Billing code 24587: Elbow fracture repairMedicare rate & RVUs in Oregon
Reports open treatment of an elbow periarticular fracture or dislocation when implant arthroplasty is part of the surgical treatment.
CMS doesn’t publish an office rate for 24587 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 24587 covers
An orthopedic surgeon uses this code for open treatment of a fracture or dislocation around the elbow when the operation includes implant arthroplasty. A typical situation is a severely comminuted distal humerus fracture that cannot be reconstructed reliably with fixation and is treated with an elbow implant. The service may include internal fixation when performed, but the implant arthroplasty distinguishes it from open treatment without arthroplasty.
Document the periarticular injury, the open surgical treatment, and the implant arthroplasty performed. This is major surgery with 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%. An assistant at surgery may be paid; 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 24587 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,021.33 |
| Rest Of Oregon | Unavailable | $965.41 |
How the 24587 rate is calculated
Each of 24587’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 · 24587
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.40Practice expense 11.25Malpractice 3.27
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24587
24587 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24587
Elbow 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 · 24587
Elbow 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
24587 without 50 · national facility
$999.35
Elbow fracture repair
24587-50 · Bilateral: 150%
$1,499.03
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).
24587 compared with similar codes
Compare codes
24587 vs 24586 vs 24579 vs 24545 vs 24546: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24586Elbow fracture repair
- Both address open treatment of periarticular elbow fracture or dislocation; 24587 is distinguished by implant arthroplasty as part of the treatment.
- 24579Humeral fracture repair
- This code is for open treatment of a humeral condylar fracture. Choose it when that specific fracture code applies rather than the broader periarticular injury treatment with implant arthroplasty.
- 24545Humerus fracture repair
- This code describes open treatment of a humeral fracture without intercondylar extension. 24587 is for periarticular elbow fracture or dislocation treatment that includes implant arthroplasty.
- 24546Distal humerus repair
- This code describes open treatment of a humeral fracture with intercondylar extension. 24587 applies when the operation instead meets the periarticular elbow treatment criteria and includes implant arthroplasty.
24587 billing questions
How does 24587 differ from 24586?
Use 24587 when implant arthroplasty is part of the open treatment of the elbow fracture or dislocation. Code 24586 describes the related open treatment without implant arthroplasty.
Should the implant arthroplasty be reported separately?
The arthroplasty is included in 24587 when performed as part of the fracture or dislocation treatment. The operative report should establish that the implant was used to treat the periarticular injury.
What documentation supports 24587?
Document the fracture or dislocation and its periarticular elbow location, the open treatment, and the implant arthroplasty performed. Include internal fixation details when fixation is also performed.
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 reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is bilateral surgery handled?
When the qualifying procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.
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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