$488.37–$539.35
Both address closed treatment of a proximal ulna fracture. Choose 24675 when manipulation is performed; 24670 is for treatment without it.
On this page
CMS RVU26D · Effective 2026-10-01
24670 Fracture care Medicare reimbursement rates in Pennsylvania
Closed management of a proximal ulna fracture without manipulation, typically for a stable fracture treated with immobilization and ongoing fracture care. Compare 24670 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 24670 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
$316.74–$351.21
2 of 2 localities have a supported rate.
Facility setting
$266.14–$293.84
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 24670: Closed proximal ulna fracture treatment
Closed management of a proximal ulna fracture without manipulation, typically for a stable fracture treated with immobilization and ongoing fracture care.
Code 24670 represents closed management of a proximal ulna fracture without manipulating bone fragments to restore alignment. Care commonly includes immobilization in a cast or splint and planned fracture follow-up. A stable, nondisplaced fracture of the proximal ulna, including an olecranon-region fracture, may fit when treated without manipulation. The orthopedic surgeon or other practitioner who assumes definitive fracture care reports the service; an emergency evaluation or temporary splint alone is not the full fracture treatment.
Documentation should identify the proximal ulna fracture, support treatment without manipulation, and describe the immobilization and care plan. 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%. Bilateral reporting with modifier 50 is paid at 150%. A statutory restriction bars assistant-at-surgery payment; co-surgeons and team surgery are not permitted.
CMS billing rules for 24670
- 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 RVU2.62 · 26%
- Practice expense (office) RVU6.92 · 69%
- Malpractice RVU0.54 · 5%
2.2K
Medicare services in 2024 · #2398 by national volume
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.
24670 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
24685 describes operative treatment of a proximal ulna fracture. Use 24670 for closed treatment without manipulation.
No office rate
24620 is for a Monteggia fracture-dislocation pattern, which includes an associated radial head dislocation; 24670 addresses a proximal ulna fracture without that pattern.
$283.45–$314.53
24650 treats a radial head or neck fracture without manipulation. 24670 is for the proximal ulna, a different bone and fracture site.
Compare 24670 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
$351.21
Facility
$293.84
Rest Of Pennsylvania →
Office / nonfacility
$316.74
Facility
$266.14
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24670 billing questions
When should 24670 be chosen instead of 24675?
Use 24670 when the proximal ulna fracture is treated without manipulating the fragments. If the clinician manipulates the fracture to restore alignment, consider 24675.
Can the cast or splint be billed separately?
Routine immobilization and related fracture follow-up are part of the fracture-treatment service. A temporary splint used only during evaluation does not by itself establish that definitive fracture care was provided.
What documentation supports 24670?
Record the fracture location in the proximal ulna, the closed treatment plan, and that no manipulation was performed. Include the immobilization and follow-up plan.
How should bilateral proximal ulna fractures be reported?
For bilateral treatment, CMS pays 24670 with modifier 50 at 150%, according to the listed bilateral rule.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,35224655,,Cltx rdl head/nck fx w/mnpj,A,,4.50,10.42,,7.70,,1.03,15.95,13.23,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35324665,,Optx radial head/neck fx,A,,8.15,8.84,NA,8.84,,1.64,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35424666,,Optx radial head/nck fx rplc,A,,9.61,8.95,NA,8.95,,1.95,20.51,20.51,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35524670,,Cltx ulnar fx prox w/o mnpj,A,,2.62,6.92,,5.27,,0.54,10.08,8.43,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35624675,,Cltx ulnar fx prox w/mnpj,A,,4.79,9.67,,6.88,,1.01,15.47,12.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35724685,,Optx ulnar fx prox end w/fix,A,,8.16,8.80,NA,8.80,,1.67,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35824800,,Arthrodesis elbw joint local,A,,11.12,9.89,NA,9.89,,2.37,23.38,23.38,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00