No office rate
Both describe open treatment of a radial head or neck fracture. Choose 24666 when the procedure includes prosthetic replacement; 24665 is for open treatment without that replacement.
On this page
CMS RVU26D · Effective 2026-10-01
24666 Radial head surgery Medicare reimbursement rates in Delaware
Open surgery for a radial head or neck fracture that includes replacing the radial head with a prosthesis, typically when reconstruction is not feasible. Compare 24666 office and facility rates across CMS payment localities in Delaware.
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 24666 in Delaware?
Delaware 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
No supported rate
Facility setting
$676.49
1 of 1 localities have a supported rate.
Payment area: Delaware
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 24666: Radial head fracture replacement surgery
Open surgery for a radial head or neck fracture that includes replacing the radial head with a prosthesis, typically when reconstruction is not feasible.
This code describes open treatment of a radial head or neck fracture that includes replacement of the radial head with a prosthesis. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery center, using an open approach to address the fracture and place the replacement. It is generally selected when the radial head cannot be adequately reconstructed, such as with a severely comminuted fracture. The service is distinct from open fracture treatment without prosthetic replacement.
Report the code when the operative record supports open treatment and radial head prosthetic replacement; documentation should identify the fracture and describe the procedure performed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. 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. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24666
- 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 RVU9.61 · 47%
- Practice expense (office) RVU8.95 · 44%
- Malpractice RVU1.95 · 10%
1.2K
Medicare services in 2024 · #2810 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.
24666 compared with similar codes
Office rates for Delaware, from the same CMS release.
$297.93
24650 describes closed fracture treatment without manipulation. It does not describe open treatment with radial head prosthetic replacement.
$525.84
24655 describes closed treatment with manipulation. Report 24666 when the surgeon performs open treatment that includes radial head prosthetic replacement.
Compare 24666 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
Delaware →
Office / nonfacility
Unavailable
Facility
$676.49
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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 24666 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,354
- Code
- 24666
- Physician work
- 9.61
- Practice expense
- 8.95
- Malpractice
- 1.95
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.61 | × 1.005 | 9.6580 |
| Practice expense | 8.95 | × 0.988 | 8.8426 |
| Malpractice | 1.95 | × 0.899 | 1.7530 |
| Total RVUs | 20.2537 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$676.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.61 | 1.005 |
| Practice expense | 8.95 | 0.988 |
| Malpractice | 1.95 | 0.899 |
(9.61 × 1.005 + 8.95 × 0.988 + 1.95 × 0.899) × $33.4009 = $676.49
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.
24666 billing questions
When should I report 24666 instead of 24665?
Report 24666 when open treatment includes radial head prosthetic replacement. Use 24665 for the open fracture treatment when no prosthetic replacement is performed.
Can the prosthetic replacement be reported separately?
The replacement is included in this code’s described service. Do not report a separate radial-head replacement procedure for the same work.
How does the global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included. The surgeon’s routine related follow-up during that period is part of the global service.
How are additional 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 when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. 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.
2,35124650,,Cltx rdl head/nck fx wo mnpj,A,,2.25,6.33,,5.04,,0.45,9.03,7.74,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35224655,,Cltx rdl head/nck fx w/mnpj,A,,4.50,10.42,,7.70,,1.03,15.95,13.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35324665,,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
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503