$310.54
24670 describes closed treatment of a proximal ulna fracture without manipulation. Use 24685 when the fracture receives open surgical treatment.
On this page
CMS RVU26D · Effective 2026-10-01
24685 Ulna fracture repair Medicare reimbursement rates in Indiana
Open surgical treatment of a proximal ulna fracture, such as an olecranon fracture, with internal fixation when performed. Compare 24685 office and facility rates across CMS payment localities in Indiana.
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 24685 in Indiana?
Indiana 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
$572.13
1 of 1 localities have a supported rate.
Payment area: Indiana
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 24685: Open treatment of proximal ulna fracture
Open surgical treatment of a proximal ulna fracture, such as an olecranon fracture, with internal fixation when performed.
This service covers open surgical treatment of a fracture near the elbow at the upper end of the ulna, including the olecranon or coronoid region. An orthopedic surgeon typically exposes the fracture and restores the bone’s position; internal fixation is included when performed. The procedure is commonly done in an operating room for a fracture requiring open treatment rather than closed fracture care.
Report 24685 when the operative record supports open treatment of a proximal ulna fracture. Documentation should identify the fracture location and describe the open treatment and any fixation. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24685
- 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 RVU8.16 · 44%
- Practice expense (office) RVU8.80 · 47%
- Malpractice RVU1.67 · 9%
9.7K
Medicare services in 2024 · #1484 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.
24685 compared with similar codes
Office rates for Indiana, from the same CMS release.
$475.79
24675 is for closed treatment with manipulation. It does not describe open surgical treatment of the fracture.
No office rate
24635 is the specific open-treatment code for a Monteggia fracture-dislocation. Use 24685 for open treatment of a proximal ulna fracture that is not coded as that injury pattern.
No office rate
24665 covers open treatment of a radial head or neck fracture. Code 24685 concerns the proximal ulna, a different bone.
Compare 24685 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
Indiana →
Office / nonfacility
Unavailable
Facility
$572.13
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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 24685 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,357
- Code
- 24685
- Physician work
- 8.16
- Practice expense
- 8.80
- Malpractice
- 1.67
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.16 | × 1.000 | 8.1600 |
| Practice expense | 8.80 | × 0.927 | 8.1576 |
| Malpractice | 1.67 | × 0.486 | 0.8116 |
| Total RVUs | 17.1292 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$572.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.16 | 1 |
| Practice expense | 8.8 | 0.927 |
| Malpractice | 1.67 | 0.486 |
(8.16 × 1 + 8.8 × 0.927 + 1.67 × 0.486) × $33.4009 = $572.13
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.
24685 billing questions
When is 24685 appropriate instead of 24675?
Use 24685 for open surgical treatment of the proximal ulna fracture. Code 24675 describes closed treatment with manipulation.
Is internal fixation included?
Yes. Internal fixation is included when performed as part of the open treatment; it is not a separate service under this code.
Should a Monteggia fracture-dislocation be reported with 24685?
The Monteggia fracture-dislocation has a specific open-treatment code, 24635. Distinguish that injury pattern from an isolated proximal ulna fracture.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is modifier 50 handled for bilateral treatment?
Bilateral reporting with modifier 50 is paid at 150% under the CMS facts 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 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.
2,35424666,,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
2,35824800,,Arthrodesis elbw joint local,A,,11.12,9.89,NA,9.89,,2.37,23.38,23.38,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35924802,,Arthrd elbow jt autog graft,A,,13.96,10.80,NA,10.80,,2.98,27.74,27.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36024900,,Amputation of upper arm,A,,9.93,9.52,NA,9.52,,2.11,21.56,21.56,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915