$424.83
Both describe closed treatment of a humeral condylar fracture. Choose 24577 when manipulation is performed to reduce the fracture; 24576 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
24577 Fracture treatment Medicare reimbursement rates in Colorado
Closed treatment of a humeral condylar fracture with manipulation is reported when the clinician realigns the fracture without open surgical exposure. Compare 24577 office and facility rates across CMS payment localities in Colorado.
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 24577 in Colorado?
Colorado 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
$635.47
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$508.24
1 of 1 localities have a supported rate.
Payment area: Colorado
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 surgery
About 24577: Closed humeral condyle fracture reduction
Closed treatment of a humeral condylar fracture with manipulation is reported when the clinician realigns the fracture without open surgical exposure.
This service treats a humeral condylar fracture by manipulating the bone fragments into alignment without surgically opening the fracture site. An orthopedic surgeon typically performs the reduction, often in a facility when sedation or anesthesia is needed, and may immobilize the arm afterward. The code distinguishes a reduction requiring manipulation from closed treatment without manipulation; it does not describe open exposure or percutaneous skeletal fixation.
Report the service when documentation identifies the humeral condylar fracture and supports that the clinician performed manipulation to reduce it. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same 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, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 24577
- 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 RVU5.86 · 32%
- Practice expense (office) RVU11.39 · 62%
- Malpractice RVU1.25 · 7%
56
Medicare services in 2024 · #5279 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.
24577 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
24579 describes open treatment with surgical exposure. Use 24577 for closed reduction by manipulation without opening the fracture site.
No office rate
24582 describes percutaneous skeletal fixation of a humeral condylar fracture. 24577 is closed treatment with manipulation, without that fixation approach.
$708.30
24535 is for a supracondylar humeral fracture treated closed with manipulation. 24577 applies to a humeral condylar fracture.
Compare 24577 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
Colorado →
Office / nonfacility
$635.47
Facility
$508.24
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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 24577 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,340
- Code
- 24577
- Physician work
- 5.86
- Practice expense
- 11.39
- Malpractice
- 1.25
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.86 | × 1.012 | 5.9303 |
| Practice expense | 11.39 | × 1.064 | 12.1190 |
| Malpractice | 1.25 | × 0.781 | 0.9763 |
| Total RVUs | 19.0255 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$635.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.86 | 1.012 |
| Practice expense | 11.39 | 1.064 |
| Malpractice | 1.25 | 0.781 |
(5.86 × 1.012 + 11.39 × 1.064 + 1.25 × 0.781) × $33.4009 = $635.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.86 | 1.012 |
| Practice expense | 7.81 | 1.064 |
| Malpractice | 1.25 | 0.781 |
(5.86 × 1.012 + 7.81 × 1.064 + 1.25 × 0.781) × $33.4009 = $508.24
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.
24577 billing questions
How does this differ from 24576?
24577 is for closed treatment with manipulation to reduce the humeral condylar fracture. 24576 is the corresponding closed-treatment code without manipulation.
When would 24579 be reported instead?
Use 24579 when treatment involves open surgical exposure of the humeral condylar fracture. This code describes closed reduction by manipulation.
Is routine follow-up included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are also not permitted.
How is a bilateral service handled?
When the procedure is bilateral and reported with modifier 50, CMS pays 150%.
What documentation supports 24577?
Document the humeral condylar fracture and the manipulation performed to restore alignment. The record should support closed treatment rather than open exposure or percutaneous skeletal fixation.
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.
2,33724566,,Prq skel fix epcndylr hum fx,A,,8.83,9.97,NA,9.97,,1.88,20.68,20.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33824575,,Optx humeral epcndylr fx,A,,9.47,9.39,NA,9.39,,1.94,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33924576,,Cltx humrl cndylr fx wo mnpj,A,,2.98,8.65,,6.49,,0.64,12.27,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34024577,,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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899