Billing code 24535: Fracture treatmentMedicare rate & RVUs in Nevada
Reports closed reduction and fracture management for a humeral supracondylar or transcondylar fracture when the physician manipulates the fracture.
Medicare pays $682.27 for 24535 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24535 covers
This code covers closed treatment of a supracondylar or transcondylar fracture of the humerus when the physician manipulates the fracture to achieve reduction; skeletal traction may also be used. An orthopedic surgeon commonly performs the reduction for an elbow fracture, often in an emergency department or hospital setting, with subsequent fracture care in the office. The fracture pattern must be supracondylar or transcondylar, and the treatment must include manipulation rather than immobilization alone.
Report the code when the physician provides the fracture treatment, not simply for evaluating the injury or applying a splint. The record should identify the fracture pattern and document the reduction or manipulation performed. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
24535 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $682.27 | $556.89 |
How the 24535 rate is calculated
Each of 24535’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24535
RVUs × geographic indexes × conversion factor
Work6.93
6.93 RVUs× 1.000 GPCI
Practice expense12.26
12.26 RVUs× 1.000 GPCI
Malpractice1.47
1.47 RVUs× 1.000 GPCI
Adjusted RVUs
20.6600
Conversion factor
$33.4009
Medicare rate
$690.06
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24535
24535 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24535
Fracture treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24535
Fracture treatment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24535 without 50 · national office
$690.06
Fracture treatment
24535-50 · Bilateral: 150%
$1,035.09
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24535 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 24530Humerus fracture care
- Both address supracondylar or transcondylar humeral fractures. Choose 24535 when manipulation is performed; 24530 describes treatment without manipulation.
- 24538Humerus fracture fixation
- 24535 is closed treatment with manipulation. 24538 is used when percutaneous skeletal fixation is performed for a supracondylar humeral fracture.
- 24545Humerus fracture repair
- 24535 describes closed treatment with manipulation. 24545 describes open treatment of a supracondylar or transcondylar fracture without intercondylar extension.
24535 billing questions
When should 24535 be chosen instead of 24530?
Use 24535 when closed treatment includes manipulation of a supracondylar or transcondylar humeral fracture. Code 24530 is the corresponding treatment without manipulation.
Does the documentation need to state that a reduction was performed?
Yes. Document the supracondylar or transcondylar fracture pattern and the manipulation or reduction performed; immobilization alone does not support 24535.
How does 24535 differ from percutaneous fixation?
24535 describes closed fracture treatment with manipulation. When percutaneous skeletal fixation is performed for a supracondylar humeral fracture, consider 24538 instead.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
CMS lists a statutory restriction on assistant-at-surgery payment 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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