$568.76–$628.02
Use 24565 for closed treatment with manipulation when percutaneous skeletal fixation is not performed. Use 24566 when percutaneous skeletal fixation is part of the treatment.
On this page
CMS RVU26D · Effective 2026-10-01
24566 Epicondyle fixation Medicare reimbursement rates in Pennsylvania
Reports percutaneous skeletal fixation of a medial or lateral humeral epicondyle fracture when the fracture is manipulated and stabilized without open exposure. Compare 24566 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 24566 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
$659.97–$721.81
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 24566: Percutaneous fixation of humeral epicondyle fracture
Reports percutaneous skeletal fixation of a medial or lateral humeral epicondyle fracture when the fracture is manipulated and stabilized without open exposure.
An orthopedic surgeon uses a percutaneous approach to manipulate and stabilize a fracture of the medial or lateral epicondyle at the elbow, typically with skeletal fixation such as pins or wires. The procedure is performed in a surgical setting, often with imaging to guide reduction and fixation. The fracture site is the epicondyle, not the supracondylar region or the humeral condyles.
Report this code when the operative record supports percutaneous skeletal fixation and identifies the epicondylar fracture, laterality, manipulation, and fixation performed. Choose a closed-treatment code when the fracture is managed without percutaneous skeletal fixation, or an open-treatment code when the fracture is exposed for fixation. Medicare 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%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 24566
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.83 · 43%
- Practice expense (office) RVU9.97 · 48%
- Malpractice RVU1.88 · 9%
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.
24566 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
24575 describes open treatment of the epicondylar fracture. 24566 applies when fixation is performed percutaneously rather than through open exposure.
No office rate
24538 concerns a supracondylar humeral fracture, not a fracture of the medial or lateral epicondyle.
No office rate
24582 is for a humeral condylar fracture. Select 24566 when the documented fracture involves an epicondyle.
Compare 24566 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
$721.81
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$659.97
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
24566 billing questions
When is 24566 appropriate instead of closed treatment?
Use 24566 when the epicondylar fracture is manipulated and stabilized with percutaneous skeletal fixation. Closed-treatment codes apply when percutaneous skeletal fixation is not performed.
How does 24566 differ from open treatment?
This code describes fixation through a percutaneous approach. Use the open-treatment code when the fracture is exposed for fixation.
What documentation supports 24566?
The operative report should identify the medial or lateral epicondyle fracture, laterality, manipulation, and percutaneous skeletal fixation performed.
Does the fracture care global period include follow-up?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for 24566?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How is bilateral reporting handled?
When the procedure is performed bilaterally and reported with modifier 50, Medicare pays 150%.
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.
2,33424546,,Optx hum fx w/ntrcndylr xtn,A,,14.54,11.01,NA,11.01,,3.00,28.55,28.55,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33524560,,Cltx hum epcndylr fx wo mnpj,A,,2.91,8.17,,6.05,,0.62,11.70,9.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33624565,,Cltx hum epcndylr fx w/mnpj,A,,5.64,11.16,,7.74,,1.21,18.01,14.59,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33724566,,Prq skel fix epcndylr hum fx,A,,8.83,9.97,NA,9.97,,1.88,20.68,20.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33824575,,Optx humeral epcndylr fx,A,,9.47,9.39,NA,9.39,,1.94,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33924576,,Cltx humrl cndylr fx wo mnpj,A,,2.98,8.65,,6.49,,0.64,12.27,10.11,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,34024577,,Cltx humrl cndylr fx w/mnpj,A,,5.86,11.39,,7.81,,1.25,18.50,14.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00