No office rate
Choose 24498 for preventive stabilization before a shaft fracture occurs. Code 24515 is for open fixation of an existing humeral shaft fracture.
On this page
CMS RVU26D · Effective 2026-10-01
24498 Humeral stabilization Medicare reimbursement rates in Nebraska
Reports preventive surgical stabilization of a humeral shaft at risk of fracture, using fixation with or without bone cement before a fracture occurs. Compare 24498 office and facility rates across CMS payment localities in Nebraska.
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 24498 in Nebraska?
Nebraska 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
$725.43
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 24498: Prophylactic humeral shaft stabilization
Reports preventive surgical stabilization of a humeral shaft at risk of fracture, using fixation with or without bone cement before a fracture occurs.
An orthopedic surgeon stabilizes a humeral shaft judged at substantial risk of fracture, commonly because of a destructive lesion such as metastatic bone disease. The surgeon may use a nail, pin, plate, or wire, with or without methyl methacrylate. The operation is performed before the shaft has fractured; it is not fixation of an existing fracture. These procedures are generally performed in an operating room rather than an office setting.
Report the code when the documented indication is prevention of an impending humeral shaft fracture and the operative report supports the site and stabilization performed. The code encompasses the described fixation options, including use of methyl methacrylate. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24498
- 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 RVU11.97 · 50%
- Practice expense (office) RVU9.53 · 40%
- Malpractice RVU2.52 · 10%
198
Medicare services in 2024 · #4333 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.
24498 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Code 24516 treats an existing humeral shaft fracture with an intramedullary implant; 24498 addresses preventive stabilization of a shaft at risk.
No office rate
Code 24430 addresses repair of a humeral nonunion or malunion, not preventive stabilization of an unfractured shaft at risk.
No office rate
Code 24435 is for repair of humeral nonunion or malunion with grafting; 24498 is for prophylactic shaft stabilization before fracture.
Compare 24498 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$725.43
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 24498 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,325
- Code
- 24498
- Physician work
- 11.97
- Practice expense
- 9.53
- Malpractice
- 2.52
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.97 | × 1.000 | 11.9700 |
| Practice expense | 9.53 | × 0.923 | 8.7962 |
| Malpractice | 2.52 | × 0.378 | 0.9526 |
| Total RVUs | 21.7188 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$725.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.97 | 1 |
| Practice expense | 9.53 | 0.923 |
| Malpractice | 2.52 | 0.378 |
(11.97 × 1 + 9.53 × 0.923 + 2.52 × 0.378) × $33.4009 = $725.43
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.
24498 billing questions
When should this code be chosen instead of a humeral shaft fracture-treatment code?
Use this code for preventive stabilization when the humeral shaft is at risk of fracture but has not fractured. Codes for fracture treatment apply when an existing fracture is being treated.
Does the code include methyl methacrylate?
Yes. Its scope includes stabilization with or without methyl methacrylate, so the use of cement is not a reason to select a different code.
What documentation supports reporting this service?
Document the humeral shaft site, the risk of fracture and its clinical basis, and the preventive fixation performed. The operative report should identify the method used and whether methyl methacrylate was used.
How is bilateral reporting paid?
CMS lists bilateral reporting with modifier 50 at 150%. The operative documentation should support treatment of both humeral shafts.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,32224435,,Rpr non/mal hum with agrft,A,,14.62,12.39,NA,12.39,,3.05,30.06,30.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32324470,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068