Summary & Overview
CPT 24577: Closed Manipulation of Humeral Condyle Fracture
CPT code 24577 designates a closed manipulation to treat a fracture of the humeral condyle without incision. This non‑operative procedure is a common acute orthopedic intervention for certain upper arm fractures and is relevant to emergency departments, urgent care centers, and outpatient orthopedic practices nationwide. Effective coding of 24577 supports appropriate clinical documentation, accurate billing, and proper placement of episode-of-care responsibility for non‑surgical fracture management.
Key payers in standard national analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for closed reduction of humeral condyle fractures, guidance on typical sites of service, and common documentation considerations tied to the procedure description. The publication also summarizes benchmarking and reimbursement patterns where available, highlights relevant coding relationships, and notes areas where local payer policies often vary. Data not available in the input will be identified explicitly as missing.
Billing Code Overview
CPT code 24577 describes a closed treatment of a fracture of the humeral condyle using manipulation only. The procedure involves non‑operative management in which the clinician performs manual manipulation to reduce the fracture without making a surgical incision.
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Service type: Closed fracture manipulation (non‑operative, manual reduction)
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Typical site of service: Emergency department, urgent care, or outpatient orthopedic clinic where closed reduction and immobilization can be performed
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult or adolescent who presents to the emergency department or an urgent care clinic after a fall onto an outstretched hand or a direct blow to the elbow with pain, swelling, and limited elbow range of motion. Imaging (anteroposterior and lateral elbow radiographs) demonstrates a displaced or nondisplaced fracture of the humeral condyle. The orthopaedic or emergency provider performs a closed reduction and manipulation of the humeral condylar fracture under appropriate analgesia or sedation without making a surgical incision, consistent with 24577. After manipulation, post-reduction radiographs confirm alignment. The patient is immobilized in a cast or splint and given post-procedure instructions, analgesia, and arranged follow-up with orthopaedics for repeat imaging and assessment for possible operative fixation if reduction is unstable or neurovascular status changes. Typical sites of service include the emergency department, hospital outpatient department, ambulatory surgical center (if performed in procedural sedation), or orthopedic clinic when performed urgently under sedation or local/regional anesthesia.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default/No modifier | Use when no other modifier applies and the payer requires explicit 00 reporting. |