CPT code 24361: Elbow arthroplasty, distal humeral prosthesis2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $898.66 for 24361 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 24361 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 24361 covers

This operation reconstructs the elbow by replacing the distal end of the humerus with a prosthetic component. An orthopedic surgeon typically performs it in a hospital or ambulatory surgical setting when the planned reconstruction calls for distal humeral prosthetic replacement. The operative report should make clear which part of the joint was reconstructed and that the distal humerus was replaced with a prosthesis.

Select this code based on the documented procedure, not simply the diagnosis or presence of an implant. Distinguish it from interposition arthroplasty, other implant-and-graft techniques, and total elbow replacement. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 may be paid; 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 Utah compares for 24361

Across 109 of 109 payment localities, the facility rate for 24361 runs from $831.04 in Arkansas to $1,143.67 in Alaska. Utah pays $898.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

24361 rates by state

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

See 24361 in every payment locality

How the 24361 rate is calculated

Each of 24361’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 24361

24361 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 24361

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

How 24361 has changed in Utah

Price 24361 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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