No office rate
Both describe elbow arthrodesis. Select based on the graft technique documented: local bone graft for 24800 versus the autogenous graft approach represented by 24802.
On this page
CMS RVU26D · Effective 2026-10-01
24800 Elbow fusion Medicare reimbursement rates
Elbow fusion using bone taken locally during the operation, reported for selected salvage cases requiring a stable, fixed elbow. Compare 24800 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 24800?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 24800 pays more and less
Orthopedic surgery
About 24800: Elbow fusion with local bone graft
Elbow fusion using bone taken locally during the operation, reported for selected salvage cases requiring a stable, fixed elbow.
An orthopedic surgeon fuses the elbow by preparing the joint surfaces and stabilizing the bones in a functional position, using bone obtained locally during the operation. This is a reconstructive or salvage option when the treatment plan calls for a permanently fixed elbow rather than retained joint motion. The procedure is generally performed in an operating room, with the operative report identifying the fusion technique, fixation, and local graft use.
Choose this code when the documented technique uses local bone graft; distinguish it from 24802 when the procedure uses the autogenous graft approach described by that code. The 90-day global period includes 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24800
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.12 · 48%
- Practice expense (office) RVU9.89 · 42%
- Malpractice RVU2.37 · 10%
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.
24800 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
This is an elbow arthroplasty approach, not fusion. It is considered when the operative plan reconstructs the joint rather than permanently fixing it.
No office rate
This code describes elbow arthroplasty with an implant. Use 24800 for a fusion using local bone graft, not an implant-based joint replacement.
See how rates vary across the country
24800 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 24800 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $705.27 |
| Alaska* | Office Unavailable | Facility $952.55 |
| Arizona | Office Unavailable | Facility $759.27 |
| Arkansas | Office Unavailable | Facility $695.94 |
| Atlanta | Office Unavailable | Facility $803.22 |
| Austin | Office Unavailable | Facility $791.79 |
| Bakersfield | Office Unavailable | Facility $788.73 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $829.73 |
| Beaumont | Office Unavailable | Facility $745.56 |
| Brazoria | Office Unavailable | Facility $763.50 |
| Chicago | Office Unavailable | Facility $887.68 |
| Chico | Office Unavailable | Facility $782.21 |
| Colorado | Office Unavailable | Facility $789.18 |
| Connecticut | Office Unavailable | Facility $830.40 |
| Dallas | Office Unavailable | Facility $771.69 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $868.71 |
| Delaware | Office Unavailable | Facility $770.81 |
| Detroit | Office Unavailable | Facility $823.66 |
| East St. Louis | Office Unavailable | Facility $834.75 |
| El Centro | Office Unavailable | Facility $782.60 |
| Fort Lauderdale | Office Unavailable | Facility $849.17 |
| Fort Worth | Office Unavailable | Facility $769.42 |
| Fresno | Office Unavailable | Facility $782.21 |
| Galveston | Office Unavailable | Facility $767.96 |
| Hanford-Corcoran | Office Unavailable | Facility $782.21 |
| Hawaii, Guam | Office Unavailable | Facility $792.84 |
| Houston | Office Unavailable | Facility $811.34 |
| Idaho | Office Unavailable | Facility $712.77 |
| Indiana | Office Unavailable | Facility $716.11 |
| Iowa | Office Unavailable | Facility $705.10 |
| Kansas | Office Unavailable | Facility $709.94 |
| Kentucky | Office Unavailable | Facility $737.52 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $829.99 |
| Madera | Office Unavailable | Facility $782.21 |
| Manhattan | Office Unavailable | Facility $904.59 |
| Merced | Office Unavailable | Facility $782.21 |
| Metropolitan Boston | Office Unavailable | Facility $851.52 |
| Metropolitan Kansas City | Office Unavailable | Facility $758.94 |
| Metropolitan Philadelphia | Office Unavailable | Facility $816.42 |
| Metropolitan St. Louis | Office Unavailable | Facility $765.22 |
| Miami | Office Unavailable | Facility $915.49 |
| Minnesota | Office Unavailable | Facility $734.76 |
| Mississippi | Office Unavailable | Facility $714.34 |
| Modesto | Office Unavailable | Facility $782.21 |
| Montana** | Office Unavailable | Facility $780.75 |
| Napa | Office Unavailable | Facility $870.41 |
| Nebraska | Office Unavailable | Facility $706.24 |
| Nevada** | Office Unavailable | Facility $768.02 |
| New Hampshire | Office Unavailable | Facility $784.56 |
| New Mexico | Office Unavailable | Facility $769.41 |
| New Orleans | Office Unavailable | Facility $772.19 |
| North Carolina | Office Unavailable | Facility $730.20 |
| North Dakota** | Office Unavailable | Facility $733.89 |
| Northern Nj | Office Unavailable | Facility $862.55 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $934.96 |
| Ohio | Office Unavailable | Facility $752.81 |
| Oklahoma | Office Unavailable | Facility $727.91 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $821.59 |
| Portland | Office Unavailable | Facility $803.26 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $845.63 |
| Puerto Rico | Office Unavailable | Facility $783.36 |
| Queens | Office Unavailable | Facility $899.79 |
| Redding | Office Unavailable | Facility $782.21 |
| Rest Of California | Office Unavailable | Facility $782.21 |
| Rest Of Florida | Office Unavailable | Facility $806.20 |
| Rest Of Georgia | Office Unavailable | Facility $760.44 |
| Rest Of Illinois | Office Unavailable | Facility $796.74 |
| Rest Of Louisiana | Office Unavailable | Facility $739.60 |
| Rest Of Maine | Office Unavailable | Facility $724.56 |
| Rest Of Maryland | Office Unavailable | Facility $782.10 |
| Rest Of Massachusetts | Office Unavailable | Facility $788.29 |
| Rest Of Michigan | Office Unavailable | Facility $762.39 |
| Rest Of Missouri | Office Unavailable | Facility $733.27 |
| Rest Of New Jersey | Office Unavailable | Facility $833.84 |
| Rest Of New York | Office Unavailable | Facility $740.89 |
| Rest Of Oregon | Office Unavailable | Facility $756.08 |
| Rest Of Pennsylvania | Office Unavailable | Facility $749.47 |
| Rest Of Texas | Office Unavailable | Facility $756.39 |
| Rest Of Washington | Office Unavailable | Facility $784.33 |
| Rhode Island | Office Unavailable | Facility $790.32 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $807.67 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $811.40 |
| Salinas | Office Unavailable | Facility $808.22 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $820.55 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $908.81 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $906.12 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $931.05 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $920.04 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $796.41 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $823.00 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $809.42 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $830.64 |
| Seattle (King Cnty) | Office Unavailable | Facility $859.98 |
| South Carolina | Office Unavailable | Facility $743.93 |
| South Dakota** | Office Unavailable | Facility $728.35 |
| Southern Maine | Office Unavailable | Facility $748.73 |
| Stockton | Office Unavailable | Facility $782.21 |
| Suburban Chicago | Office Unavailable | Facility $853.54 |
| Tennessee | Office Unavailable | Facility $714.20 |
| Utah | Office Unavailable | Facility $753.02 |
| Vallejo | Office Unavailable | Facility $866.53 |
| Vermont | Office Unavailable | Facility $738.50 |
| Virgin Islands | Office Unavailable | Facility $783.36 |
| Virginia | Office Unavailable | Facility $752.02 |
| Visalia | Office Unavailable | Facility $782.21 |
| West Virginia | Office Unavailable | Facility $771.76 |
| Wisconsin | Office Unavailable | Facility $712.26 |
| Wyoming** | Office Unavailable | Facility $760.33 |
| Yuba City | Office Unavailable | Facility $782.21 |
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24800 billing questions
How is 24800 distinguished from 24802?
Use 24800 when the operative technique uses local bone graft. Code 24802 describes the elbow fusion approach with autogenous bone graft; the operative report should identify the graft technique.
Can the local graft be reported separately?
The local graft is part of the service represented by 24800. The documentation should describe its use as part of the fusion rather than treating it as a separate service.
What documentation supports 24800?
The operative report should establish that an elbow arthrodesis was performed and identify the use of local bone graft, along with the fixation and operative technique.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral elbow fusion paid?
When reported bilaterally with modifier 50, CMS pays 24800 at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,35524670,,Cltx ulnar fx prox w/o mnpj,A,,2.62,6.92,,5.27,,0.54,10.08,8.43,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35624675,,Cltx ulnar fx prox w/mnpj,A,,4.79,9.67,,6.88,,1.01,15.47,12.68,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35724685,,Optx ulnar fx prox end w/fix,A,,8.16,8.80,NA,8.80,,1.67,18.63,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35824800,,Arthrodesis elbw joint local,A,,11.12,9.89,NA,9.89,,2.37,23.38,23.38,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35924802,,Arthrd elbow jt autog graft,A,,13.96,10.80,NA,10.80,,2.98,27.74,27.74,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36024900,,Amputation of upper arm,A,,9.93,9.52,NA,9.52,,2.11,21.56,21.56,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,36124920,,Amputation of upper arm,A,,9.88,8.59,NA,8.59,,2.10,20.57,20.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00