$430.56
Both describe closed treatment of an elbow dislocation. The distinguishing factor is whether anesthesia is required for the treatment: 24605 includes anesthesia, while 24600 is for treatment without it.
On this page
CMS RVU26D · Effective 2026-10-01
24605 Elbow reduction Medicare reimbursement rates in Iowa
Closed reduction of an elbow dislocation performed with anesthesia, reported when the dislocated joint is restored without open surgical exposure. Compare 24605 office and facility rates across CMS payment localities in Iowa.
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 24605 in Iowa?
Iowa 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
$433.42
1 of 1 localities have a supported rate.
Payment area: Iowa
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 treatment
About 24605: Closed elbow dislocation reduction with anesthesia
Closed reduction of an elbow dislocation performed with anesthesia, reported when the dislocated joint is restored without open surgical exposure.
An orthopedic surgeon typically reports this service when manipulating a dislocated elbow back into position under anesthesia, without opening the joint. It may be performed in a hospital or other procedural setting when the reduction requires anesthesia. The service addresses an elbow dislocation, not a radial head fracture or a Monteggia fracture-dislocation.
Choose this code when the record supports a closed reduction performed with anesthesia; use the related code for closed treatment without anesthesia when that is what occurred. Document the dislocation, the reduction performed, and the anesthesia used. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24605
- 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 RVU5.50 · 38%
- Practice expense (office) RVU7.65 · 53%
- Malpractice RVU1.20 · 8%
232
Medicare services in 2024 · #4194 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.
24605 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Use 24615 when the elbow dislocation is treated through open surgical exposure. This code is for closed reduction under anesthesia.
No office rate
24620 addresses a Monteggia fracture-dislocation, which includes a proximal ulna fracture. This code is for an elbow dislocation without that fracture pattern.
$97.61
24640 is for radial head subluxation, not a complete elbow dislocation. Select based on the diagnosed injury and treatment performed.
Compare 24605 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
Iowa →
Office / nonfacility
Unavailable
Facility
$433.42
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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 24605 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,346
- Code
- 24605
- Physician work
- 5.50
- Practice expense
- 7.65
- Malpractice
- 1.20
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.50 | × 1.000 | 5.5000 |
| Practice expense | 7.65 | × 0.915 | 6.9998 |
| Malpractice | 1.20 | × 0.397 | 0.4764 |
| Total RVUs | 12.9762 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$433.42
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.5 | 1 |
| Practice expense | 7.65 | 0.915 |
| Malpractice | 1.2 | 0.397 |
(5.5 × 1 + 7.65 × 0.915 + 1.2 × 0.397) × $33.4009 = $433.42
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.
24605 billing questions
How does this differ from 24600?
24605 is for closed treatment of an elbow dislocation requiring anesthesia. Use 24600 when the closed treatment is performed without anesthesia.
Can this code be used for an open reduction?
No. This code describes a closed reduction; 24615 is the related open-treatment code for an elbow dislocation.
What documentation supports reporting 24605?
Document the elbow dislocation, the closed reduction performed, and that anesthesia was used for the treatment.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay for an assistant at surgery for this code, and 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.
2,34324586,,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
2,34524600,,Tx clsd elbow dislc w/o anes,A,,4.26,8.99,,6.76,,1.02,14.27,12.04,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34624605,,Tx clsd elbow dislc req anes,A,,5.50,7.65,NA,7.65,,1.20,14.35,14.35,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34724615,,Optx aqt/chrnc elbow dislc,A,,9.58,8.36,NA,8.36,,1.96,19.90,19.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34824620,,Cltx monteggia fx dislc elbw,A,,7.04,8.47,NA,8.47,,1.49,17.00,17.00,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34924635,,Optx monteggia fx dislc elbw,A,,8.58,8.84,NA,8.84,,1.74,19.16,19.16,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136