CPT code 24575: Epicondylar fracture repair2026 Medicare rate & RVUs in Oklahoma
Reports open surgical treatment of a humeral epicondyle fracture, including reduction and internal fixation when performed, rather than closed or percutaneous treatment.
CMS doesn’t publish an office rate for 24575 in Oklahoma.
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 24575 covers
An orthopedic surgeon exposes a fracture of the medial or lateral epicondyle of the humerus and restores the fracture alignment. Internal fixation may be used as part of the open treatment. This service is typically performed in an operating room for a fracture requiring surgical exposure and treatment; it is distinct from manipulation through the skin or percutaneous skeletal fixation.
Report the code for open treatment of the epicondylar fracture, not for a humeral shaft or condylar fracture. The operative report should identify the fracture site and document the open treatment and any fixation 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 one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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.
24575 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $646.73 |
How the 24575 rate is calculated
Each of 24575’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 · 24575
RVUs × geographic indexes × conversion factor
Work9.47
9.47 RVUs× 1.000 GPCI
Practice expense9.39
9.39 RVUs× 1.000 GPCI
Malpractice1.94
1.94 RVUs× 1.000 GPCI
Adjusted RVUs
20.8000
Conversion factor
$33.4009
Medicare rate
$694.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24575
24575 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24575
Epicondylar fracture repair
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 24575
Epicondylar fracture repair
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
24575 without 50 · national facility
$694.74
Epicondylar fracture repair
24575-50 · Bilateral: 150%
$1,042.11
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).
24575 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24560Fracture treatment
- Use 24560 for closed treatment of a humeral epicondyle fracture without manipulation; use this code when the fracture is treated through an open surgical approach.
- 24565Fracture treatment
- 24565 is closed treatment with manipulation. This code describes open treatment, not closed reduction.
- 24566Epicondyle fixation
- 24566 is for percutaneous skeletal fixation of a humeral epicondyle fracture. This code is for open treatment.
- 24579Humeral fracture repair
- 24579 describes open treatment of a humeral condylar fracture. Distinguish the condyle from the epicondyle in the operative diagnosis and report.
24575 billing questions
How is this different from closed treatment of a humeral epicondyle fracture?
This code is for open surgical treatment. Closed treatment without manipulation or with manipulation is reported with 24560 or 24565, respectively.
When would 24566 be used instead?
24566 describes percutaneous skeletal fixation of a humeral epicondyle fracture. Use this code when treatment is open rather than performed through percutaneous fixation.
Does the code include internal fixation?
Internal fixation may be performed as part of the open treatment. The operative report should document the treatment and fixation actually performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, with other procedures subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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 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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