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CMS RVU26D · Effective 2026-10-01

24640 in Redding

Office / nonfacility

$109.69

Base rate per service

Facility setting

$73.81

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 procedure

About 24640: Closed reduction of nursemaid's elbow

Reports manipulation to reduce a young child's radial head subluxation, commonly after traction on the arm, when the diagnosis is nursemaid's elbow.

This service covers a clinician's manipulation to reduce radial head subluxation in a young child, commonly after an adult pulls or lifts the child by the hand or forearm. A pediatrician, emergency physician, or orthopedist may perform the reduction in an office or emergency department. Typical maneuvers involve rotating the forearm and flexing the elbow; the clinician assesses the child afterward for restored use of the arm.

Select this code when the documented condition is radial head subluxation and the clinician performs the reduction, rather than treating an elbow dislocation or fracture. Document the history and examination supporting the diagnosis, the manipulation performed, and the child's response. Related postoperative visits are included for 10 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 24640

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.22 · 39%
  • Practice expense (office) RVU1.83 · 59%
  • Malpractice RVU0.07 · 2%

15

Medicare services in 2024 · #6059 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.

24640 compared with similar codes

Office rates for Redding, from the same CMS release.

24600

Elbow reduction

Without anesthesia

$492.07

24600 is for closed treatment of an elbow dislocation without anesthesia. Use 24640 when the diagnosis is radial head subluxation in a child.

24605

Elbow reduction

With anesthesia

No office rate

24605 addresses closed treatment of an elbow dislocation requiring anesthesia; 24640 is for manipulation of nursemaid's elbow.

24650

Radial fracture care

Head or neck, no manipulation

$316.21

24650 is for a radial head or neck fracture treated without manipulation. Choose 24640 for radial head subluxation, not a fracture.

24655

Fracture reduction

With manipulation

$552.75

24655 treats a radial head or neck fracture with manipulation. The diagnosis for 24640 is subluxation, not fracture.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 24640 is $109.94—$0.25 higher than the $109.69 rate in Redding. Both use the same code, release and participation basis.

24640 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $109.69

  2. Bakersfield

    $109.94

    $0.25 higher than Redding

  3. Chico

    $109.69

    The same base rate than Redding

  4. El Centro

    $109.70

    $0.01 higher than Redding

  5. Fresno

    $109.69

    The same base rate than Redding

  6. Hanford-Corcoran

    $109.69

    The same base rate than Redding

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

    $116.28

    $6.59 higher than Redding

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, 24640 ranges from $94.46 in Arkansas to $134.62 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 · 24640

    Office

    $109.69

    Facility

    $73.81

    The same base rate than Redding for the office setting.

  • Merced

    California · 24640

    Office

    $109.69

    Facility

    $73.81

    The same base rate than Redding for the office setting.

  • Modesto

    California · 24640

    Office

    $109.69

    Facility

    $73.81

    The same base rate than Redding for the office setting.

  • Napa

    California · 24640

    Office

    $125.06

    Facility

    $81.92

    $15.37 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 24640

    Office

    $115.59

    Facility

    $76.90

    $5.90 higher than Redding for the office setting.

  • Rest Of California

    California · 24640

    Office

    $109.69

    Facility

    $73.81

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 24640

    Office

    $110.47

    Facility

    $74.59

    $0.78 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 24640

    Office

    $114.56

    Facility

    $76.49

    $4.87 higher than Redding for the office setting.

  • Salinas

    California · 24640

    Office

    $114.11

    Facility

    $76.17

    $4.42 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 24640

    Office

    $116.34

    Facility

    $77.19

    $6.65 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 24640

    Office

    $131.88

    Facility

    $85.72

    $22.19 higher than Redding for the office setting.

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

    California · 24640

    Office

    $131.80

    Facility

    $85.64

    $22.11 higher than Redding for the office setting.

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

    California · 24640

    Office

    $134.62

    Facility

    $87.42

    $24.93 higher than Redding for the office setting.

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

    California · 24640

    Office

    $134.30

    Facility

    $87.10

    $24.61 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 24640

    Office

    $112.31

    Facility

    $75.03

    $2.62 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 24640

    Office

    $117.12

    Facility

    $77.35

    $7.43 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 24640

    Office

    $114.41

    Facility

    $76.25

    $4.72 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 24640

    Office

    $118.28

    Facility

    $78.09

    $8.59 higher than Redding for the office setting.

  • Stockton

    California · 24640

    Office

    $109.69

    Facility

    $73.81

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 24640

    Office

    $124.95

    Facility

    $81.81

    $15.26 higher than Redding for the office setting.

  • Visalia

    California · 24640

    Office

    $109.69

    Facility

    $73.81

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 24640

    Office

    $109.69

    Facility

    $73.81

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 24640

    Office

    $117.56

    Facility

    $79.00

    $7.87 higher than Redding for the office setting.

  • Miami

    Florida · 24640

    Office

    $110.29

    Facility

    $76.22

    $0.60 higher than Redding for the office setting.

  • Chicago

    Illinois · 24640

    Office

    $107.83

    Facility

    $74.93

    $1.86 lower than Redding for the office setting.

  • Manhattan

    New York · 24640

    Office

    $118.09

    Facility

    $80.06

    $8.40 higher than Redding for the office setting.

  • Alaska*

    Alaska · 24640

    Office

    $127.51

    Facility

    $92.65

    $17.82 higher than Redding for the office setting.

  • Alabama

    Alabama · 24640

    Office

    $95.56

    Facility

    $66.91

    $14.13 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 24640

    Office

    $94.46

    Facility

    $66.34

    $15.23 lower than Redding for the office setting.

  • Arizona

    Arizona · 24640

    Office

    $101.98

    Facility

    $70.26

    $7.71 lower than Redding for the office setting.

  • Colorado

    Colorado · 24640

    Office

    $108.10

    Facility

    $73.27

    $1.59 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 24640

    Office

    $110.22

    Facility

    $74.97

    $0.53 higher than Redding for the office setting.

  • Delaware

    Delaware · 24640

    Office

    $103.44

    Facility

    $71.10

    $6.25 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 24640

    Office

    $106.89

    Facility

    $73.74

    $2.80 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 24640

    Office

    $102.70

    Facility

    $71.40

    $6.99 lower than Redding for the office setting.

  • Atlanta

    Georgia · 24640

    Office

    $105.78

    Facility

    $72.52

    $3.91 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 24640

    Office

    $98.06

    Facility

    $68.86

    $11.63 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 24640

    Office

    $111.60

    Facility

    $74.38

    $1.91 higher than Redding for the office setting.

  • Iowa

    Iowa · 24640

    Office

    $97.61

    Facility

    $67.65

    $12.08 lower than Redding for the office setting.

  • Idaho

    Idaho · 24640

    Office

    $98.09

    Facility

    $67.97

    $11.60 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 24640

    Office

    $101.69

    Facility

    $71.58

    $8.00 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 24640

    Office

    $100.21

    Facility

    $70.32

    $9.48 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 24640

    Office

    $107.95

    Facility

    $74.33

    $1.74 lower than Redding for the office setting.

  • Indiana

    Indiana · 24640

    Office

    $98.55

    Facility

    $68.20

    $11.14 lower than Redding for the office setting.

  • Kansas

    Kansas · 24640

    Office

    $97.18

    Facility

    $67.59

    $12.51 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 24640

    Office

    $97.23

    Facility

    $68.13

    $12.46 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 24640

    Office

    $100.92

    Facility

    $70.12

    $8.77 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 24640

    Office

    $97.08

    Facility

    $68.11

    $12.61 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 24640

    Office

    $117.48

    Facility

    $78.40

    $7.79 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 24640

    Office

    $107.63

    Facility

    $73.16

    $2.06 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 24640

    Office

    $109.88

    Facility

    $74.76

    $0.19 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 24640

    Office

    $105.16

    Facility

    $72.03

    $4.53 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 24640

    Office

    $98.44

    Facility

    $68.32

    $11.25 lower than Redding for the office setting.

  • Southern Maine

    Maine · 24640

    Office

    $102.80

    Facility

    $70.36

    $6.89 lower than Redding for the office setting.

  • Detroit

    Michigan · 24640

    Office

    $103.68

    Facility

    $72.09

    $6.01 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 24640

    Office

    $99.19

    Facility

    $69.31

    $10.50 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 24640

    Office

    $104.34

    Facility

    $70.66

    $5.35 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 24640

    Office

    $100.43

    Facility

    $69.69

    $9.26 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 24640

    Office

    $101.28

    Facility

    $70.12

    $8.41 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 24640

    Office

    $95.71

    Facility

    $67.50

    $13.98 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 24640

    Office

    $95.10

    Facility

    $66.92

    $14.59 lower than Redding for the office setting.

  • Montana**

    Montana · 24640

    Office

    $104.21

    Facility

    $71.47

    $5.48 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 24640

    Office

    $99.27

    Facility

    $68.73

    $10.42 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 24640

    Office

    $102.82

    Facility

    $70.09

    $6.87 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 24640

    Office

    $98.05

    Facility

    $67.84

    $11.64 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 24640

    Office

    $106.42

    Facility

    $72.35

    $3.27 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 24640

    Office

    $116.72

    Facility

    $78.75

    $7.03 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 24640

    Office

    $111.69

    Facility

    $75.95

    $2.00 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 24640

    Office

    $99.61

    Facility

    $69.59

    $10.08 lower than Redding for the office setting.

  • Nevada**

    Nevada · 24640

    Office

    $103.88

    Facility

    $71.12

    $5.81 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 24640

    Office

    $120.37

    Facility

    $81.46

    $10.68 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 24640

    Office

    $112.34

    Facility

    $76.50

    $2.65 higher than Redding for the office setting.

  • Queens

    New York · 24640

    Office

    $118.98

    Facility

    $80.29

    $9.29 higher than Redding for the office setting.

  • Rest Of New York

    New York · 24640

    Office

    $100.46

    Facility

    $69.36

    $9.23 lower than Redding for the office setting.

  • Ohio

    Ohio · 24640

    Office

    $98.91

    Facility

    $69.03

    $10.78 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 24640

    Office

    $97.15

    Facility

    $67.92

    $12.54 lower than Redding for the office setting.

  • Portland

    Oregon · 24640

    Office

    $111.05

    Facility

    $74.68

    $1.36 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 24640

    Office

    $103.27

    Facility

    $70.67

    $6.42 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 24640

    Office

    $107.90

    Facility

    $73.83

    $1.79 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 24640

    Office

    $99.07

    Facility

    $69.02

    $10.62 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 24640

    Office

    $104.85

    Facility

    $71.76

    $4.84 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 24640

    Office

    $106.75

    Facility

    $72.94

    $2.94 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 24640

    Office

    $99.21

    Facility

    $68.97

    $10.48 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 24640

    Office

    $102.66

    Facility

    $69.93

    $7.03 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 24640

    Office

    $97.57

    Facility

    $67.81

    $12.12 lower than Redding for the office setting.

  • Austin

    Texas · 24640

    Office

    $107.57

    Facility

    $72.94

    $2.12 lower than Redding for the office setting.

  • Beaumont

    Texas · 24640

    Office

    $98.54

    Facility

    $68.76

    $11.15 lower than Redding for the office setting.

  • Brazoria

    Texas · 24640

    Office

    $103.47

    Facility

    $71.03

    $6.22 lower than Redding for the office setting.

  • Dallas

    Texas · 24640

    Office

    $104.00

    Facility

    $71.40

    $5.69 lower than Redding for the office setting.

  • Fort Worth

    Texas · 24640

    Office

    $103.42

    Facility

    $71.15

    $6.27 lower than Redding for the office setting.

  • Galveston

    Texas · 24640

    Office

    $103.71

    Facility

    $71.20

    $5.98 lower than Redding for the office setting.

  • Houston

    Texas · 24640

    Office

    $104.99

    Facility

    $72.48

    $4.70 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 24640

    Office

    $100.87

    Facility

    $69.80

    $8.82 lower than Redding for the office setting.

  • Utah

    Utah · 24640

    Office

    $100.30

    Facility

    $69.54

    $9.39 lower than Redding for the office setting.

  • Virginia

    Virginia · 24640

    Office

    $102.48

    Facility

    $70.31

    $7.21 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 24640

    Office

    $104.85

    Facility

    $71.76

    $4.84 lower than Redding for the office setting.

  • Vermont

    Vermont · 24640

    Office

    $102.44

    Facility

    $70.04

    $7.25 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 24640

    Office

    $107.42

    Facility

    $72.95

    $2.27 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 24640

    Office

    $119.70

    Facility

    $79.53

    $10.01 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 24640

    Office

    $100.03

    Facility

    $68.67

    $9.66 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 24640

    Office

    $97.21

    Facility

    $68.77

    $12.48 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 24640

    Office

    $103.60

    Facility

    $70.87

    $6.09 lower than Redding for the office setting.

See how rates vary across the country

24640 · 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.

$94.46

$127.51

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$127.511
AL$95.561
AR$94.461
AZ$101.981
CA$109.69–$134.6229
CO$108.101
CT$110.221
DC$117.561
DE$103.441
FL$102.70–$110.293
GA$98.06–$105.782
GU$111.601
HI$111.601
IA$97.611
ID$98.091
IL$100.21–$107.954
IN$98.551
KS$97.181
KY$97.231
LA$97.08–$100.922
MA$107.63–$117.482
MD$105.16–$117.563
ME$98.44–$102.802
MI$99.19–$103.682
MN$104.341
MO$95.71–$101.283
MS$95.101
MT$104.211
NC$99.271
ND$102.821
NE$98.051
NH$106.421
NJ$111.69–$116.722
NM$99.611
NV$103.881
NY$100.46–$120.375
OH$98.911
OK$97.151
OR$103.27–$111.052
PA$99.07–$107.902
PR$104.851
RI$106.751
SC$99.211
SD$102.661
TN$97.571
TX$98.54–$107.578
UT$100.301
VA$102.48–$117.562
VI$104.851
VT$102.441
WA$107.42–$119.702
WI$100.031
WV$97.211
WY$103.601

Explore 24640 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 24640 in Redding, the physician’s office rate is $109.69 and the facility-setting rate is $73.81: a difference of $35.88.

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 24640 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$120.66

$109.69 × 110% = $120.66

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.

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 24640 in Redding.

PPRRVU2026_Oct_nonQPP.csv

2,350

Code
24640
Physician work
1.22
Practice expense
1.83
Malpractice
0.07

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 24640 in Redding
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0171.2407
Practice expense1.83× 1.0962.0057
Malpractice0.07× 0.5360.0375
Total RVUs3.2839
Conversion factor× 33.4009

Office / nonfacility rate, Redding$109.69

Open 24640 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense1.831.096
Malpractice0.070.536

(1.22 × 1.017 + 1.83 × 1.096 + 0.07 × 0.536) × $33.4009 = $109.69

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense0.851.096
Malpractice0.070.536

(1.22 × 1.017 + 0.85 × 1.096 + 0.07 × 0.536) × $33.4009 = $73.81

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

24640 · Office / nonfacility

$109.69

Effective 2026-10-01

The base rate is $3.60 higher than on 2025-10-01, moving from $106.09 to $109.69 (3.4%).

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

    $106.09changed to$109.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Practice expense RVU 1.80 changed to 1.83
    • Malpractice RVU 0.08 changed to 0.07
    • 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: $106.09

    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$109.69$73.81RVU26D
2026-07-01$109.69$73.81RVU26C
2026-04-01$109.69$73.81RVU26B
2026-01-01$109.69$73.81RVU26A
2025-10-01$106.09$79.92RVU25D
2025-07-01$106.09$79.92RVU25C
2025-04-01$106.09$79.92RVU25B
2025-01-01$106.09$79.92RVU25A

24640 billing questions

How is this different from an elbow dislocation code?

Use 24640 for radial head subluxation, commonly called nursemaid's elbow. Codes 24600 and 24605 describe closed treatment of an elbow dislocation, a different diagnosis.

Can this code be used for a radial head fracture?

No. For a radial head or neck fracture, select the fracture-treatment code that matches the treatment performed, such as 24650 or 24655.

Does the code include the reduction maneuver?

Yes. The manipulation to reduce the subluxation is the service represented by 24640; do not report a separate reduction code for that same maneuver.

What documentation supports reporting 24640?

Document findings consistent with radial head subluxation, the manipulation performed, and the child's response, such as return of comfortable arm use.

How does the 10-day global period affect follow-up?

Related postoperative visits during the 10-day global period are included in the procedure payment.

How is bilateral treatment reported?

For treatment of both elbows, modifier 50 is paid at 150% under the CMS bilateral rule supplied 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 24640PPRRVU2026_Oct_nonQPP.csv, line 2,350 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet