Billing code 24615: Elbow dislocationMedicare rate & RVUs in Virginia

Open operative treatment of an acute or chronic elbow dislocation, reported when the surgeon exposes the joint to manage the dislocation.

CMS RVU26DEffective Oct 1, 20262 payment localities332 Medicare services in 2024

CMS doesn’t publish an office rate for 24615 in Virginia.

—Office (non-facility)
$640.68–$739.06Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 24615 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Virginia
  2. What 24615 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 24615 covers

billing code 24615 represents operative treatment of an acute or chronic elbow dislocation through surgical exposure of the joint. An orthopedic surgeon typically performs the procedure in a hospital or ambulatory surgery setting when open treatment is chosen; the operative report should identify the dislocation and describe the approach and work performed to reduce or manage it. This code concerns the dislocation itself, rather than a Monteggia fracture-dislocation, which has separate treatment codes.

Report 24615 for open treatment, not for closed reduction alone. Document the affected elbow, whether the dislocation is acute or chronic, and the operative steps. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.

Where 24615 pays more and less in Virginia

24615 office and facility rates by payment locality
Payment localityOfficeFacility
Dc + Md/Va SuburbsUnavailable$739.06
VirginiaUnavailable$640.68

How the 24615 rate is calculated

Each of 24615’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 · 24615

RVUs × geographic indexes × conversion factor

Work9.58

9.58 RVUs× 1.000 GPCI

Practice expense8.36

8.36 RVUs× 1.000 GPCI

Malpractice1.96

1.96 RVUs× 1.000 GPCI

Adjusted RVUs

19.9000

Conversion factor

$33.4009

Medicare rate

$664.68

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 24615

24615 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24615

Elbow dislocation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 24615

Elbow dislocation

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

24615 without 50 · national facility

$664.68

Elbow dislocation

24615-50 · Bilateral: 150%

$997.02

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).

When to use modifier 50

24615 compared with similar codes

Compare codes · National

4 codes, side by side

  • 24615

    Elbow dislocation9.58 wRVU

    Not priced

  • 24600

    Elbow reduction4.26 wRVU

    $476.63

  • 24605

    Elbow reduction5.5 wRVU

    Not priced

  • 24635

    Monteggia repair8.58 wRVU

    Not priced

How to choose

24600Elbow reduction
Use 24600 for closed treatment of an elbow dislocation without anesthesia; 24615 describes open operative treatment.
24605Elbow reduction
Use 24605 for closed treatment requiring anesthesia. Choose 24615 when the surgeon treats the dislocation through open exposure.
24635Monteggia repair
24635 is for open treatment of a Monteggia fracture-dislocation, which includes a fracture component; 24615 is for an elbow dislocation without that fracture-dislocation classification.

24615 billing questions

How is 24615 different from 24600 or 24605?

24615 is for open operative treatment. Codes 24600 and 24605 describe closed treatment, distinguished by whether anesthesia is required.

Is routine postoperative care separately reported?

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

How should bilateral elbow treatment be reported?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

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

How are other same-session procedures paid?

The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50% under 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 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
RVUs for 24615PPRRVU2026_Oct_nonQPP.csv, line 2,347 (RVU26D)

Open CMS sourceHow we calculate rates

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