$434.10–$484.36
Both address supracondylar or transcondylar humeral fractures. Choose 24535 when manipulation is performed; 24530 describes treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
24535 Fracture treatment Medicare reimbursement rates in Florida
Reports closed reduction and fracture management for a humeral supracondylar or transcondylar fracture when the physician manipulates the fracture. Compare 24535 office and facility rates across CMS payment localities in Florida.
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 24535 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$696.74–$781.92
3 of 3 localities have a supported rate.
Facility setting
$577.00–$651.54
3 of 3 localities have a supported rate.
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 24535 pays more and less in Florida
3 payment localities
$696.74 to $781.92
Orthopedic surgery
About 24535: Closed humeral fracture treatment with manipulation
Reports closed reduction and fracture management for a humeral supracondylar or transcondylar fracture when the physician manipulates the fracture.
This code covers closed treatment of a supracondylar or transcondylar fracture of the humerus when the physician manipulates the fracture to achieve reduction; skeletal traction may also be used. An orthopedic surgeon commonly performs the reduction for an elbow fracture, often in an emergency department or hospital setting, with subsequent fracture care in the office. The fracture pattern must be supracondylar or transcondylar, and the treatment must include manipulation rather than immobilization alone.
Report the code when the physician provides the fracture treatment, not simply for evaluating the injury or applying a splint. The record should identify the fracture pattern and document the reduction or manipulation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 24535
- 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 RVU6.93 · 34%
- Practice expense (office) RVU12.26 · 59%
- Malpractice RVU1.47 · 7%
219
Medicare services in 2024 · #4243 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.
24535 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
24535 is closed treatment with manipulation. 24538 is used when percutaneous skeletal fixation is performed for a supracondylar humeral fracture.
No office rate
24535 describes closed treatment with manipulation. 24545 describes open treatment of a supracondylar or transcondylar fracture without intercondylar extension.
Compare 24535 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$735.06
Facility
$608.18
Miami →
Office / nonfacility
$781.92
Facility
$651.54
Rest Of Florida →
Office / nonfacility
$696.74
Facility
$577.00
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24535 billing questions
When should 24535 be chosen instead of 24530?
Use 24535 when closed treatment includes manipulation of a supracondylar or transcondylar humeral fracture. Code 24530 is the corresponding treatment without manipulation.
Does the documentation need to state that a reduction was performed?
Yes. Document the supracondylar or transcondylar fracture pattern and the manipulation or reduction performed; immobilization alone does not support 24535.
How does 24535 differ from percutaneous fixation?
24535 describes closed fracture treatment with manipulation. When percutaneous skeletal fixation is performed for a supracondylar humeral fracture, consider 24538 instead.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
CMS lists a statutory restriction on assistant-at-surgery payment 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.
2,32824515,,Optx humrl shft fx plate/scr,A,,11.82,10.33,NA,10.33,,2.47,24.62,24.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32924516,,Tx humrl shaft fx imed implt,A,,11.89,9.49,NA,9.49,,2.50,23.88,23.88,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33024530,,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