Billing code 24565: Fracture treatmentMedicare rate & RVUs in Oregon
Reports closed treatment of a humeral epicondylar fracture when the clinician manipulates the fracture to improve alignment without open exposure.
Medicare pays $588.06–$635.59 for 24565 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 24565 covers
This code describes nonopen treatment of a fracture at a humeral epicondyle near the elbow, with the clinician manipulating the fracture to improve alignment. Orthopedic surgeons and other qualified clinicians may provide this care after elbow trauma, commonly in a hospital or other facility. The treatment may include immobilization after reduction, with post-manipulation assessment of alignment and neurovascular status.
Choose the code when the documented fracture is epicondylar and manipulation is performed as part of closed treatment. The record should identify the fracture site and describe the reduction and resulting alignment. 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%. Modifier 50 bilateral reporting 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 24565 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $635.59 | $508.68 |
| Rest Of Oregon | $588.06 | $474.28 |
How the 24565 rate is calculated
Each of 24565’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 · 24565
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.64Practice expense 11.16Malpractice 1.21
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24565
24565 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24565
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 · 24565
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
24565 without 50 · national office
$601.55
Fracture treatment
24565-50 · Bilateral: 150%
$902.33
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).
24565 compared with similar codes
Compare codes
24565 vs 24560 vs 24566 vs 24575 vs 24535: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24560Fracture treatment
- Use 24565 when manipulation is performed during closed treatment. Use 24560 when the fracture is treated closed without manipulation.
- 24566Epicondyle fixation
- 24566 describes percutaneous skeletal fixation, rather than closed treatment with manipulation alone.
- 24575Epicondylar fracture repair
- 24575 applies when the humeral epicondylar fracture is treated open; 24565 is for closed treatment with manipulation.
- 24535Fracture treatment
- 24535 is for a supracondylar humeral fracture treated closed with manipulation. 24565 is for a humeral epicondylar fracture.
24565 billing questions
How does this differ from code 24560?
Both describe closed treatment of a humeral epicondylar fracture. Use 24565 when the clinician manipulates the fracture; 24560 is for treatment without manipulation.
When would 24566 or 24575 be considered instead?
These codes describe different treatment methods for an epicondylar fracture: percutaneous skeletal fixation for 24566 and open treatment for 24575. The operative record should support the method performed.
What documentation supports reporting 24565?
Document the humeral epicondylar fracture, the manipulation performed to improve alignment, and the post-reduction findings. Include the treatment and immobilization plan.
How does the global period affect related visits?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures and bilateral treatment handled?
For procedures in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. CMS pays bilateral reporting with modifier 50 at 150%.
Can an assistant or co-surgeon be reported?
CMS does not pay assistant-at-surgery services 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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