Billing code 24498: Humeral stabilizationMedicare rate & RVUs in Utah
Reports preventive surgical stabilization of a humeral shaft at risk of fracture, using fixation with or without bone cement before a fracture occurs.
CMS doesn’t publish an office rate for 24498 in Utah.
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 24498 covers
An orthopedic surgeon stabilizes a humeral shaft judged at substantial risk of fracture, commonly because of a destructive lesion such as metastatic bone disease. The surgeon may use a nail, pin, plate, or wire, with or without methyl methacrylate. The operation is performed before the shaft has fractured; it is not fixation of an existing fracture. These procedures are generally performed in an operating room rather than an office setting.
Report the code when the documented indication is prevention of an impending humeral shaft fracture and the operative report supports the site and stabilization performed. The code encompasses the described fixation options, including use of methyl methacrylate. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, 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-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.
24498 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $774.61 |
How the 24498 rate is calculated
Each of 24498’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 · 24498
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 11.97Practice expense 9.53Malpractice 2.52
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24498
24498 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24498
Humeral stabilization
| 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 · 24498
Humeral stabilization
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
24498 without 50 · national facility
$802.29
Humeral stabilization
24498-50 · Bilateral: 150%
$1,203.44
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).
24498 compared with similar codes
Compare codes
24498 vs 24515 vs 24516 vs 24430 vs 24435: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24515Humeral shaft fixation
- Choose 24498 for preventive stabilization before a shaft fracture occurs. Code 24515 is for open fixation of an existing humeral shaft fracture.
- 24516Fracture fixation
- Code 24516 treats an existing humeral shaft fracture with an intramedullary implant; 24498 addresses preventive stabilization of a shaft at risk.
- 24430Humerus repair
- Code 24430 addresses repair of a humeral nonunion or malunion, not preventive stabilization of an unfractured shaft at risk.
- 24435Humerus repair
- Code 24435 is for repair of humeral nonunion or malunion with grafting; 24498 is for prophylactic shaft stabilization before fracture.
24498 billing questions
When should this code be chosen instead of a humeral shaft fracture-treatment code?
Use this code for preventive stabilization when the humeral shaft is at risk of fracture but has not fractured. Codes for fracture treatment apply when an existing fracture is being treated.
Does the code include methyl methacrylate?
Yes. Its scope includes stabilization with or without methyl methacrylate, so the use of cement is not a reason to select a different code.
What documentation supports reporting this service?
Document the humeral shaft site, the risk of fracture and its clinical basis, and the preventive fixation performed. The operative report should identify the method used and whether methyl methacrylate was used.
How is bilateral reporting paid?
CMS lists bilateral reporting with modifier 50 at 150%. The operative documentation should support treatment of both humeral shafts.
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.
What postoperative care is included in the global period?
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 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
Fee sheets
Put 24498 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →