No office rate
Use 24410 for multiple osteotomies with realignment on an intramedullary rod. 24400 describes humeral osteotomy without that defining multiple-cut rod-realignment approach.
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CMS RVU26D · Effective 2026-10-01
24410 Humeral osteotomy Medicare reimbursement rates in Pennsylvania
Reports multiple humeral bone cuts used to correct alignment with an intramedullary rod, typically for a complex deformity requiring more than one osteotomy. Compare 24410 office and facility rates across CMS payment localities in Pennsylvania.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 24410 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$940.03–$1021.61
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 24410: Multiple humeral osteotomies with rod realignment
Reports multiple humeral bone cuts used to correct alignment with an intramedullary rod, typically for a complex deformity requiring more than one osteotomy.
An orthopedic surgeon uses 24410 when correcting a humeral deformity requires multiple planned bone cuts and realignment on an intramedullary rod. The operation may address a complex angular or rotational deformity, including a deformity after a healed fracture. It is a major operative service generally performed in a hospital surgical setting; the operative report should establish the humerus treated and the extent of the reconstruction.
Select this code when the documented work involves multiple osteotomies with rod-based realignment, rather than a single osteotomy. Record the deformity, the cuts performed, and how the rod was used for 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24410
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.73 · 50%
- Practice expense (office) RVU11.39 · 39%
- Malpractice RVU3.13 · 11%
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.
24410 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
24420 describes humeral osteoplasty, including procedures directed at lengthening or shortening. 24410 is distinguished by multiple osteotomies and rod-based realignment.
No office rate
24430 is for humeral nonunion or malunion repair without graft. Choose 24410 when the documented service is multiple osteotomies with rod realignment rather than nonunion or malunion repair.
No office rate
24435 describes humeral nonunion or malunion repair with graft. It is not interchangeable with 24410 when the operative work is multi-cut realignment on an intramedullary rod.
Compare 24410 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1021.61
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$940.03
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24410 billing questions
How does 24410 differ from 24400?
24410 describes multiple humeral osteotomies with realignment on an intramedullary rod. Consider 24400 when the documented service is a humeral osteotomy without that multiple-cut, rod-realignment work.
When is 24420 a better fit?
24420 describes humeral osteoplasty, such as work directed at bone lengthening or shortening. Choose based on the procedure performed and documented, not simply because the operation changes bone alignment.
What documentation supports 24410?
The operative report should identify the humerus, describe the multiple osteotomies and the deformity being corrected, and document realignment using an intramedullary rod.
Does the 90-day global period include related follow-up?
Yes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. If both humeri are treated, modifier 50 is paid at 150% under the CMS bilateral rule.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,31624370,,Revise reconst elbow joint,A,,22.96,13.65,NA,13.65,,4.61,41.22,41.22,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31724371,,Revise reconst elbow joint,A,,26.81,14.88,NA,14.88,,5.36,47.05,47.05,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31824400,,Osteot humerus w/wo int fixj,A,,11.05,9.81,NA,9.81,,2.34,23.20,23.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31924410,,Mlt osteot rlgnm imed rd hum,A,,14.73,11.39,NA,11.39,,3.13,29.25,29.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32024420,,Osteoplasty humerus,A,,13.39,13.75,NA,13.75,,2.85,29.99,29.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32124430,,Rpr non/mal humerus wo graft,A,,14.87,11.10,NA,11.10,,3.06,29.03,29.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32224435,,Rpr non/mal hum with agrft,A,,14.62,12.39,NA,12.39,,3.05,30.06,30.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00