No office rate
Both address open treatment around the elbow; 24587 is distinguished by external fixation, while 24586 includes internal fixation when performed.
On this page
CMS RVU26D · Effective 2026-10-01
24586 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$962.07
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 24586: Open elbow periarticular fracture treatment
Open surgery treats a fracture and/or dislocation around the elbow, with internal fixation included when performed as part of the repair.
An orthopedic or trauma surgeon uses an open approach to treat a fracture and/or dislocation involving the area around the elbow joint. The operation may restore alignment and stabilize the injury with internal fixation. This code is suited to an operative injury pattern described as periarticular, rather than a separately defined fracture type that has its own more specific treatment code. These cases are generally performed in an operating room, often in a hospital or other surgical facility.
Report the code when the operative record supports open treatment of the periarticular injury; internal fixation performed as part of that treatment is included. Document the fracture and dislocation pattern, operative approach, reduction, and stabilization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24586
- 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 RVU15.39 · 52%
- Practice expense (office) RVU11.09 · 37%
- Malpractice RVU3.14 · 11%
478
Medicare services in 2024 · #3603 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.
24586 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Use 24579 when the operative diagnosis is a humeral condylar fracture covered by that specific code. 24586 describes periarticular elbow fracture and/or dislocation treatment.
No office rate
24685 is for open treatment of an olecranon fracture. 24586 is for periarticular fracture and/or dislocation treatment around the elbow.
$467.77
24600 describes closed treatment of an elbow dislocation; 24586 is reported for open operative treatment of a periarticular fracture and/or dislocation.
The same code, a different location
How does Wyoming** compare?
24586 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 24586
Office
Unavailable
Facility
$897.52
No comparable office rate is available.
Arkansas
Arkansas · 24586
Office
Unavailable
Facility
$886.24
No comparable office rate is available.
Arizona
Arizona · 24586
Office
Unavailable
Facility
$962.75
No comparable office rate is available.
Bakersfield
California · 24586
Office
Unavailable
Facility
$993.65
No comparable office rate is available.
Chico
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
El Centro
California · 24586
Office
Unavailable
Facility
$985.49
No comparable office rate is available.
Fresno
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Hanford-Corcoran
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Madera
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Merced
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Modesto
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Napa
California · 24586
Office
Unavailable
Facility
$1087.91
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24586
Office
Unavailable
Facility
$1031.60
No comparable office rate is available.
Redding
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Rest Of California
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24586
Office
Unavailable
Facility
$1018.73
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24586
Office
Unavailable
Facility
$1019.55
No comparable office rate is available.
Salinas
California · 24586
Office
Unavailable
Facility
$1015.50
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24586
Office
Unavailable
Facility
$1029.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24586
Office
Unavailable
Facility
$1133.30
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24586
Office
Unavailable
Facility
$1129.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24586
Office
Unavailable
Facility
$1160.94
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24586
Office
Unavailable
Facility
$1146.36
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24586
Office
Unavailable
Facility
$1000.90
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24586
Office
Unavailable
Facility
$1031.11
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24586
Office
Unavailable
Facility
$1016.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24586
Office
Unavailable
Facility
$1040.55
No comparable office rate is available.
Stockton
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Vallejo
California · 24586
Office
Unavailable
Facility
$1082.77
No comparable office rate is available.
Visalia
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Yuba City
California · 24586
Office
Unavailable
Facility
$984.97
No comparable office rate is available.
Colorado
Colorado · 24586
Office
Unavailable
Facility
$996.24
No comparable office rate is available.
Connecticut
Connecticut · 24586
Office
Unavailable
Facility
$1050.16
No comparable office rate is available.
Delaware
Delaware · 24586
Office
Unavailable
Facility
$976.87
No comparable office rate is available.
Fort Lauderdale
Florida · 24586
Office
Unavailable
Facility
$1078.89
No comparable office rate is available.
Rest Of Florida
Florida · 24586
Office
Unavailable
Facility
$1025.79
No comparable office rate is available.
Atlanta
Georgia · 24586
Office
Unavailable
Facility
$1017.88
No comparable office rate is available.
Rest Of Georgia
Georgia · 24586
Office
Unavailable
Facility
$969.47
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24586
Office
Unavailable
Facility
$995.93
No comparable office rate is available.
Iowa
Iowa · 24586
Office
Unavailable
Facility
$894.61
No comparable office rate is available.
Idaho
Idaho · 24586
Office
Unavailable
Facility
$904.43
No comparable office rate is available.
East St. Louis
Illinois · 24586
Office
Unavailable
Facility
$1066.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 24586
Office
Unavailable
Facility
$1016.16
No comparable office rate is available.
Suburban Chicago
Illinois · 24586
Office
Unavailable
Facility
$1083.90
No comparable office rate is available.
Indiana
Indiana · 24586
Office
Unavailable
Facility
$908.39
No comparable office rate is available.
Kansas
Kansas · 24586
Office
Unavailable
Facility
$901.75
No comparable office rate is available.
Kentucky
Kentucky · 24586
Office
Unavailable
Facility
$939.30
No comparable office rate is available.
New Orleans
Louisiana · 24586
Office
Unavailable
Facility
$981.74
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24586
Office
Unavailable
Facility
$942.33
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24586
Office
Unavailable
Facility
$1070.73
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24586
Office
Unavailable
Facility
$995.90
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24586
Office
Unavailable
Facility
$1049.46
No comparable office rate is available.
Rest Of Maryland
Maryland · 24586
Office
Unavailable
Facility
$990.32
No comparable office rate is available.
Rest Of Maine
Maine · 24586
Office
Unavailable
Facility
$920.06
No comparable office rate is available.
Southern Maine
Maine · 24586
Office
Unavailable
Facility
$947.30
No comparable office rate is available.
Detroit
Michigan · 24586
Office
Unavailable
Facility
$1048.32
No comparable office rate is available.
Rest Of Michigan
Michigan · 24586
Office
Unavailable
Facility
$970.64
No comparable office rate is available.
Minnesota
Minnesota · 24586
Office
Unavailable
Facility
$926.24
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24586
Office
Unavailable
Facility
$964.33
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24586
Office
Unavailable
Facility
$971.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 24586
Office
Unavailable
Facility
$935.49
No comparable office rate is available.
Mississippi
Mississippi · 24586
Office
Unavailable
Facility
$910.47
No comparable office rate is available.
Montana**
Montana · 24586
Office
Unavailable
Facility
$989.12
No comparable office rate is available.
North Carolina
North Carolina · 24586
Office
Unavailable
Facility
$926.66
No comparable office rate is available.
North Dakota**
North Dakota · 24586
Office
Unavailable
Facility
$927.04
No comparable office rate is available.
Nebraska
Nebraska · 24586
Office
Unavailable
Facility
$895.58
No comparable office rate is available.
New Hampshire
New Hampshire · 24586
Office
Unavailable
Facility
$991.41
No comparable office rate is available.
Northern Nj
New Jersey · 24586
Office
Unavailable
Facility
$1088.12
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24586
Office
Unavailable
Facility
$1054.15
No comparable office rate is available.
New Mexico
New Mexico · 24586
Office
Unavailable
Facility
$979.67
No comparable office rate is available.
Nevada**
Nevada · 24586
Office
Unavailable
Facility
$972.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24586
Office
Unavailable
Facility
$1182.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24586
Office
Unavailable
Facility
$1069.68
No comparable office rate is available.
Queens
New York · 24586
Office
Unavailable
Facility
$1136.01
No comparable office rate is available.
Rest Of New York
New York · 24586
Office
Unavailable
Facility
$939.66
No comparable office rate is available.
Ohio
Ohio · 24586
Office
Unavailable
Facility
$957.95
No comparable office rate is available.
Oklahoma
Oklahoma · 24586
Office
Unavailable
Facility
$926.31
No comparable office rate is available.
Portland
Oregon · 24586
Office
Unavailable
Facility
$1011.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 24586
Office
Unavailable
Facility
$956.70
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24586
Office
Unavailable
Facility
$1034.02
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24586
Office
Unavailable
Facility
$953.19
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24586
Office
Unavailable
Facility
$991.84
No comparable office rate is available.
Rhode Island
Rhode Island · 24586
Office
Unavailable
Facility
$1000.00
No comparable office rate is available.
South Carolina
South Carolina · 24586
Office
Unavailable
Facility
$945.45
No comparable office rate is available.
South Dakota**
South Dakota · 24586
Office
Unavailable
Facility
$919.70
No comparable office rate is available.
Tennessee
Tennessee · 24586
Office
Unavailable
Facility
$907.07
No comparable office rate is available.
Austin
Texas · 24586
Office
Unavailable
Facility
$999.89
No comparable office rate is available.
Beaumont
Texas · 24586
Office
Unavailable
Facility
$948.55
No comparable office rate is available.
Brazoria
Texas · 24586
Office
Unavailable
Facility
$967.04
No comparable office rate is available.
Dallas
Texas · 24586
Office
Unavailable
Facility
$977.59
No comparable office rate is available.
Fort Worth
Texas · 24586
Office
Unavailable
Facility
$975.25
No comparable office rate is available.
Galveston
Texas · 24586
Office
Unavailable
Facility
$972.81
No comparable office rate is available.
Houston
Texas · 24586
Office
Unavailable
Facility
$1030.29
No comparable office rate is available.
Rest Of Texas
Texas · 24586
Office
Unavailable
Facility
$960.27
No comparable office rate is available.
Utah
Utah · 24586
Office
Unavailable
Facility
$956.41
No comparable office rate is available.
Virginia
Virginia · 24586
Office
Unavailable
Facility
$952.20
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24586
Office
Unavailable
Facility
$991.84
No comparable office rate is available.
Vermont
Vermont · 24586
Office
Unavailable
Facility
$933.82
No comparable office rate is available.
Rest Of Washington
Washington · 24586
Office
Unavailable
Facility
$990.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24586
Office
Unavailable
Facility
$1079.93
No comparable office rate is available.
Wisconsin
Wisconsin · 24586
Office
Unavailable
Facility
$901.20
No comparable office rate is available.
West Virginia
West Virginia · 24586
Office
Unavailable
Facility
$986.01
No comparable office rate is available.
See how rates vary across the country
24586 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 24586 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1058.28
$962.07 × 110% = $1058.28
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 24586 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,343
- Code
- 24586
- Physician work
- 15.39
- Practice expense
- 11.09
- Malpractice
- 3.14
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.39 | × 1.000 | 15.3900 |
| Practice expense | 11.09 | × 1.000 | 11.0900 |
| Malpractice | 3.14 | × 0.740 | 2.3236 |
| Total RVUs | 28.8036 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$962.07
Open 24586 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.39 | 1 |
| Practice expense | 11.09 | 1 |
| Malpractice | 3.14 | 0.74 |
(15.39 × 1 + 11.09 × 1 + 3.14 × 0.74) × $33.4009 = $962.07
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
24586 · 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 | $962.07 | RVU26D |
| 2026-07-01 | Not available in this setting | $962.07 | RVU26C |
| 2026-04-01 | Not available in this setting | $962.07 | RVU26B |
| 2026-01-01 | Not available in this setting | $962.07 | RVU26A |
| 2025-10-01 | Not available in this setting | $1041.11 | RVU25D |
| 2025-07-01 | Not available in this setting | $1041.11 | RVU25C |
| 2025-04-01 | Not available in this setting | $1041.11 | RVU25B |
| 2025-01-01 | Not available in this setting | $1041.11 | RVU25A |
24586 billing questions
When should I choose 24586 instead of 24587?
Use 24586 for open treatment when external fixation is not part of the reported service. Use 24587 when the operative treatment includes external fixation.
Is internal fixation separately reported with 24586?
Internal fixation performed as part of the open treatment is included in 24586. The record should describe the repair and stabilization performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. This applies to care related to the operation.
Can modifier 50 be used when both elbows are treated?
CMS lists this as a bilateral procedure: reporting with modifier 50 is paid at 150%. The operative documentation should support treatment on both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment.
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.
2,34024577,,Cltx humrl cndylr fx w/mnpj,A,,5.86,11.39,,7.81,,1.25,18.50,14.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34124579,,Optx humrl cndylr fracture,A,,11.15,9.91,NA,9.91,,2.30,23.36,23.36,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34224582,,Prq skel fix humrl cndylr fx,A,,9.89,11.45,NA,11.45,,2.10,23.44,23.44,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34324586,,Optx partclr fx&/dislc elbow,A,,15.39,11.09,NA,11.09,,3.14,29.62,29.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34424587,,Optx partclr fx&/dslc elbw w,A,,15.40,11.25,NA,11.25,,3.27,29.92,29.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34524600,,Tx clsd elbow dislc w/o anes,A,,4.26,8.99,,6.76,,1.02,14.27,12.04,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34624605,,Tx clsd elbow dislc req anes,A,,5.50,7.65,NA,7.65,,1.20,14.35,14.35,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,