CPT code 24655: Fracture reduction2026 Medicare rate & RVUs in Oklahoma
Reports closed treatment of a radial head or neck fracture when the physician manipulates the fracture to correct its position.
Medicare pays $487.83 for 24655 in the office in Oklahoma (Oklahoma). 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 24655 covers
This service covers treatment of a radial head or neck fracture at the elbow without surgically exposing the fracture. The physician manually manipulates the bone to improve alignment and may immobilize the arm in a splint or cast. It is commonly performed by an orthopedic surgeon in an office, emergency department, or procedure setting when closed reduction is appropriate.
Report this code when documentation supports both the fracture site and the manipulation performed; closed fracture care without manipulation is reported with a different code. 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, Medicare pays the highest-valued procedure in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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.
24655 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $487.83 | $406.70 |
How the 24655 rate is calculated
Each of 24655’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 · 24655
RVUs × geographic indexes × conversion factor
Work4.50
4.50 RVUs× 1.000 GPCI
Practice expense10.42
10.42 RVUs× 1.000 GPCI
Malpractice1.03
1.03 RVUs× 1.000 GPCI
Adjusted RVUs
15.9500
Conversion factor
$33.4009
Medicare rate
$532.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24655
24655 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24655
Fracture reduction
| 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 · 24655
Fracture reduction
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
24655 without 50 · national office
$532.74
Fracture reduction
24655-50 · Bilateral: 150%
$799.11
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).
24655 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 24650Radial fracture care
- Both codes cover closed treatment of a radial head or neck fracture. Choose 24655 when the physician manipulates the fracture; choose 24650 when treatment is without manipulation.
- 24665Radial head surgery
- This code is for closed manipulation. Code 24665 is used when the fracture is treated through open operative exposure.
- 24666Radial head surgery
- Use 24655 for closed fracture manipulation. Code 24666 describes operative treatment that includes radial head replacement.
24655 billing questions
How does this differ from 24650?
Use 24655 when the physician manipulates the radial head or neck fracture to improve alignment. Code 24650 describes closed treatment without manipulation.
What documentation supports reporting manipulation?
Document the radial head or neck fracture and the physician's manipulation or reduction of the fracture. A note describing immobilization alone does not establish that manipulation was performed.
Can fracture immobilization be separately reported?
The code describes closed fracture treatment that includes manipulation. Do not report the same fracture-care work again as a separate service.
How should bilateral radial fractures be reported?
For bilateral treatment, report modifier 50; Medicare pays the bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and the other procedure or procedures at 50%.
Can an assistant or co-surgeon be billed?
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 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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