Both address supracondylar or transcondylar humeral fractures. Choose 24530 for care without manipulation and 24535 when manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
24530 Humerus fracture care Medicare reimbursement rates in Arkansas
Report this service for closed care of a supracondylar or transcondylar humerus fracture near the elbow when treatment requires no manipulation. Compare 24530 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 24530 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$381.32
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$317.06
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic fracture care
About 24530: Closed treatment of supracondylar humerus fracture
Report this service for closed care of a supracondylar or transcondylar humerus fracture near the elbow when treatment requires no manipulation.
This code describes nonoperative care of a supracondylar or transcondylar fracture of the distal humerus, near the elbow, when the fracture is treated without manipulating the fragments. An orthopedic surgeon commonly manages these injuries, including in children with supracondylar fractures. Care may involve immobilization in a cast or splint, with follow-up to monitor healing and function.
Select the code when documentation identifies the fracture as supracondylar or transcondylar and supports treatment without manipulation; use a different code when the fracture is manipulated or fixed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, 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 is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 24530
- 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 RVU3.60 · 28%
- Practice expense (office) RVU8.65 · 67%
- Malpractice RVU0.75 · 6%
1.1K
Medicare services in 2024 · #2897 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.
24530 compared with similar codes
Office rates for Arkansas, from the same CMS release.
24538 is for a supracondylar fracture treated with percutaneous skeletal fixation; 24530 describes closed care without manipulation or fixation.
24500 applies to a humeral shaft fracture treated without manipulation. This code is for a supracondylar or transcondylar fracture near the elbow.
24576 describes closed care without manipulation for a humeral condylar fracture. Distinguish the condylar location from a supracondylar or transcondylar fracture.
Compare 24530 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$381.32
Facility
$317.06
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 24530 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
2,330
- Code
- 24530
- Physician work
- 3.60
- Practice expense
- 8.65
- Malpractice
- 0.75
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.60 | × 1.000 | 3.6000 |
| Practice expense | 8.65 | × 0.859 | 7.4303 |
| Malpractice | 0.75 | × 0.515 | 0.3862 |
| Total RVUs | 11.4166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$381.32
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.6 | 1 |
| Practice expense | 8.65 | 0.859 |
| Malpractice | 0.75 | 0.515 |
(3.6 × 1 + 8.65 × 0.859 + 0.75 × 0.515) × $33.4009 = $381.32
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.6 | 1 |
| Practice expense | 6.41 | 0.859 |
| Malpractice | 0.75 | 0.515 |
(3.6 × 1 + 6.41 × 0.859 + 0.75 × 0.515) × $33.4009 = $317.06
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.
24530 billing questions
When should 24530 be chosen over 24535?
Use 24530 when the supracondylar or transcondylar fracture is treated without manipulating the fragments. Use 24535 when manipulation is performed.
Does applying a cast or splint change the code selection?
No. Select the fracture-care code based on the fracture location and whether manipulation was performed, not simply on the immobilization method.
What documentation supports reporting 24530?
Document the supracondylar or transcondylar fracture location, the treatment plan, and that the fracture was managed without manipulation.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Can an assistant surgeon or co-surgeon be paid for this service?
CMS restricts assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
