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CPT code 24361: Elbow arthroplasty2026 Medicare rate & RVUs

Reports elbow reconstruction using a prosthetic replacement of the distal humerus, rather than an interposition procedure or total elbow replacement.

CMS RVU26DEffective Oct 1, 2026109 payment localities23 Medicare services in 2024

Medicare pays $930.55 for 24361 nationally in a facility.

Medicare rate · 24361

Elbow arthroplasty

Office or facility?

Work RVUs
14.05
Total RVUs
27.86
Global days
090

National rate · 2026

$930.55

Facility setting, before claim adjustments.

See every locality for 24361 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 24361 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

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.

Where 24361 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

24361 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$841.93
AlaskaUnavailable$1,143.67
ArizonaUnavailable$904.93
ArkansasUnavailable$831.04
Atlanta, GAUnavailable$957.87
Austin, TXUnavailable$941.01
Bakersfield, CAUnavailable$934.95
Baltimore area, MDUnavailable$988.16
Beaumont, TXUnavailable$890.94
Brazoria, TXUnavailable$909.01

24361 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
24361 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 24361

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.05

14.05 RVUs× 1.000 GPCI

Practice expense10.81

10.81 RVUs× 1.000 GPCI

Malpractice3.00

3.00 RVUs× 1.000 GPCI

Adjusted RVUs

27.8600

Conversion factor

$33.4009

Medicare rate

$930.55

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

Payment rules and modifiers for 24361

24361 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24361

Elbow arthroplasty

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 · 24361

Elbow arthroplasty

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

24361 without 50 · national facility

$930.55

Elbow arthroplasty

24361-50 · Bilateral: 150%

$1,395.83

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

24361 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 24361

    Elbow arthroplasty14.05 wRVU

    Not priced

  • 24360

    Elbow arthroplasty12.35 wRVU

    Not priced

  • 24362

    Elbow arthroplasty14.94 wRVU

    Not priced

  • 24363

    Elbow arthroplasty21.45 wRVU

    Not priced

  • 24370

    Elbow revision22.96 wRVU

    Not priced

How to choose

24360Elbow arthroplasty
24360 describes interposition arthroplasty. Choose 24361 when the operation replaces the distal humerus with a prosthetic component.
24362Elbow arthroplasty
24362 identifies a different implant-and-graft elbow arthroplasty approach. Use the operative details to distinguish it from distal humeral prosthetic replacement.
24363Elbow arthroplasty
24363 is for total elbow replacement. This code is for reconstruction with distal humeral prosthetic replacement, not the total elbow procedure.
24370Elbow revision
24370 describes revision of an elbow reconstruction. It applies to revision surgery, not the initial distal humeral prosthetic replacement.

Codes related to 24361

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

Codes related to 24361
CodeHow it relatesNational office range
Same family
24360Elbow arthroplastySibling elbow arthroplasty code for an interposition technique.No office rate
24362Elbow arthroplastySibling elbow arthroplasty code for a different implant-and-graft approach.No office rate
24363Elbow arthroplastySibling code for total elbow replacement.No office rate

24361 billing questions

How does this differ from total elbow replacement?

This code describes reconstruction using a prosthetic replacement of the distal humerus. Total elbow replacement is reported with 24363.

How should this be distinguished from 24360?

Use 24360 for an interposition arthroplasty. Use 24361 when the documented reconstruction replaces the distal humerus with a prosthetic component.

What operative documentation supports this code?

Document the elbow reconstruction, the distal humeral portion replaced, and the use of a prosthetic component. The operative report should distinguish the work from interposition or total elbow replacement.

How is bilateral surgery reported?

When both elbows are treated in the same session, modifier 50 identifies the bilateral procedure; CMS pays it at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

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 24361PPRRVU2026_Oct_nonQPP.csv, line 2,311 (RVU26D)

Open CMS sourceHow we calculate rates

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