$530.53–$564.65
This code is for closed treatment without manipulation. Choose 24505 when the clinician manipulates the humeral shaft fracture.
On this page
CMS RVU26D · Effective 2026-10-01
24500 Fracture treatment Medicare reimbursement rates in Missouri
Reports nonoperative care of a humeral shaft fracture when the treating clinician stabilizes the fracture without manipulating it. Compare 24500 office and facility rates across CMS payment localities in Missouri.
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 24500 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$375.80–$401.74
3 of 3 localities have a supported rate.
Facility setting
$318.51–$338.46
3 of 3 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 24500 pays more and less in Missouri
3 payment localities
$375.80 to $401.74
Orthopedic fracture care
About 24500: Closed humeral shaft fracture treatment without manipulation
Reports nonoperative care of a humeral shaft fracture when the treating clinician stabilizes the fracture without manipulating it.
This code covers closed, nonoperative treatment of a fracture through the shaft of the humerus, without manipulation to realign the fragments. An orthopedic surgeon or other clinician managing the fracture may stabilize the arm with an appropriate brace, splint, or cast. Typical care includes assessing the fracture and directing its immobilization; the code is not for fractures at the elbow end of the humerus or for operative fixation.
Select this code when documentation identifies a humeral shaft fracture and supports treatment without manipulation. A reduction or other manipulation points to the related treatment level that includes manipulation, while plate-and-screw or intramedullary fixation calls for an operative code. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 24500
- 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 RVU3.32 · 27%
- Practice expense (office) RVU8.41 · 68%
- Malpractice RVU0.70 · 6%
3K
Medicare services in 2024 · #2188 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.
24500 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
This code describes nonoperative care without manipulation; 24515 is used for operative shaft-fracture fixation with a plate and screws.
No office rate
This code describes nonoperative care without manipulation; 24516 represents operative humeral shaft fixation with an intramedullary implant.
$393.69–$420.39
This code concerns a supracondylar humeral fracture near the elbow, not a fracture through the humeral shaft.
Compare 24500 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$397.50
Facility
$335.09
Metropolitan St. Louis →
Office / nonfacility
$401.74
Facility
$338.46
Rest Of Missouri →
Office / nonfacility
$375.80
Facility
$318.51
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24500 billing questions
How is this different from treatment that includes manipulation?
Use this code when the humeral shaft fracture is treated without manipulation. When the clinician manipulates the fracture to improve alignment, consider 24505 instead.
Can this code be reported with an operative fixation code?
It represents nonoperative fracture care. If the fracture is treated with a plate and screws or an intramedullary implant, the corresponding operative treatment code is generally used instead.
What documentation supports this code?
Document the humeral shaft fracture, the treatment plan, and that the fracture was managed without manipulation. The record should distinguish a shaft fracture from a fracture near the elbow.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle bilateral reporting and multiple procedures?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
2,32324470,,Hemiepiphyseal arrest,A,,8.71,8.56,NA,8.56,,1.85,19.12,19.12,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32424495,,Decompression fasct forearm,A,,8.20,17.20,NA,17.20,,1.74,27.14,27.14,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32524498,,Proph tx w/wo mthylmthcrylt,A,,11.97,9.53,NA,9.53,,2.52,24.02,24.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32624500,,Cltx humrl shft fx w/o mnpj,A,,3.32,8.41,,6.42,,0.70,12.43,10.44,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32724505,,Cltx humrl shft fx w/mnpj,A,,5.26,10.98,,7.73,,1.19,17.43,14.18,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32824515,,Optx humrl shft fx plate/scr,A,,11.82,10.33,NA,10.33,,2.47,24.62,24.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32924516,,Tx humrl shaft fx imed implt,A,,11.89,9.49,NA,9.49,,2.50,23.88,23.88,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00