No office rate
This code is for a supracondylar or transcondylar fracture without intercondylar extension. Code 24546 applies when the fracture extends between the condyles.
On this page
CMS RVU26D · Effective 2026-10-01
24545 Humerus fracture repair Medicare reimbursement rates in California
Open repair of a distal humerus fracture above the elbow, reported when the fracture has no intercondylar extension and is treated surgically. Compare 24545 office and facility rates across CMS payment localities in California.
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 24545 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$859.24–$1017.75
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $158.51 per service.
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.
Where 24545 pays more and less in California
Orthopedic surgery
About 24545: Open treatment of supracondylar humerus fracture
Open repair of a distal humerus fracture above the elbow, reported when the fracture has no intercondylar extension and is treated surgically.
This service covers operative exposure and repair of a supracondylar or transcondylar fracture of the humerus that does not extend between the distal humeral condyles. An orthopedic surgeon typically performs the procedure in a hospital operating room, reducing the fracture and stabilizing it with internal fixation when needed. The fracture pattern and fixation approach distinguish this repair from surgery for an intercondylar fracture or a fracture treated through a closed or percutaneous method.
Report the code when the operative record supports open treatment and documents the fracture location and absence of intercondylar extension. The code has 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 are subject to the standard 50% reduction. For bilateral procedures reported with modifier 50, payment is at 150%. Medicare may pay for an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24545
- 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 RVU12.82 · 50%
- Practice expense (office) RVU10.27 · 40%
- Malpractice RVU2.67 · 10%
1.7K
Medicare services in 2024 · #2577 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.
24545 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Code 24538 describes percutaneous skeletal fixation. This code is for open treatment of the fracture.
$710.53–$873.74
Code 24535 is for closed treatment with manipulation. This code applies when the fracture is treated through an open operative approach.
No office rate
Code 24579 is for open treatment of a humeral epicondylar fracture. This code applies to a supracondylar or transcondylar fracture without intercondylar extension.
Compare 24545 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $866.60 |
| Chico | Office Unavailable | Facility $859.24 |
| El Centro | Office Unavailable | Facility $859.68 |
| Fresno | Office Unavailable | Facility $859.24 |
| Hanford-Corcoran | Office Unavailable | Facility $859.24 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $910.77 |
| Madera | Office Unavailable | Facility $859.24 |
| Merced | Office Unavailable | Facility $859.24 |
| Modesto | Office Unavailable | Facility $859.24 |
| Napa | Office Unavailable | Facility $952.59 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $901.21 |
| Redding | Office Unavailable | Facility $859.24 |
| Rest Of California | Office Unavailable | Facility $859.24 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $887.94 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $890.36 |
| Salinas | Office Unavailable | Facility $886.84 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $899.64 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $993.48 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $990.45 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1017.75 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1005.35 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $873.99 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $901.77 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $887.96 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $910.08 |
| Stockton | Office Unavailable | Facility $859.24 |
| Vallejo | Office Unavailable | Facility $948.22 |
| Visalia | Office Unavailable | Facility $859.24 |
| Yuba City | Office Unavailable | Facility $859.24 |
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24545 billing questions
How is this distinguished from 24546?
Use 24545 when the supracondylar or transcondylar fracture has no intercondylar extension. Use 24546 when the fracture extends between the condyles.
When is a closed-treatment code more appropriate?
Use a closed-treatment code when the fracture is managed without open operative treatment. The documentation should support the treatment method, including whether manipulation was performed.
Does the code include internal fixation?
The open fracture treatment includes fixation when performed. Do not report the fixation as a separate service merely because plates, screws, or other fixation were used for this repair.
What documentation supports code selection?
The operative report should identify the supracondylar or transcondylar fracture, establish that it lacks intercondylar extension, and describe the open treatment and any fixation.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be reported?
Medicare may pay for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,33024530,,Cltx sprcndylr humeral fx wo,A,,3.60,8.65,,6.41,,0.75,13.00,10.76,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33124535,,Cltx sprcndylr humeral fx w/,A,,6.93,12.26,,8.51,,1.47,20.66,16.91,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33224538,,Prq skel fix sprcndlr hum fx,A,,9.53,10.94,NA,10.94,,2.04,22.51,22.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33324545,,Optx hum fx wo ntrcndylr xtn,A,,12.82,10.27,NA,10.27,,2.67,25.76,25.76,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33424546,,Optx hum fx w/ntrcndylr xtn,A,,14.54,11.01,NA,11.01,,3.00,28.55,28.55,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33524560,,Cltx hum epcndylr fx wo mnpj,A,,2.91,8.17,,6.05,,0.62,11.70,9.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33624565,,Cltx hum epcndylr fx w/mnpj,A,,5.64,11.16,,7.74,,1.21,18.01,14.59,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00