No office rate
Both address humeral nonunion or malunion. Choose 24430 when repair is without bone graft and 24435 when bone graft is used.
On this page
CMS RVU26D · Effective 2026-10-01
24430 Humerus repair Medicare reimbursement rates in Ohio
Reports operative repair of a humeral fracture that has failed to unite or healed in malalignment when the repair is performed without bone graft. Compare 24430 office and facility rates across CMS payment localities in Ohio.
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 24430 in Ohio?
Ohio 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
$938.19
1 of 1 localities have a supported rate.
Payment area: Ohio
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 24430: Humeral nonunion or malunion repair
Reports operative repair of a humeral fracture that has failed to unite or healed in malalignment when the repair is performed without bone graft.
An orthopedic surgeon uses this service to address a humeral fracture that has not united or has healed in a position requiring correction. The operation repairs the nonunion or malunion without bone graft. These cases are typically performed in a hospital operating room or another surgical facility; Medicare’s 2024 claims data show facility services for this code.
Select this code when the operative indication is humeral nonunion or malunion and the repair is performed without graft. The record should establish the healing problem and describe the operative repair and graft use. This major surgery has 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 is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24430
- 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 RVU14.87 · 51%
- Practice expense (office) RVU11.10 · 38%
- Malpractice RVU3.06 · 11%
971
Medicare services in 2024 · #2993 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.
24430 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Code 24400 describes humeral osteotomy, with or without internal fixation. Code 24430 is for repair of a humeral nonunion or malunion.
No office rate
Code 24420 describes humeral osteoplasty; 24430 identifies repair of a humeral fracture nonunion or malunion without graft.
Compare 24430 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
Ohio →
Office / nonfacility
Unavailable
Facility
$938.19
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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 24430 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
2,321
- Code
- 24430
- Physician work
- 14.87
- Practice expense
- 11.10
- Malpractice
- 3.06
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.87 | × 1.000 | 14.8700 |
| Practice expense | 11.10 | × 0.913 | 10.1343 |
| Malpractice | 3.06 | × 1.008 | 3.0845 |
| Total RVUs | 28.0888 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$938.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.87 | 1 |
| Practice expense | 11.1 | 0.913 |
| Malpractice | 3.06 | 1.008 |
(14.87 × 1 + 11.1 × 0.913 + 3.06 × 1.008) × $33.4009 = $938.19
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.
24430 billing questions
How is this code distinguished from 24435?
Use 24430 for repair of a humeral nonunion or malunion without bone graft. Code 24435 is the related repair code when bone graft is used.
What documentation supports reporting this code?
Document the humeral nonunion or malunion, the reason operative repair is needed, and the repair performed. The operative report should support that no bone graft was used.
Does the code include postoperative care?
Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and team surgery is 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.
2,31824400,,Osteot humerus w/wo int fixj,A,,11.05,9.81,NA,9.81,,2.34,23.20,23.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31924410,,Mlt osteot rlgnm imed rd hum,A,,14.73,11.39,NA,11.39,,3.13,29.25,29.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32024420,,Osteoplasty humerus,A,,13.39,13.75,NA,13.75,,2.85,29.99,29.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32124430,,Rpr non/mal humerus wo graft,A,,14.87,11.10,NA,11.10,,3.06,29.03,29.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32224435,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703