Billing code 24560: Fracture treatmentMedicare rate & RVUs in Illinois
Reports closed care of a humeral epicondyle fracture managed without manipulation, such as immobilization and ongoing fracture management by the treating clinician.
Medicare pays $378.71–$419.65 for 24560 in the office in Illinois, from Rest Of Illinois to Chicago. 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 24560 covers
This code describes closed management of a fracture at a humeral epicondyle near the elbow when the clinician treats the fracture without manipulating the fragments. Care may include immobilization in a cast or splint and the physician’s management of healing. Orthopedic surgeons and other clinicians qualified to manage fractures may provide this service in an office, emergency department, or hospital setting. The fracture must involve an epicondyle of the humerus; a supracondylar or condylar fracture is a different location.
Choose this code when the documented treatment does not involve manipulation, percutaneous skeletal fixation, or open treatment. The record should identify the fracture site and support the closed treatment provided. Medicare assigns a 90-day global period, which includes 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% reduction. For bilateral treatment reported with modifier 50, payment is at 150%. Medicare does not pay for an assistant at surgery for this code; 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 24560 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$378.71 to $419.65
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $419.65 | $348.49 |
| East St. Louis | $389.96 | $324.81 |
| Rest Of Illinois | $378.71 | $314.06 |
| Suburban Chicago | $414.83 | $342.10 |
How the 24560 rate is calculated
Each of 24560’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 · 24560
RVUs × geographic indexes × conversion factor
Work2.91
2.91 RVUs× 1.000 GPCI
Practice expense8.17
8.17 RVUs× 1.000 GPCI
Malpractice0.62
0.62 RVUs× 1.000 GPCI
Adjusted RVUs
11.7000
Conversion factor
$33.4009
Medicare rate
$390.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24560
24560 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24560
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 · 24560
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
24560 without 50 · national office
$390.79
Fracture treatment
24560-50 · Bilateral: 150%
$586.19
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).
24560 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24565Fracture treatment
- Both codes concern closed treatment of a humeral epicondyle fracture. Choose 24565 when manipulation is performed; choose 24560 when it is not.
- 24566Epicondyle fixation
- 24566 describes percutaneous skeletal fixation of the epicondylar fracture, unlike 24560, which is closed treatment without manipulation or percutaneous fixation.
- 24575Epicondylar fracture repair
- 24575 is for open treatment of the humeral epicondyle fracture. Use 24560 for closed care without manipulation.
- 24530Humerus fracture care
- 24530 concerns a supracondylar humeral fracture, above the condyles. Code 24560 is for a fracture at a humeral epicondyle.
24560 billing questions
When should 24560 be chosen instead of 24565?
Use 24560 when the humeral epicondyle fracture is treated without manipulation. Use 24565 when the clinician manipulates the fracture as part of closed treatment.
Does percutaneous pinning fit this code?
No. Percutaneous skeletal fixation of a humeral epicondyle fracture is represented by 24566, rather than closed treatment without manipulation.
How does 24560 differ from open treatment?
24560 describes closed management without manipulation. When the fracture is treated through an open approach, the related code is 24575.
What documentation supports reporting 24560?
Document that the fracture involves a humeral epicondyle, the closed treatment provided, and that manipulation or fixation was not performed.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care for this fracture treatment.
How is bilateral treatment handled?
When bilateral treatment is reported with modifier 50, Medicare pays at 150% under the CMS rule for this code.
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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