Both address humeral condylar fractures, but 24577 applies when the clinician manipulates the fragments; 24576 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
24576 Humeral fracture care Medicare reimbursement rates in Minnesota
Reports closed management of a humeral condylar fracture near the elbow when the clinician treats it without manipulating the fracture fragments. Compare 24576 office and facility rates across CMS payment localities in Minnesota.
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 24576 in Minnesota?
Minnesota 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
$403.16
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$328.92
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 fracture care
About 24576: Closed treatment of humeral condylar fracture without manipulation
Reports closed management of a humeral condylar fracture near the elbow when the clinician treats it without manipulating the fracture fragments.
This service covers nonoperative treatment of a fracture involving a condyle of the distal humerus, at the elbow. An orthopedic clinician typically selects it when the fracture can be managed without manipulating the fragments, with immobilization and clinical follow-up as needed. The fracture location matters: a condylar fracture is distinct from a supracondylar, epicondylar, or humeral shaft fracture.
Report this code for the closed treatment episode when no reduction maneuver is performed. The record should identify the condylar fracture and support the decision to manage it without manipulation. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When other procedures occur in the same session, the highest-valued procedure is paid in full and subsequent procedures are paid at 50%. For bilateral treatment reported with modifier 50, CMS payment is 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 24576
- 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 RVU2.98 · 24%
- Practice expense (office) RVU8.65 · 70%
- Malpractice RVU0.64 · 5%
532
Medicare services in 2024 · #3498 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.
24576 compared with similar codes
Office rates for Minnesota, from the same CMS release.
24579 describes open treatment of the condylar fracture. Choose 24576 when treatment is closed and no manipulation is performed.
24530 is for a supracondylar fracture, above the condyles; 24576 is for a fracture involving a humeral condyle.
24560 addresses a humeral epicondylar fracture. 24576 is for a condylar fracture, so identify the specific fracture site in the record.
Compare 24576 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
Minnesota →
Office / nonfacility
$403.16
Facility
$328.92
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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 24576 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,339
- Code
- 24576
- Physician work
- 2.98
- Practice expense
- 8.65
- Malpractice
- 0.64
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.98 | × 1.000 | 2.9800 |
| Practice expense | 8.65 | × 1.029 | 8.9009 |
| Malpractice | 0.64 | × 0.296 | 0.1894 |
| Total RVUs | 12.0703 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$403.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.98 | 1 |
| Practice expense | 8.65 | 1.029 |
| Malpractice | 0.64 | 0.296 |
(2.98 × 1 + 8.65 × 1.029 + 0.64 × 0.296) × $33.4009 = $403.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.98 | 1 |
| Practice expense | 6.49 | 1.029 |
| Malpractice | 0.64 | 0.296 |
(2.98 × 1 + 6.49 × 1.029 + 0.64 × 0.296) × $33.4009 = $328.92
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.
24576 billing questions
When should 24576 be chosen over 24577?
Use 24576 when the humeral condylar fracture is treated without manipulating the fragments. If the clinician performs a manipulation to reduce or reposition them, consider 24577.
Are routine fracture follow-up visits separately payable?
The CMS 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are paid at 50% under the standard multiple procedure reduction.
How is bilateral treatment paid?
When the service is performed bilaterally and reported with modifier 50, CMS pays 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. CMS does not permit co-surgeons or team surgery 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.
