CPT code 24505: Fracture treatment2026 Medicare rate & RVUs in Oregon
Closed treatment of a humeral shaft fracture with manipulation is reported when the physician repositions the fracture without operative fixation.
Medicare pays $568.91–$615.52 for 24505 in the office in Oregon, from Rest Of Oregon to Portland. 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 24505 covers
This code describes closed management of a fracture through the shaft of the humerus when the physician manipulates the fracture to improve alignment. An orthopedic surgeon or other qualified physician may perform the reduction in an emergency department, operating room, or another appropriate setting, then manage the arm with immobilization. Skeletal traction may be used as part of the treatment. The code is for the humeral shaft, not fractures at the elbow end of the humerus or fractures treated with an operative implant.
Select this service when documentation supports manipulation of the shaft fracture; treatment without manipulation is represented by a different code. The record should identify the fracture site and describe the reduction and treatment plan. Medicare 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% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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.
Where 24505 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $615.52 | $494.92 |
| Rest Of Oregon | $568.91 | $460.79 |
How the 24505 rate is calculated
Each of 24505’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 · 24505
RVUs × geographic indexes × conversion factor
Work5.26
5.26 RVUs× 1.000 GPCI
Practice expense10.98
10.98 RVUs× 1.000 GPCI
Malpractice1.19
1.19 RVUs× 1.000 GPCI
Adjusted RVUs
17.4300
Conversion factor
$33.4009
Medicare rate
$582.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24505
24505 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24505
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 · 24505
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
24505 without 50 · national office
$582.18
Fracture treatment
24505-50 · Bilateral: 150%
$873.27
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).
24505 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 24500Fracture treatment
- Choose 24500 for closed treatment without manipulation. Choose 24505 when the physician manipulates the humeral shaft fracture.
- 24515Humeral shaft fixation
- 24515 describes operative fixation of a humeral shaft fracture with a plate and screws; 24505 describes closed reduction without operative fixation.
- 24516Fracture fixation
- 24516 describes humeral shaft fracture treatment with an intramedullary implant. Use 24505 for closed treatment with manipulation rather than implant fixation.
24505 billing questions
How does this differ from 24500?
Use 24505 when the humeral shaft fracture is manipulated to improve alignment. Code 24500 represents closed treatment without manipulation.
When would 24515 or 24516 be more appropriate?
Those codes describe operative fixation of a humeral shaft fracture, using a plate and screws or an intramedullary implant, respectively. This code represents closed treatment with manipulation rather than fixation with an implant.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral procedures reported with modifier 50, Medicare pays at 150% under the CMS rule for this code.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services are not paid for this code. Co-surgeons and team surgery are not permitted.
What documentation supports reporting manipulation?
Document that the fracture involves the humeral shaft and describe the manipulation or reduction performed. The record should distinguish this treatment from closed care without manipulation and from operative fixation.
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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