CPT code 24164: Prosthesis removal, prosthetic radial head2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $636.25 for 24164 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 24164 nationwide

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

What 24164 covers

The orthopedic surgeon removes the artificial radial head component at the elbow, commonly during surgery for a failed, loose, painful, or infected implant. The procedure is performed in an operating room and may be part of a larger elbow operation. The operative report should identify the prosthetic radial head as the component removed and describe the work performed; removal of a native radial head is a different service.

Report this code when the documented procedure removes the radial head prosthesis, distinguishing it from removal of other elbow replacement components or excision of native bone. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are subject to a statutory payment restriction; co-surgeons require 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.

How South Dakota compares for 24164

Across 109 of 109 payment localities, the facility rate for 24164 runs from $608.18 in Arkansas to $832.69 in Alaska. South Dakota pays $636.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

24164 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 24164 in every payment locality

How the 24164 rate is calculated

Each of 24164’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.

Payment rules and modifiers for 24164

24164 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 24164

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 24164 has changed in South Dakota

Price 24164 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates