No office rate
Both address a humeral condylar fracture, but 24579 describes open treatment. Use this code for percutaneous fixation without opening the fracture site.
On this page
CMS RVU26D · Effective 2026-10-01
24582 Humeral fracture fixation Medicare reimbursement rates in Missouri
Percutaneous skeletal fixation of a humeral condylar fracture is reported when the fracture is stabilized through percutaneous access rather than open exposure. Compare 24582 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 24582 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
No supported rate
Facility setting
$728.32–$764.70
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 24582 pays more and less in Missouri
Orthopedic surgery
About 24582: Percutaneous fixation of humeral condylar fracture
Percutaneous skeletal fixation of a humeral condylar fracture is reported when the fracture is stabilized through percutaneous access rather than open exposure.
This operation stabilizes a fracture of a humeral condyle near the elbow using fixation devices placed through percutaneous access, without opening the fracture site. Orthopedic surgeons typically perform it in an operating room when the fracture needs skeletal stabilization but can be treated without open exposure. The operative report should identify the condylar fracture pattern and document the percutaneous fixation performed.
Choose this code based on the fracture location and documented technique: percutaneous fixation, rather than closed fracture care or open treatment. 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 procedure is paid in full and the others at 50%. For bilateral procedures reported with modifier 50, CMS pays 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 24582
- 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 RVU9.89 · 42%
- Practice expense (office) RVU11.45 · 49%
- Malpractice RVU2.10 · 9%
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.
24582 compared with similar codes
Office rates for Missouri, from the same CMS release.
$369.40–$396.00
24576 is closed treatment without manipulation; this code is for percutaneous skeletal fixation.
No office rate
24538 describes percutaneous fixation of a supracondylar humeral fracture. Select by the documented fracture location, not just the fixation method.
Compare 24582 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
Unavailable
Facility
$757.97
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$764.70
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$728.32
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24582 billing questions
How does this differ from open treatment of a humeral condylar fracture?
Use this code when fixation is performed percutaneously without opening the fracture site. Open treatment is reported when the surgeon exposes the fracture for treatment.
How does this differ from closed treatment codes 24576 and 24577?
Those codes describe closed treatment, with or without manipulation. This code describes percutaneous skeletal fixation of the condylar fracture.
What documentation supports reporting this code?
Document the humeral condylar fracture location and the percutaneous fixation technique in the operative report. The documentation should distinguish the service from closed treatment and open exposure.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is a bilateral procedure handled?
CMS pays bilateral procedures reported with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. 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.
2,33924576,,Cltx humrl cndylr fx wo mnpj,A,,2.98,8.65,,6.49,,0.64,12.27,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34024577,,Cltx humrl cndylr fx w/mnpj,A,,5.86,11.39,,7.81,,1.25,18.50,14.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34124579,,Optx humrl cndylr fracture,A,,11.15,9.91,NA,9.91,,2.30,23.36,23.36,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34224582,,Prq skel fix humrl cndylr fx,A,,9.89,11.45,NA,11.45,,2.10,23.44,23.44,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34324586,,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