No office rate
Both codes describe closed treatment of an elbow dislocation. The key distinction is whether anesthesia is required for the reduction.
On this page
CMS RVU26D · Effective 2026-10-01
24600 Elbow reduction Medicare reimbursement rates in Arkansas
Closed reduction of an elbow dislocation performed without anesthesia, typically in an emergency department or office when the joint is restored without an open procedure. Compare 24600 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 24600 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
$417.77
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$353.79
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 treatment
About 24600: Closed elbow dislocation reduction without anesthesia
Closed reduction of an elbow dislocation performed without anesthesia, typically in an emergency department or office when the joint is restored without an open procedure.
This code describes closed treatment of an elbow dislocation by restoring the joint alignment without anesthesia. Emergency physicians and orthopedic clinicians may perform the reduction in an emergency department, clinic, or office. It is distinct from treatment of a fracture-dislocation or a radial head subluxation, which has its own code selection.
Report the code when the documented treatment is a closed reduction without anesthesia; use the anesthesia-requiring sibling when anesthesia is used. The record should identify the elbow and dislocation, describe the reduction, and support the treatment performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. For bilateral treatment reported with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 24600
- 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 RVU4.26 · 30%
- Practice expense (office) RVU8.99 · 63%
- Malpractice RVU1.02 · 7%
994
Medicare services in 2024 · #2974 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.
24600 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
24615 is for open treatment of an elbow dislocation. Use 24600 when the dislocation is reduced by a closed approach without anesthesia.
No office rate
24620 addresses a Monteggia fracture-dislocation, which includes an associated proximal ulna fracture; 24600 is for an elbow dislocation without that fracture pattern.
$94.46
24640 is for radial head subluxation, often seen in young children. It is not the code for a true elbow dislocation treated under 24600.
Compare 24600 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
$417.77
Facility
$353.79
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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 24600 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
2,345
- Code
- 24600
- Physician work
- 4.26
- Practice expense
- 8.99
- Malpractice
- 1.02
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.26 | × 1.000 | 4.2600 |
| Practice expense | 8.99 | × 0.859 | 7.7224 |
| Malpractice | 1.02 | × 0.515 | 0.5253 |
| Total RVUs | 12.5077 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$417.77
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.26 | 1 |
| Practice expense | 8.99 | 0.859 |
| Malpractice | 1.02 | 0.515 |
(4.26 × 1 + 8.99 × 0.859 + 1.02 × 0.515) × $33.4009 = $417.77
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.26 | 1 |
| Practice expense | 6.76 | 0.859 |
| Malpractice | 1.02 | 0.515 |
(4.26 × 1 + 6.76 × 0.859 + 1.02 × 0.515) × $33.4009 = $353.79
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.
24600 billing questions
When should 24600 be chosen over 24605?
Use 24600 for closed elbow dislocation treatment performed without anesthesia. Choose 24605 when anesthesia is required for the reduction.
What documentation supports reporting this code?
Document the elbow dislocation, the side treated, and the closed reduction performed without anesthesia. The record should make clear that treatment was for the dislocation rather than a fracture-dislocation or radial head subluxation.
How is bilateral treatment reported?
For treatment of both elbows, report modifier 50; CMS pays the bilateral procedure at 150%.
Is routine follow-up included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care.
Can an assistant or co-surgeon be billed?
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.
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
2,34724615,,Optx aqt/chrnc elbow dislc,A,,9.58,8.36,NA,8.36,,1.96,19.90,19.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34824620,,Cltx monteggia fx dislc elbw,A,,7.04,8.47,NA,8.47,,1.49,17.00,17.00,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
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