

    Facility

    $268.99

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 24650

    Office

    $345.00

    Facility

    $294.24

    $28.79 higher than Modesto for the office setting.

  • Miami

    Florida · 24650

    Office

    $333.26

    Facility

    $288.41

    $17.05 higher than Modesto for the office setting.

  • Chicago

    Illinois · 24650

    Office

    $322.66

    Facility

    $279.36

    $6.45 higher than Modesto for the office setting.

  • Manhattan

    New York · 24650

    Office

    $349.48

    Facility

    $299.41

    $33.27 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 24650

    Office

    $346.18

    Facility

    $300.29

    $29.97 higher than Modesto for the office setting.

  • Alabama

    Alabama · 24650

    Office

    $268.66

    Facility

    $230.96

    $47.55 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 24650

    Office

    $264.51

    Facility

    $227.50

    $51.70 lower than Modesto for the office setting.

  • Arizona

    Arizona · 24650

    Office

    $292.89

    Facility

    $251.14

    $23.32 lower than Modesto for the office setting.

  • Colorado

    Colorado · 24650

    Office

    $312.75

    Facility

    $266.91

    $3.46 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 24650

    Office

    $322.55

    Facility

    $276.14

    $6.34 higher than Modesto for the office setting.

  • Delaware

    Delaware · 24650

    Office

    $297.93

    Facility

    $255.36

    $18.28 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 24650

    Office

    $316.50

    Facility

    $272.86

    $0.29 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 24650

    Office

    $299.87

    Facility

    $258.68

    $16.34 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 24650

    Office

    $308.24

    Facility

    $264.46

    $7.97 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 24650

    Office

    $281.66

    Facility

    $243.23

    $34.55 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 24650

    Office

    $324.25

    Facility

    $275.26

    $8.04 higher than Modesto for the office setting.

  • Iowa

    Iowa · 24650

    Office

    $274.58

    Facility

    $235.15

    $41.63 lower than Modesto for the office setting.

  • Idaho

    Idaho · 24650

    Office

    $276.77

    Facility

    $237.13

    $39.44 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 24650

    Office

    $299.94

    Facility

    $260.30

    $16.27 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 24650

    Office

    $291.68

    Facility

    $252.34

    $24.53 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 24650

    Office

    $319.45

    Facility

    $275.20

    $3.24 higher than Modesto for the office setting.

  • Indiana

    Indiana · 24650

    Office

    $278.45

    Facility

    $238.51

    $37.76 lower than Modesto for the office setting.

  • Kansas

    Kansas · 24650

    Office

    $273.86

    Facility

    $234.91

    $42.35 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 24650

    Office

    $276.86

    Facility

    $238.56

    $39.35 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 24650

    Office

    $291.18

    Facility

    $250.64

    $25.03 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 24650

    Office

    $276.66

    Facility

    $238.53

    $39.55 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 24650

    Office

    $344.05

    Facility

    $292.61

    $27.84 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 24650

    Office

    $310.97

    Facility

    $265.60

    $5.24 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 24650

    Office

    $321.81

    Facility

    $275.58

    $5.60 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 24650

    Office

    $303.67

    Facility

    $260.06

    $12.54 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 24650

    Office

    $279.01

    Facility

    $239.37

    $37.20 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 24650

    Office

    $294.16

    Facility

    $251.46

    $22.05 lower than Modesto for the office setting.

  • Detroit

    Michigan · 24650

    Office

    $304.52

    Facility

    $262.94

    $11.69 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 24650

    Office

    $285.15

    Facility

    $245.82

    $31.06 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 24650

    Office

    $297.16

    Facility

    $252.82

    $19.05 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 24650

    Office

    $288.37

    Facility

    $247.91

    $27.84 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 24650

    Office

    $291.49

    Facility

    $250.47

    $24.72 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 24650

    Office

    $272.04

    Facility

    $234.90

    $44.17 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 24650

    Office

    $268.30

    Facility

    $231.20

    $47.91 lower than Modesto for the office setting.

  • Montana**

    Montana · 24650

    Office

    $301.58

    Facility

    $258.49

    $14.63 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 24650

    Office

    $282.02

    Facility

    $241.82

    $34.19 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 24650

    Office

    $292.68

    Facility

    $249.59

    $23.53 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 24650

    Office

    $275.98

    Facility

    $236.21

    $40.23 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 24650

    Office

    $308.40

    Facility

    $263.55

    $7.81 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 24650

    Office

    $341.20

    Facility

    $291.21

    $24.99 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 24650

    Office

    $325.53

    Facility

    $278.47

    $9.32 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 24650

    Office

    $287.08

    Facility

    $247.57

    $29.13 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 24650

    Office

    $299.31

    Facility

    $256.18

    $16.90 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 24650

    Office

    $359.26

    Facility

    $308.03

    $43.05 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 24650

    Office

    $328.23

    Facility

    $281.05

    $12.02 higher than Modesto for the office setting.

  • Queens

    New York · 24650

    Office

    $351.54

    Facility

    $300.61

    $35.33 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 24650

    Office

    $286.57

    Facility

    $245.64

    $29.64 lower than Modesto for the office setting.

  • Ohio

    Ohio · 24650

    Office

    $283.34

    Facility

    $244.00

    $32.87 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 24650

    Office

    $275.64

    Facility

    $237.16

    $40.57 lower than Modesto for the office setting.

  • Portland

    Oregon · 24650

    Office

    $322.43

    Facility

    $274.56

    $6.22 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 24650

    Office

    $296.30

    Facility

    $253.39

    $19.91 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 24650

    Office

    $314.53

    Facility

    $269.68

    $1.68 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 24650

    Office

    $283.45

    Facility

    $243.89

    $32.76 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 24650

    Office

    $303.71

    Facility

    $260.15

    $12.50 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 24650

    Office

    $308.39

    Facility

    $263.88

    $7.82 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 24650

    Office

    $283.29

    Facility

    $243.47

    $32.92 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 24650

    Office

    $291.63

    Facility

    $248.54

    $24.58 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 24650

    Office

    $275.41

    Facility

    $236.24

    $40.80 lower than Modesto for the office setting.

  • Austin

    Texas · 24650

    Office

    $312.31

    Facility

    $266.72

    $3.90 lower than Modesto for the office setting.

  • Beaumont

    Texas · 24650

    Office

    $281.51

    Facility

    $242.31

    $34.70 lower than Modesto for the office setting.

  • Brazoria

    Texas · 24650

    Office

    $297.00

    Facility

    $254.30

    $19.21 lower than Modesto for the office setting.

  • Dallas

    Texas · 24650

    Office

    $299.31

    Facility

    $256.39

    $16.90 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 24650

    Office

    $297.39

    Facility

    $254.90

    $18.82 lower than Modesto for the office setting.

  • Galveston

    Texas · 24650

    Office

    $298.15

    Facility

    $255.36

    $18.06 lower than Modesto for the office setting.

  • Houston

    Texas · 24650

    Office

    $306.38

    Facility

    $263.60

    $9.83 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 24650

    Office

    $289.37

    Facility

    $248.48

    $26.84 lower than Modesto for the office setting.

  • Utah

    Utah · 24650

    Office

    $287.39

    Facility

    $246.89

    $28.82 lower than Modesto for the office setting.

  • Virginia

    Virginia · 24650

    Office

    $293.60

    Facility

    $251.24

    $22.61 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 24650

    Office

    $303.71

    Facility

    $260.15

    $12.50 lower than Modesto for the office setting.

  • Vermont

    Vermont · 24650

    Office

    $292.07

    Facility

    $249.41

    $24.14 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 24650

    Office

    $310.20

    Facility

    $264.83

    $6.01 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 24650

    Office

    $350.61

    Facility

    $297.74

    $34.40 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 24650

    Office

    $282.33

    Facility

    $241.05

    $33.88 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 24650

    Office

    $280.39

    Facility

    $242.95

    $35.82 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 24650

    Office

    $297.70

    Facility

    $254.62

    $18.51 lower than Modesto for the office setting.

See how rates vary across the country

24650 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$264.51

$356.28

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$346.181
AL$268.661
AR$264.511
AZ$292.891
CA$316.21–$396.3529
CO$312.751
CT$322.551
DC$345.001
DE$297.931
FL$299.87–$333.263
GA$281.66–$308.242
GU$324.251
HI$324.251
IA$274.581
ID$276.771
IL$291.68–$322.664
IN$278.451
KS$273.861
KY$276.861
LA$276.66–$291.182
MA$310.97–$344.052
MD$303.67–$345.003
ME$279.01–$294.162
MI$285.15–$304.522
MN$297.161
MO$272.04–$291.493
MS$268.301
MT$301.581
NC$282.021
ND$292.681
NE$275.981
NH$308.401
NJ$325.53–$341.202
NM$287.081
NV$299.311
NY$286.57–$359.265
OH$283.341
OK$275.641
OR$296.30–$322.432
PA$283.45–$314.532
PR$303.711
RI$308.391
SC$283.291
SD$291.631
TN$275.411
TX$281.51–$312.318
UT$287.391
VA$293.60–$345.002
VI$303.711
VT$292.071
WA$310.20–$350.612
WI$282.331
WV$280.391
WY$297.701

Explore 24650 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 24650 in Modesto, the physician’s office rate is $316.21 and the facility-setting rate is $268.99: a difference of $47.22.

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 24650 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$347.83

$316.21 × 110% = $347.83

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

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 24650 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

2,351

Code
24650
Physician work
2.25
Practice expense
6.33
Malpractice
0.45

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 24650 in Modesto
ComponentRVULocality factorAdjusted
Physician work2.25× 1.0172.2882
Practice expense6.33× 1.0966.9377
Malpractice0.45× 0.5360.2412
Total RVUs9.4671
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$316.21

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

Open 24650 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.251.017
Practice expense6.331.096
Malpractice0.450.536

(2.25 × 1.017 + 6.33 × 1.096 + 0.45 × 0.536) × $33.4009 = $316.21

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.251.017
Practice expense5.041.096
Malpractice0.450.536

(2.25 × 1.017 + 5.04 × 1.096 + 0.45 × 0.536) × $33.4009 = $268.99

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

24650 · Office / nonfacility

$316.21

Effective 2026-10-01

The base rate is $31.99 higher than on 2025-10-01, moving from $284.22 to $316.21 (11.3%).

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

    $284.22changed to$316.21

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.31 changed to 2.25
    • Practice expense RVU 5.65 changed to 6.33
    • Malpractice RVU 0.48 changed to 0.45
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $284.22

    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$316.21$268.99RVU26D
2026-07-01$316.21$268.99RVU26C
2026-04-01$316.21$268.99RVU26B
2026-01-01$316.21$268.99RVU26A
2025-10-01$284.22$264.06RVU25D
2025-07-01$284.22$264.06RVU25C
2025-04-01$284.22$264.06RVU25B
2025-01-01$284.22$264.06RVU25A

24650 billing questions

When should 24655 be reported instead?

Use 24655 when closed treatment of the radial head or neck fracture requires manipulation to reposition the bone. Use 24650 when the clinician treats the fracture in its existing position.

Does a sling provided before referral support reporting 24650?

A temporary sling alone does not establish definitive fracture care. The record should show that the reporting clinician assumed responsibility for treating the radial head or neck fracture.

Are follow-up visits for the fracture separately reported?

Medicare includes 90 days of related postoperative care in this code’s global period, along with the day-before preoperative visit.

How is treatment of fractures on both sides reported?

Report bilateral treatment with modifier 50 when the requirements for bilateral reporting are met. Medicare pays this code at 150% when reported bilaterally.

What happens if another procedure is performed in the same session?

The standard multiple procedure reduction applies: Medicare pays the highest-valued procedure in full and other procedures at 50%.

Can an assistant, co-surgeon, or surgical team be reported for 24650?

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 24650PPRRVU2026_Oct_nonQPP.csv, line 2,351 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet