No office rate
Choose 24516 for intramedullary fixation of a humeral shaft fracture. Choose 24515 when the operative fixation uses a plate and screws.
On this page
CMS RVU26D · Effective 2026-10-01
24516 Fracture fixation Medicare reimbursement rates in Vermont
Report this service when a surgeon operatively treats a humeral shaft fracture using an intramedullary implant to stabilize the bone. Compare 24516 office and facility rates across CMS payment localities in Vermont.
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 24516 in Vermont?
Vermont 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
$753.19
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Orthopedic surgery
About 24516: Humeral shaft fracture intramedullary fixation
Report this service when a surgeon operatively treats a humeral shaft fracture using an intramedullary implant to stabilize the bone.
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.
CMS billing rules for 24516
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.89 · 50%
- Practice expense (office) RVU9.49 · 40%
- Malpractice RVU2.50 · 10%
2.8K
Medicare services in 2024 · #2219 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.
24516 compared with similar codes
Office rates for Vermont, from the same CMS release.
$400.81
24500 describes closed treatment of a humeral shaft fracture without manipulation. It does not describe the operative intramedullary fixation reported with 24516.
$558.88
24505 describes closed treatment of a humeral shaft fracture with manipulation. Report 24516 when the fracture is operatively treated with an intramedullary implant.
Compare 24516 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
Vermont →
Office / nonfacility
Unavailable
Facility
$753.19
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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 24516 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,329
- Code
- 24516
- Physician work
- 11.89
- Practice expense
- 9.49
- Malpractice
- 2.50
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.89 | × 1.000 | 11.8900 |
| Practice expense | 9.49 | × 0.990 | 9.3951 |
| Malpractice | 2.50 | × 0.506 | 1.2650 |
| Total RVUs | 22.5501 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$753.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.89 | 1 |
| Practice expense | 9.49 | 0.99 |
| Malpractice | 2.5 | 0.506 |
(11.89 × 1 + 9.49 × 0.99 + 2.5 × 0.506) × $33.4009 = $753.19
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.
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 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.
2,32624500,,Cltx humrl shft fx w/o mnpj,A,,3.32,8.41,,6.42,,0.70,12.43,10.44,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32724505,,Cltx humrl shft fx w/mnpj,A,,5.26,10.98,,7.73,,1.19,17.43,14.18,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32824515,,Optx humrl shft fx plate/scr,A,,11.82,10.33,NA,10.33,,2.47,24.62,24.62,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32924516,,Tx humrl shaft fx imed implt,A,,11.89,9.49,NA,9.49,,2.50,23.88,23.88,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33024530,,Cltx sprcndylr humeral fx wo,A,,3.60,8.65,,6.41,,0.75,13.00,10.76,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33124535,,Cltx sprcndylr humeral fx w/,A,,6.93,12.26,,8.51,,1.47,20.66,16.91,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,33224538,,Prq skel fix sprcndlr hum fx,A,,9.53,10.94,NA,10.94,,2.04,22.51,22.51,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817