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CMS RVU26D · Effective 2026-10-01

24515 Humeral shaft fixation Medicare reimbursement rates in Rhode Island

Report this service for open operative fixation of a humeral shaft fracture using a plate-and-screw construct rather than closed treatment or intramedullary fixation. Compare 24515 office and facility rates across CMS payment localities in Rhode Island.

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 24515 in Rhode Island?

Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$832.31

1 of 1 localities have a supported rate.

Payment area: Rhode Island

One mapped payment locality.

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.

Find 24515 in your payment locality →

Orthopedic surgery

About 24515: Open fixation of humeral shaft fracture

Report this service for open operative fixation of a humeral shaft fracture using a plate-and-screw construct rather than closed treatment or intramedullary fixation.

This service covers open reduction and fixation of a fracture through the shaft of the humerus using a plate-and-screw construct. An orthopedic surgeon typically performs it in an operating room, most often for a displaced or unstable shaft fracture requiring direct exposure and internal stabilization. The operative report should identify the fracture location, the open reduction, and the fixation method used.

Report the code for the plate-and-screw approach, not for closed fracture management or treatment with an intramedullary implant. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral services reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 24515

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 RVU11.82 · 48%
  • Practice expense (office) RVU10.33 · 42%
  • Malpractice RVU2.47 · 10%

5K

Medicare services in 2024 · #1869 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.

24515 compared with similar codes

Office rates for Rhode Island, from the same CMS release.

24516

Fracture fixation

Humeral shaft, intramedullary implant

No office rate

Choose 24515 for open plate-and-screw fixation; choose 24516 when treatment uses an intramedullary implant.

24500

Fracture treatment

Humeral shaft, no manipulation

$424.02

Code 24500 is for closed treatment of a humeral shaft fracture without manipulation, not open plate fixation.

24505

Fracture treatment

Humeral shaft, with manipulation

$593.33

Code 24505 describes closed treatment with manipulation; 24515 involves open reduction and plate-and-screw fixation.

24545

Humerus fracture repair

Without intercondylar extension

No office rate

Code 24545 concerns an extra-articular distal humerus fracture, not a fracture through the humeral shaft.

Compare 24515 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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 24515 in Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

2,328

Code
24515
Physician work
11.82
Practice expense
10.33
Malpractice
2.47

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Facility calculation for 24515 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work11.82× 1.01912.0446
Practice expense10.33× 1.03310.6709
Malpractice2.47× 0.8922.2032
Total RVUs24.9187
Conversion factor× 33.4009

Facility rate, Rhode Island$832.31

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.821.019
Practice expense10.331.033
Malpractice2.470.892

(11.82 × 1.019 + 10.33 × 1.033 + 2.47 × 0.892) × $33.4009 = $832.31

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

24515 billing questions

How does this differ from code 24516?

Code 24515 represents open fixation with a plate-and-screw construct. Code 24516 is for treatment using an intramedullary implant.

Can routine fracture follow-up be billed separately?

Related postoperative care during the 90-day global period is included. The operative service also includes the day-before preoperative visit.

How is a bilateral procedure handled?

When the procedure is performed bilaterally and reported with modifier 50, CMS pays at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports choosing this code?

Document that the fracture involves the humeral shaft, that open reduction was performed, and that a plate-and-screw construct was used.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

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.

RVUs for 24515PPRRVU2026_Oct_nonQPP.csv, line 2,328 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet