$360.02
Both describe closed treatment of a proximal ulna fracture. Choose 24675 when manipulation is performed; choose 24670 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
24675 Fracture treatment Medicare reimbursement rates in Connecticut
Closed treatment with manipulation is reported for a proximal ulna fracture that requires reduction without an incision, followed by nonoperative fracture care. Compare 24675 office and facility rates across CMS payment localities in Connecticut.
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 24675 in Connecticut?
Connecticut 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
$551.87
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$451.50
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 24675: Closed proximal ulna fracture treatment with manipulation
Closed treatment with manipulation is reported for a proximal ulna fracture that requires reduction without an incision, followed by nonoperative fracture care.
This service covers closed treatment of a fracture at the proximal end of the ulna when the physician manipulates the fracture to improve alignment. An orthopedic surgeon or other qualified physician typically performs the reduction and provides the associated nonoperative care, such as immobilization, in an office, emergency department, or hospital setting. The code describes treatment of the fracture, not simply application of a cast or splint. A Monteggia fracture-dislocation is a distinct injury pattern with its own treatment codes.
Select this code when documentation supports a proximal ulna fracture and manipulation to reduce it; use the no-manipulation sibling when reduction is not performed. Record the fracture site, displacement or alignment findings, manipulation performed, and immobilization or follow-up plan. The 90-day global period includes 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%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 24675
- 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 RVU4.79 · 31%
- Practice expense (office) RVU9.67 · 63%
- Malpractice RVU1.01 · 7%
235
Medicare services in 2024 · #4184 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.
24675 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
24685 describes open treatment with internal fixation. This code is for closed treatment with manipulation and no operative exposure for fixation.
No office rate
24620 is for a Monteggia fracture-dislocation involving the proximal ulna and radial head. This code describes a proximal ulna fracture treated with manipulation without that injury pattern.
$569.77
24655 is closed treatment with manipulation of a radial head or neck fracture. Select this code for a proximal ulna fracture.
Compare 24675 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
Connecticut →
Office / nonfacility
$551.87
Facility
$451.50
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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 24675 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,356
- Code
- 24675
- Physician work
- 4.79
- Practice expense
- 9.67
- Malpractice
- 1.01
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.79 | × 1.020 | 4.8858 |
| Practice expense | 9.67 | × 1.077 | 10.4146 |
| Malpractice | 1.01 | × 1.210 | 1.2221 |
| Total RVUs | 16.5225 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$551.87
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.79 | 1.02 |
| Practice expense | 9.67 | 1.077 |
| Malpractice | 1.01 | 1.21 |
(4.79 × 1.02 + 9.67 × 1.077 + 1.01 × 1.21) × $33.4009 = $551.87
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.79 | 1.02 |
| Practice expense | 6.88 | 1.077 |
| Malpractice | 1.01 | 1.21 |
(4.79 × 1.02 + 6.88 × 1.077 + 1.01 × 1.21) × $33.4009 = $451.50
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.
24675 billing questions
How do I distinguish this code from 24670?
Use 24675 when the physician manipulates the proximal ulna fracture to improve alignment. Use 24670 for closed treatment of a proximal ulna fracture without manipulation.
Does a Monteggia fracture-dislocation belong here?
No. A Monteggia injury includes a proximal ulna fracture with radial head dislocation and is represented by a separate fracture-dislocation code family.
What documentation supports reporting manipulation?
Document the proximal ulna fracture, the need for reduction, the manipulation performed, and the resulting alignment or treatment plan. A record of immobilization alone does not establish that manipulation occurred.
Are related visits included in the global period?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral fractures and additional same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, Medicare pays the highest-valued procedure in full and other procedures at 50%.
Can an assistant surgeon or co-surgeon be reported?
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.
2,35324665,,Optx radial head/neck fx,A,,8.15,8.84,NA,8.84,,1.64,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35424666,,Optx radial head/nck fx rplc,A,,9.61,8.95,NA,8.95,,1.95,20.51,20.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35524670,,Cltx ulnar fx prox w/o mnpj,A,,2.62,6.92,,5.27,,0.54,10.08,8.43,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35624675,,Cltx ulnar fx prox w/mnpj,A,,4.79,9.67,,6.88,,1.01,15.47,12.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35724685,,Optx ulnar fx prox end w/fix,A,,8.16,8.80,NA,8.80,,1.67,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35824800,,Arthrodesis elbw joint local,A,,11.12,9.89,NA,9.89,,2.37,23.38,23.38,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35924802,,Arthrd elbow jt autog graft,A,,13.96,10.80,NA,10.80,,2.98,27.74,27.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808