CPT 24435: Humerus repairMedicare rate & RVUs in Oregon
Reports operative repair of a humeral fracture nonunion or malunion when autologous bone graft is used to support reconstruction.
CMS doesn’t publish an office rate for 24435 in Oregon.
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 24435 covers
An orthopedic surgeon uses this service to reconstruct a humerus that has failed to unite or has healed in a faulty position, adding the patient’s own bone graft to the repair. A typical case is a humeral fracture nonunion requiring graft augmentation; the graft may be taken from the iliac crest or another donor site. The service is generally performed in a hospital or ambulatory surgical setting, rather than as an office procedure.
Select this code when the operative repair includes autologous bone graft; use the related no-graft code when the repair does not. The operative report should establish the humeral nonunion or malunion, describe the reconstruction, and document use of autograft. The graft harvest is included in this service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.
Where 24435 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,031.70 |
| Rest Of Oregon | Unavailable | $972.12 |
How the 24435 rate is calculated
Each of 24435’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 · 24435
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.62Practice expense 12.39Malpractice 3.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24435
24435 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24435
Humerus 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 · 24435
Humerus 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
24435 without 50 · national facility
$1,004.03
Humerus repair
24435-50 · Bilateral: 150%
$1,506.05
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).
24435 compared with similar codes
Compare codes
24435 vs 24430 vs 24400 vs 24420: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24430Humerus repair
- Choose 24430 when the humeral nonunion or malunion is repaired without graft. Choose 24435 when autologous bone graft is part of the repair.
- 24400Humerus osteotomy
- 24400 describes a humeral osteotomy, with or without internal fixation. It is not the grafted repair code for an established humeral nonunion or malunion.
- 24420Humerus osteoplasty
- 24420 is for humeral osteoplasty, such as a bone-shape or length procedure; 24435 is for repairing a humeral nonunion or malunion with autograft.
24435 billing questions
How does this differ from 24430?
Use 24435 when the humeral nonunion or malunion repair includes autologous bone graft. Code 24430 describes the corresponding repair without graft.
Is graft harvest separately reported?
The graft harvest is included when autologous bone is obtained for this repair. Do not separately report the harvest for the same graft.
What documentation supports this code?
The operative report should identify the humeral nonunion or malunion, describe the repair, and state that autologous bone graft was used. Document the graft source as part of the operative details.
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 or co-surgeon be paid?
Assistant-at-surgery payment may be made. 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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