$608.32–$675.26
Code 24577 is for closed treatment of a humeral condylar fracture with manipulation. Use 24579 when the surgeon treats the fracture through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
24579 Humeral fracture repair Medicare reimbursement rates in Illinois
Open surgical treatment of a humeral condylar fracture, with fixation when performed, is reported when the fracture pattern requires operative exposure and reduction. Compare 24579 office and facility rates across CMS payment localities in Illinois.
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 24579 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$794.70–$883.99
4 of 4 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 24579 pays more and less in Illinois
Orthopedic surgery
About 24579: Open reduction and fixation of humeral condyle fracture
Open surgical treatment of a humeral condylar fracture, with fixation when performed, is reported when the fracture pattern requires operative exposure and reduction.
An orthopedic surgeon uses an operative approach to expose and reduce a fracture involving a condyle of the distal humerus. The surgeon stabilizes the fracture with internal fixation when performed. This code is for the condylar fracture pattern, not a humeral shaft, epicondylar, or supracondylar fracture. These repairs are typically performed in an operating room in a hospital or ambulatory surgery facility.
Report the code when the operative record supports open treatment of the humeral condylar fracture; document the fracture location, laterality, reduction, and fixation performed. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 applies to bilateral procedures and is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24579
- 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 RVU11.15 · 48%
- Practice expense (office) RVU9.91 · 42%
- Malpractice RVU2.30 · 10%
640
Medicare services in 2024 · #3342 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.
24579 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
Code 24582 describes percutaneous skeletal fixation of a humeral condylar fracture; 24579 describes open treatment.
No office rate
Code 24575 applies to an epicondylar fracture. Code 24579 is for a fracture involving a humeral condyle.
No office rate
Code 24545 is for an open-treated supracondylar humeral fracture without intercondylar extension. Code 24579 applies to a condylar fracture.
Compare 24579 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$883.99
East St. Louis →
Office / nonfacility
Unavailable
Facility
$831.66
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$794.70
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$851.10
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24579 billing questions
How does this differ from closed treatment of a humeral condylar fracture?
Use this code when the surgeon treats the fracture through an open operative approach. Codes 24576 and 24577 describe closed treatment, with 24577 used when manipulation is performed.
Is internal fixation required to report this code?
The code includes internal fixation when performed. The operative note should support open treatment and describe any fixation used.
When should code 24582 be considered instead?
Code 24582 describes percutaneous skeletal fixation of a humeral condylar fracture. Distinguish it from open treatment by the operative approach and documented treatment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral procedures and assistants handled?
Modifier 50 is paid at 150% for a bilateral procedure. An assistant at surgery may be paid; co-surgeons require supporting documentation.
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.
2,33824575,,Optx humeral epcndylr fx,A,,9.47,9.39,NA,9.39,,1.94,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33924576,,Cltx humrl cndylr fx wo mnpj,A,,2.98,8.65,,6.49,,0.64,12.27,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34024577,,Cltx humrl cndylr fx w/mnpj,A,,5.86,11.39,,7.81,,1.25,18.50,14.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34124579,,Optx humrl cndylr fracture,A,,11.15,9.91,NA,9.91,,2.30,23.36,23.36,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34224582,,Prq skel fix humrl cndylr fx,A,,9.89,11.45,NA,11.45,,2.10,23.44,23.44,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34324586,,Optx partclr fx&/dislc elbow,A,,15.39,11.09,NA,11.09,,3.14,29.62,29.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34424587,,Optx partclr fx&/dslc elbw w,A,,15.40,11.25,NA,11.25,,3.27,29.92,29.92,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00