Find policies, billing codes, payers, states, and providers

CPT 24530: Closed Treatment of Humerus Fracture Through or Above Condyle

CPT code 24530 designates closed, nonoperative management of a humeral fracture that is through or above a condyle but does not extend between the condyles. This code captures cases where the provider treats the fracture without making an incision or performing manipulation. Nationally, accurate coding for fracture management affects episode-of-care tracking, quality measurement, and appropriate claims processing for orthopedic and emergency services. Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for CPT code 24530, typical sites of service, common billing considerations, and the scope of payers that commonly cover such services. The publication outlines benchmarks and policy-relevant details that influence billing practice and claims adjudication for nonoperative humeral fracture care, and it highlights where payers and providers commonly align or differ in expectations for site of service and documentation. Data not available in the input for specific modifiers, taxonomies, and ICD-10 mappings are noted as unavailable.

Customize your policy alerts

Sign up for cpt 24530 policy alerts

Get alerted when payer policies referencing 24530 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

CPT code 24530 describes treatment of a fracture of the humerus through or above a condyle without extending between the condyles. The procedure is performed without an incision and without manipulation of the fracture, indicating a closed treatment approach.

Service type: Closed treatment of humerus fracture (nonoperative, noninvasive management)
Typical site of service: Ambulatory surgical center, hospital outpatient department, emergency department, or office setting depending on clinical stability and care requirements

Explore openpayer tools

View all tools

Find policies, billing codes, payers, states, and providers

CPT 24530: Closed Treatment of Humerus Fracture Through or Above Condyle

Customize your policy alerts

Sign up for cpt 24530 policy alerts

Get alerted when payer policies referencing 24530 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

Service type: Closed treatment of humerus fracture (nonoperative, noninvasive management)
Typical site of service: Ambulatory surgical center, hospital outpatient department, emergency department, or office setting depending on clinical stability and care requirements

Clinical & Coding Specifications

Clinical Context

A 45-year-old man presents to the emergency department after a fall onto his outstretched hand with immediate pain, swelling, and limited range of motion of the elbow. Radiographs demonstrate a displaced distal humerus fracture through or above a condyle but not extending between the condyles. The orthopedic surgeon documents diagnostic radiographs and determines the fracture is amenable to nonoperative management. The provider applies immobilization (sling or posterior splint), provides pain control, and arranges short-term follow-up with repeat radiographs in a fracture clinic to monitor alignment.

Clinical workflow: initial ED evaluation with history, physical exam, and radiographs; orthopedic consultation; closed management decision documented in the chart; splint application with procedure note; discharge instructions and outpatient follow-up scheduled. Billing uses CPT 24530 for treatment without incision or manipulation; additional services (radiographs, evaluation) are billed separately.

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable E/M service by the same physician on the same day of a procedure	Use when an E/M visit is medically necessary and distinct from `CPT 24530` documentation (e.g., initial evaluation requiring separate decision-making).
`52`	Reduced services	Use when the procedure is partially reduced or not performed to the full extent documented in the CPT descriptor.
`53`	Discontinued procedure	Use when the procedure was started but terminated due to extenuating circumstances before completion.
`59`	Distinct procedural service	Note: `59` is not listed in the provided modifiers; therefore Data not available in the input.
`76`	Repeat procedure by same physician	Note: `76` is not listed in the provided modifiers; therefore Data not available in the input.
`77`	Repeat procedure by another physician	Note: `77` is not listed in the provided modifiers; therefore Data not available in the input.
`LT`	Left side	Use when the treated humerus is the left side; append to identify laterality.
`RT`	Right side	Use when the treated humerus is the right side; append to identify laterality.
`50`	Bilateral procedure	Use when bilateral upper arm fractures are treated during the same encounter (rare for this code).
`22`	Increased procedural services	Use when work required is substantially greater than typical for `CPT 24530` and documented.
`23`	Unusual anesthesia	Use when general anesthesia for pain control was required for a procedure that normally uses local/regional or no anesthesia.
`78`	Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period	Use if an unplanned return to the OR/procedure room occurs related to initial treatment.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated procedure is performed during the postop period.
`57`	Decision for surgery	Note: `57` is not listed in the provided modifiers; therefore Data not available in the input.

Taxonomy Code	Specialty	Notes
`207K00000X`	Orthopaedic Surgery	Most common specialty managing humerus fractures and performing procedural treatment.
`207L00000X`	Hand Surgery	May treat distal humerus/condylar-related injuries with nonoperative or operative care depending on expertise.
`207XP0110X`	Sports Medicine (Orthopaedics)	Often evaluates and manages acute upper extremity fractures in adults and coordinates nonoperative care.
`207N00000X`	Physical Medicine & Rehabilitation	Manages follow-up rehabilitation and functional recovery after initial immobilization.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S42.401A`	Fracture of unspecified part of shaft of humerus, right arm, initial encounter for closed fracture	Common code for humeral shaft fractures when specific location unspecified; relevant if injury classification fits.
`S42.402A`	Fracture of unspecified part of shaft of humerus, left arm, initial encounter for closed fracture	Left-sided equivalent for coding laterality of humeral shaft fractures treated nonoperatively.
`S42.431A`	Fracture of lateral condyle of humerus, right arm, initial encounter for closed fracture	Directly relevant for fractures through or above a condyle when the lateral condyle is involved and managed without incision.
`S42.432A`	Fracture of lateral condyle of humerus, left arm, initial encounter for closed fracture	Left-sided equivalent for lateral condyle fractures.
`S42.441A`	Fracture of medial condyle of humerus, right arm, initial encounter for closed fracture	Relevant when the medial condyle is involved and treated without operative intervention.
`S42.442A`	Fracture of medial condyle of humerus, left arm, initial encounter for closed fracture	Left-sided equivalent for medial condyle fractures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`73030`	Radiologic examination, humerus; 2 views	Performed at presentation to confirm fracture and used to guide nonoperative treatment decision.
`99024`	Postoperative follow-up visit, typically included in global; (Note: `99024` is rarely used in current payer billing)	May be reported for unrelated follow-up care; otherwise routine fracture follow-up is bundled.
`20690`	Aspiration and/or injection, major joint or bursa (without ultrasound guidance)	May be performed if joint effusion requires diagnostic aspiration in the setting of associated elbow injury.
`99203`	Office or other outpatient visit for evaluation and management, new patient, moderate complexity	Used for initial outpatient fracture clinic evaluation when billed separately from the procedure.
`99070`	Supplies and materials	Used to report expendable supplies (splints, casting materials) not included in `CPT 24530` if payer allows.
`99080`	Special reports and forms	Administrative reporting related to the encounter if required by payers.

CPT 24500: Nonoperative Treatment of Humeral Shaft Fracture

CPT-24505-CLOSED-TREATMENT-HUMERAL-SHAFT-FRACTURE

CPT 24505: Closed Treatment of Humeral Shaft Fracture

CPT-24515-OPEN-FIXATION-HUMERAL-SHAFT-FRACTURE

CPT 24515: Open Fixation of Humeral Shaft Fracture

CPT-24516-HUMERAL-SHAFT-INTERNAL-FIXATION-INTRAMEDULLARY-ROD

CPT 24516: Humeral Shaft Internal Fixation with Intramedullary Rod

CPT-24535-HUMERUS-CONDYLAR-FRACTURE-CLOSED-REDUCTION

CPT 24535: Closed Treatment of Humerus Condylar Fracture (Without Open Incision)

CPT-24538-HUMERUS-SUPRACONDYLAR-PERCUTANEOUS-FIXATION

CPT 24538: Percutaneous Fixation of Humeral Supracondylar Fracture

CPT-24545-HUMERUS-CONDYLAR-FRACTURE-OPEN-REDUCTION-INTERNAL-FIXATION

CPT 24545: Open Repair of Humerus Condylar Fracture

CPT-24546-OPEN-REDUCTION-INTERNAL-FIXATION-HUMERUS-CONDYLAR-FRACTURE

CPT 24546: Open Repair of Humerus Fracture Through or Above Condyle

CPT-24560-CLOSED-TREATMENT-EPICONDYLE-HUMERUS-FRACTURE

CPT 24560: Closed Treatment of Epicondyle Fracture of Humerus

CPT-24565-CLOSED-MANIPULATION-EPICONDYLE-FRACTURE-HUMERUS

CPT 24565: Closed Manipulation of Humeral Epicondyle Fracture

Showing 1–10 of 31

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable E/M service by the same physician on the same day of a procedure	Use when an E/M visit is medically necessary and distinct from `CPT 24530` documentation (e.g., initial evaluation requiring separate decision-making).
`52`	Reduced services	Use when the procedure is partially reduced or not performed to the full extent documented in the CPT descriptor.
`53`	Discontinued procedure	Use when the procedure was started but terminated due to extenuating circumstances before completion.
`59`	Distinct procedural service	Note: `59` is not listed in the provided modifiers; therefore Data not available in the input.
`76`	Repeat procedure by same physician	Note: `76` is not listed in the provided modifiers; therefore Data not available in the input.
`77`	Repeat procedure by another physician	Note: `77` is not listed in the provided modifiers; therefore Data not available in the input.
`LT`	Left side	Use when the treated humerus is the left side; append to identify laterality.
`RT`	Right side	Use when the treated humerus is the right side; append to identify laterality.
`50`	Bilateral procedure	Use when bilateral upper arm fractures are treated during the same encounter (rare for this code).
`22`	Increased procedural services	Use when work required is substantially greater than typical for `CPT 24530` and documented.
`23`	Unusual anesthesia	Use when general anesthesia for pain control was required for a procedure that normally uses local/regional or no anesthesia.
`78`	Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period	Use if an unplanned return to the OR/procedure room occurs related to initial treatment.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated procedure is performed during the postop period.
`57`	Decision for surgery	Note: `57` is not listed in the provided modifiers; therefore Data not available in the input.

Taxonomy Code	Specialty	Notes
`207K00000X`	Orthopaedic Surgery	Most common specialty managing humerus fractures and performing procedural treatment.
`207L00000X`	Hand Surgery	May treat distal humerus/condylar-related injuries with nonoperative or operative care depending on expertise.
`207XP0110X`	Sports Medicine (Orthopaedics)	Often evaluates and manages acute upper extremity fractures in adults and coordinates nonoperative care.
`207N00000X`	Physical Medicine & Rehabilitation	Manages follow-up rehabilitation and functional recovery after initial immobilization.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S42.401A`	Fracture of unspecified part of shaft of humerus, right arm, initial encounter for closed fracture	Common code for humeral shaft fractures when specific location unspecified; relevant if injury classification fits.
`S42.402A`	Fracture of unspecified part of shaft of humerus, left arm, initial encounter for closed fracture	Left-sided equivalent for coding laterality of humeral shaft fractures treated nonoperatively.
`S42.431A`	Fracture of lateral condyle of humerus, right arm, initial encounter for closed fracture	Directly relevant for fractures through or above a condyle when the lateral condyle is involved and managed without incision.
`S42.432A`	Fracture of lateral condyle of humerus, left arm, initial encounter for closed fracture	Left-sided equivalent for lateral condyle fractures.
`S42.441A`	Fracture of medial condyle of humerus, right arm, initial encounter for closed fracture	Relevant when the medial condyle is involved and treated without operative intervention.
`S42.442A`	Fracture of medial condyle of humerus, left arm, initial encounter for closed fracture	Left-sided equivalent for medial condyle fractures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`73030`	Radiologic examination, humerus; 2 views	Performed at presentation to confirm fracture and used to guide nonoperative treatment decision.
`99024`	Postoperative follow-up visit, typically included in global; (Note: `99024` is rarely used in current payer billing)	May be reported for unrelated follow-up care; otherwise routine fracture follow-up is bundled.
`20690`	Aspiration and/or injection, major joint or bursa (without ultrasound guidance)	May be performed if joint effusion requires diagnostic aspiration in the setting of associated elbow injury.
`99203`	Office or other outpatient visit for evaluation and management, new patient, moderate complexity	Used for initial outpatient fracture clinic evaluation when billed separately from the procedure.
`99070`	Supplies and materials	Used to report expendable supplies (splints, casting materials) not included in `CPT 24530` if payer allows.
`99080`	Special reports and forms	Administrative reporting related to the encounter if required by payers.

CPT 24500: Nonoperative Treatment of Humeral Shaft Fracture

CPT-24505-CLOSED-TREATMENT-HUMERAL-SHAFT-FRACTURE

CPT 24505: Closed Treatment of Humeral Shaft Fracture

CPT-24515-OPEN-FIXATION-HUMERAL-SHAFT-FRACTURE

CPT 24515: Open Fixation of Humeral Shaft Fracture

CPT-24516-HUMERAL-SHAFT-INTERNAL-FIXATION-INTRAMEDULLARY-ROD

CPT 24516: Humeral Shaft Internal Fixation with Intramedullary Rod

CPT-24535-HUMERUS-CONDYLAR-FRACTURE-CLOSED-REDUCTION

CPT 24535: Closed Treatment of Humerus Condylar Fracture (Without Open Incision)

CPT-24538-HUMERUS-SUPRACONDYLAR-PERCUTANEOUS-FIXATION

CPT 24538: Percutaneous Fixation of Humeral Supracondylar Fracture

CPT-24545-HUMERUS-CONDYLAR-FRACTURE-OPEN-REDUCTION-INTERNAL-FIXATION

CPT 24545: Open Repair of Humerus Condylar Fracture

CPT-24546-OPEN-REDUCTION-INTERNAL-FIXATION-HUMERUS-CONDYLAR-FRACTURE

CPT 24546: Open Repair of Humerus Fracture Through or Above Condyle

CPT-24560-CLOSED-TREATMENT-EPICONDYLE-HUMERUS-FRACTURE

CPT 24560: Closed Treatment of Epicondyle Fracture of Humerus

CPT-24565-CLOSED-MANIPULATION-EPICONDYLE-FRACTURE-HUMERUS

CPT 24565: Closed Manipulation of Humeral Epicondyle Fracture

Showing 1–10 of 31

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 24530: Closed Treatment of Humerus Fracture Through or Above Condyle

Sign up for cpt 24530 policy alerts

Billing Code Overview

OpenPayer

CPT 24530: Closed Treatment of Humerus Fracture Through or Above Condyle

Sign up for cpt 24530 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 24530: Closed Treatment of Humerus Fracture Through or Above Condyle

Sign up for cpt 24530 policy alerts

Billing Code Overview

CPT 24530: Closed Treatment of Humerus Fracture Through or Above Condyle

Sign up for cpt 24530 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical scenario does CPT 24530 describe?

Are imaging and follow-up visits billed separately from CPT 24530?

Which modifiers are commonly referenced with CPT 24530 and when are they used?

Which ICD-10 diagnosis codes are associated with CPT 24530 in this material?

Where is CPT 24530 typically performed and which payers commonly cover it?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical scenario does CPT 24530 describe?

Are imaging and follow-up visits billed separately from CPT 24530?

Which modifiers are commonly referenced with CPT 24530 and when are they used?

Which ICD-10 diagnosis codes are associated with CPT 24530 in this material?

Where is CPT 24530 typically performed and which payers commonly cover it?

References