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Billing code 24371: Elbow revisionMedicare rate & RVUs

Revision of a total elbow replacement addresses a failed or damaged prosthetic joint and may include reconstruction with allograft.

CMS RVU26DEffective Oct 1, 2026109 payment localities127 Medicare services in 2024

Medicare pays $1,571.51 for 24371 nationally in a facility.

Medicare rate · 24371

Elbow revision

Swap in your local Medicare rate.

Work RVUs
26.81
Total RVUs
47.05
Global days
090

National rate · 2026

$1,571.51

Facility setting, before claim adjustments.

See every locality for 24371 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 24371 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 24371 covers

This operation revises a total elbow replacement, addressing problems such as implant loosening, wear, instability, or bone loss. The surgeon removes or revises the prosthetic components and may use allograft as part of the reconstruction. It is typically performed by an orthopedic surgeon in a hospital or other surgical facility when the existing elbow implant requires operative revision rather than a first-time replacement.

Report the code supported by the operative report’s description of the revision and reconstruction. Documentation should identify the existing elbow prosthesis, the components addressed, the reason for revision, and any allograft work. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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%. An assistant at surgery may be paid; co-surgeons and team surgery are 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 24371 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

24371 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,431.69
Alaska*Unavailable$1,971.17
ArizonaUnavailable$1,530.33
ArkansasUnavailable$1,414.61
AtlantaUnavailable$1,618.14
AustinUnavailable$1,581.72
BakersfieldUnavailable$1,566.24
Baltimore/Surr. CntysUnavailable$1,664.55
BeaumontUnavailable$1,514.07
BrazoriaUnavailable$1,534.82

24371 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
24371 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 24371 rate is calculated

Each of 24371’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 · 24371

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 26.81Practice expense 14.88Malpractice 5.36

47.0500 adjusted RVUs×$33.4009 conversion factor=$1,571.51

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 24371

24371 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24371

Elbow revision

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)0Not permitted.
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 · 24371

Elbow revision

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

24371 without 50 · national facility

$1,571.51

Elbow revision

24371-50 · Bilateral: 150%

$2,357.27

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

24371 compared with similar codes

Compare codes

24371 vs 24370 vs 24363 vs 24361: national Medicare rates

Swap in your local Medicare rate.

  • 24371
    Elbow revision · 26.81 wRVU
    —
  • 24370
    Elbow revision · 22.96 wRVU
    —
  • 24363
    Elbow arthroplasty · 21.45 wRVU
    —
  • 24361
    Elbow arthroplasty · 14.05 wRVU
    —

How to choose

24370Elbow revision
Both codes concern revision of a total elbow arthroplasty. Choose based on the full billing code descriptor and the operative work documented, rather than the similar abbreviated CMS descriptions.
24363Elbow arthroplasty
This is a primary total elbow arthroplasty code. Use 24371 when revising an existing total elbow prosthesis, not when performing the initial replacement.
24361Elbow arthroplasty
This describes a primary elbow replacement with distal humeral and proximal ulnar prosthetic replacement; it is not a revision of an existing total elbow arthroplasty.

Codes related to 24371

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

Codes related to 24371
CodeHow it relatesNational office range
Same family
24370Elbow revisionA neighboring code for revision of a total elbow arthroplasty; distinguish by the full billing code descriptor.No office rate
Used instead
24363Elbow arthroplastyPrimary total elbow arthroplasty when the existing joint is not being revised.No office rate
24361Elbow arthroplastyPrimary elbow replacement involving distal humeral and proximal ulnar prosthetic replacement.No office rate
24360Elbow arthroplastyElbow arthroplasty without the total prosthetic replacement described by codes 24361 and 24363.No office rate

24371 billing questions

How does this differ from code 24370?

Both are elbow arthroplasty revision codes. Use the code whose full billing code descriptor matches the documented revision work; the short CMS descriptions alone do not distinguish their scope.

Can this be reported for a first-time elbow replacement?

No. This code is for revision of an existing total elbow prosthesis. A primary elbow arthroplasty is reported with the code matching the initial reconstruction performed.

What operative documentation supports this code?

Document the existing prosthesis, the reason for revision, which components were addressed, and any allograft or other reconstruction work.

Are related postoperative visits separately reported?

The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.

Can an assistant surgeon be reported?

CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.

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 24371PPRRVU2026_Oct_nonQPP.csv, line 2,317 (RVU26D)

Open CMS sourceHow we calculate rates

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