$274.58
Use 24650 for closed treatment without manipulation; 24665 is for open surgical treatment.
On this page
CMS RVU26D · Effective 2026-10-01
24665 Radial head surgery Medicare reimbursement rates in Iowa
Reports open surgical treatment of a radial head or neck fracture when the native bone is managed without prosthetic radial head replacement. Compare 24665 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 24665 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
$564.13
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 surgery
About 24665: Open radial head fracture treatment
Reports open surgical treatment of a radial head or neck fracture when the native bone is managed without prosthetic radial head replacement.
This operation treats a radial head or neck fracture through an incision, allowing the surgeon to expose and restore the bone and stabilize it with fixation; fragment excision may also be part of the treatment. Orthopedic surgeons typically perform it in an operating room when the fracture requires direct surgical management rather than closed treatment.
Choose 24665 when the native radial head is treated without prosthetic replacement; use 24666 when a radial head prosthesis is placed. The operative report should identify the fracture site, open approach, treatment performed, and whether fixation or excision was used. The 90-day global period includes 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 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 24665
- 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 RVU8.15 · 44%
- Practice expense (office) RVU8.84 · 47%
- Malpractice RVU1.64 · 9%
502
Medicare services in 2024 · #3560 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.
24665 compared with similar codes
Office rates for Iowa, from the same CMS release.
$482.42
Use 24655 for closed treatment with manipulation. Open surgical management is reported with 24665.
No office rate
Use 24666 when radial head prosthetic replacement is performed; 24665 applies when the native radial head is treated without replacement.
Compare 24665 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
$564.13
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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 24665 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,353
- Code
- 24665
- Physician work
- 8.15
- Practice expense
- 8.84
- Malpractice
- 1.64
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.15 | × 1.000 | 8.1500 |
| Practice expense | 8.84 | × 0.915 | 8.0886 |
| Malpractice | 1.64 | × 0.397 | 0.6511 |
| Total RVUs | 16.8897 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$564.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.15 | 1 |
| Practice expense | 8.84 | 0.915 |
| Malpractice | 1.64 | 0.397 |
(8.15 × 1 + 8.84 × 0.915 + 1.64 × 0.397) × $33.4009 = $564.13
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.
24665 billing questions
How does 24665 differ from 24666?
Report 24665 when the native radial head is treated without a prosthesis. Use 24666 when the operation includes radial head prosthetic replacement.
When is 24665 used instead of 24650 or 24655?
24665 describes open surgical treatment. The closed-treatment codes are 24650 when no manipulation is performed and 24655 when manipulation is performed.
Is fixation separately reported with 24665?
Fixation used to treat the radial head or neck fracture is part of the reported fracture operation, not a separate fracture-treatment service.
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 additional procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. In a same-session multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,35024640,,Cltx rdl head sublxtj nrsemd,A,,1.22,1.83,,0.85,,0.07,3.12,2.14,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35124650,,Cltx rdl head/nck fx wo mnpj,A,,2.25,6.33,,5.04,,0.45,9.03,7.74,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35224655,,Cltx rdl head/nck fx w/mnpj,A,,4.50,10.42,,7.70,,1.03,15.95,13.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35324665,,Optx radial head/neck fx,A,,8.15,8.84,NA,8.84,,1.64,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35424666,,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
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