No office rate
Choose 24515 for open plate-and-screw fixation; choose 24516 when treatment uses an intramedullary implant.
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CMS RVU26D · Effective 2026-10-01
24515 Humeral shaft fixation Medicare reimbursement rates in Virginia
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 Virginia.
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 Virginia?
Virginia 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
No supported rate
Facility setting
$792.21–$914.39
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 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 Virginia, from the same CMS release.
$403.52–$473.80
Code 24500 is for closed treatment of a humeral shaft fracture without manipulation, not open plate fixation.
$564.26–$661.44
Code 24505 describes closed treatment with manipulation; 24515 involves open reduction and plate-and-screw fixation.
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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$914.39
Virginia →
Office / nonfacility
Unavailable
Facility
$792.21
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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.
2,32524498,,Proph tx w/wo mthylmthcrylt,A,,11.97,9.53,NA,9.53,,2.52,24.02,24.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32624500,,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