Billing code 24675: Fracture treatmentMedicare rate & RVUs in Florida
Closed treatment with manipulation is reported for a proximal ulna fracture that requires reduction without an incision, followed by nonoperative fracture care.
Medicare pays $519.47–$581.54 for 24675 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24675 covers
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.
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.
Where 24675 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$519.47 to $581.54
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $548.17 | $453.77 |
| Miami | $581.54 | $484.53 |
| Rest Of Florida | $519.47 | $430.38 |
How the 24675 rate is calculated
Each of 24675’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24675
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.79Practice expense 9.67Malpractice 1.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24675
24675 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24675
Fracture treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24675
Fracture treatment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24675 without 50 · national office
$516.71
Fracture treatment
24675-50 · Bilateral: 150%
$775.07
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24675 compared with similar codes
Compare codes
24675 vs 24670 vs 24685 vs 24620 vs 24655: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24670Fracture care
- Both describe closed treatment of a proximal ulna fracture. Choose 24675 when manipulation is performed; choose 24670 when it is not.
- 24685Ulna fracture repair
- 24685 describes open treatment with internal fixation. This code is for closed treatment with manipulation and no operative exposure for fixation.
- 24620Monteggia treatment
- 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.
- 24655Fracture reduction
- 24655 is closed treatment with manipulation of a radial head or neck fracture. Select this code for a proximal ulna fracture.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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