Billing code 24516: Fracture fixationMedicare rate & RVUs in Utah
Report this service when a surgeon operatively treats a humeral shaft fracture using an intramedullary implant to stabilize the bone.
CMS doesn’t publish an office rate for 24516 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 24516 covers
An orthopedic surgeon treats a fracture of the humeral shaft in the operating room, reducing the fracture and stabilizing it with an intramedullary implant. The implant is placed within the bone’s canal; this distinguishes the service from fixation using a plate and screws. Operative reports should identify the shaft fracture, the reduction and fixation performed, and the implant used. Hospital facility claims are more common than office claims for this procedure.
Report the code for the humeral shaft fracture treated with this method, and document laterality and the operative details. The service has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment, modifier 50 is paid at 150%. CMS permits assistant-at-surgery and co-surgeon payment; 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.
24516 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $770.08 |
How the 24516 rate is calculated
Each of 24516’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 · 24516
RVUs × geographic indexes × conversion factor
Work11.89
11.89 RVUs× 1.000 GPCI
Practice expense9.49
9.49 RVUs× 1.000 GPCI
Malpractice2.50
2.50 RVUs× 1.000 GPCI
Adjusted RVUs
23.8800
Conversion factor
$33.4009
Medicare rate
$797.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24516
24516 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24516
Fracture fixation
| 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) | 2 | Permitted. |
| 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 · 24516
Fracture fixation
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
24516 without 50 · national facility
$797.61
Fracture fixation
24516-50 · Bilateral: 150%
$1,196.42
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).
24516 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 24515Humeral shaft fixation
- Choose 24516 for intramedullary fixation of a humeral shaft fracture. Choose 24515 when the operative fixation uses a plate and screws.
- 24500Fracture treatment
- 24500 describes closed treatment of a humeral shaft fracture without manipulation. It does not describe the operative intramedullary fixation reported with 24516.
- 24505Fracture treatment
- 24505 describes closed treatment of a humeral shaft fracture with manipulation. Report 24516 when the fracture is operatively treated with an intramedullary implant.
24516 billing questions
How is this different from 24515?
Both codes involve operative treatment of a humeral shaft fracture. Use 24516 when fixation is with an intramedullary implant; 24515 describes fixation using a plate and screws.
When would 24500 or 24505 be reported instead?
Those codes describe closed treatment of a humeral shaft fracture. 24500 is for treatment without manipulation, while 24505 is for treatment with manipulation; they are not the open intramedullary fixation service reported with 24516.
What documentation supports reporting 24516?
Document that the fracture involves the humeral shaft, the operative reduction and fixation, and use of an intramedullary implant. Include laterality and the relevant operative findings.
Are related postoperative visits separately reported during the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care. The code’s global period covers those services.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this procedure. Team surgery is not permitted.
How does CMS handle bilateral treatment or other procedures in the same session?
For bilateral treatment, modifier 50 is paid at 150%. Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session at 50%.
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
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