No office rate
24100 describes elbow arthrotomy with biopsy only. Choose 24101 when the procedure includes exploration or removal of an intra-articular loose body or foreign object.
On this page
CMS RVU26D · Effective 2026-10-01
24101 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$476.62
Base rate per service
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.
Orthopedic surgery
About 24101: Elbow arthrotomy with exploration or removal
Open elbow-joint surgery for exploration, tissue biopsy, or removal of an intra-articular loose body or foreign object.
An orthopedic surgeon opens the elbow joint to inspect its interior, obtain tissue for biopsy, or remove an intra-articular loose body or foreign object. The service is performed in an operative setting; examples include evaluating abnormal joint tissue or removing a loose fragment that is inside the joint. This is an open approach, rather than arthroscopic treatment, and it is distinct from surgery directed at the olecranon bursa or excision of the radial head.
Select this code when the documented work includes elbow arthrotomy with exploration, biopsy, or removal. The operative report should identify the joint target and describe the work performed; biopsy alone is represented by a different elbow arthrotomy code, and synovectomy has its own code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Modifier 50 for bilateral surgery is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24101
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.14 · 42%
- Practice expense (office) RVU7.06 · 49%
- Malpractice RVU1.25 · 9%
255
Medicare services in 2024 · #4120 by national volume
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.
24101 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
24102 is the elbow arthrotomy code for synovectomy. 24101 describes exploration, biopsy, or removal without that synovectomy service.
No office rate
24105 treats the olecranon bursa. Use 24101 for open work inside the elbow joint, not excision of the bursa.
No office rate
24130 describes excision of the radial head. It is not the code for opening the joint to explore it or remove an intra-articular loose body.
The same code, a different location
How does Delaware compare?
24101 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 24101
Office
Unavailable
Facility
$435.05
No comparable office rate is available.
Arkansas
Arkansas · 24101
Office
Unavailable
Facility
$429.14
No comparable office rate is available.
Arizona
Arizona · 24101
Office
Unavailable
Facility
$469.32
No comparable office rate is available.
Bakersfield
California · 24101
Office
Unavailable
Facility
$492.85
No comparable office rate is available.
Chico
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
El Centro
California · 24101
Office
Unavailable
Facility
$489.60
No comparable office rate is available.
Fresno
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Hanford-Corcoran
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Madera
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Merced
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Modesto
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Napa
California · 24101
Office
Unavailable
Facility
$550.01
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24101
Office
Unavailable
Facility
$515.56
No comparable office rate is available.
Redding
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Rest Of California
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24101
Office
Unavailable
Facility
$502.83
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24101
Office
Unavailable
Facility
$509.09
No comparable office rate is available.
Salinas
California · 24101
Office
Unavailable
Facility
$507.12
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24101
Office
Unavailable
Facility
$515.89
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24101
Office
Unavailable
Facility
$576.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24101
Office
Unavailable
Facility
$574.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24101
Office
Unavailable
Facility
$590.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24101
Office
Unavailable
Facility
$584.25
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24101
Office
Unavailable
Facility
$499.53
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24101
Office
Unavailable
Facility
$518.28
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24101
Office
Unavailable
Facility
$508.16
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24101
Office
Unavailable
Facility
$523.19
No comparable office rate is available.
Stockton
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Vallejo
California · 24101
Office
Unavailable
Facility
$547.96
No comparable office rate is available.
Visalia
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Yuba City
California · 24101
Office
Unavailable
Facility
$489.39
No comparable office rate is available.
Colorado
Colorado · 24101
Office
Unavailable
Facility
$491.05
No comparable office rate is available.
Connecticut
Connecticut · 24101
Office
Unavailable
Facility
$513.67
No comparable office rate is available.
Fort Lauderdale
Florida · 24101
Office
Unavailable
Facility
$519.44
No comparable office rate is available.
Rest Of Florida
Florida · 24101
Office
Unavailable
Facility
$493.27
No comparable office rate is available.
Atlanta
Georgia · 24101
Office
Unavailable
Facility
$495.42
No comparable office rate is available.
Rest Of Georgia
Georgia · 24101
Office
Unavailable
Facility
$465.19
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24101
Office
Unavailable
Facility
$497.37
No comparable office rate is available.
Iowa
Iowa · 24101
Office
Unavailable
Facility
$437.42
No comparable office rate is available.
Idaho
Idaho · 24101
Office
Unavailable
Facility
$441.78
No comparable office rate is available.
East St. Louis
Illinois · 24101
Office
Unavailable
Facility
$506.11
No comparable office rate is available.
Rest Of Illinois
Illinois · 24101
Office
Unavailable
Facility
$485.63
No comparable office rate is available.
Suburban Chicago
Illinois · 24101
Office
Unavailable
Facility
$522.68
No comparable office rate is available.
Indiana
Indiana · 24101
Office
Unavailable
Facility
$443.97
No comparable office rate is available.
Kansas
Kansas · 24101
Office
Unavailable
Facility
$439.30
No comparable office rate is available.
Kentucky
Kentucky · 24101
Office
Unavailable
Facility
$452.92
No comparable office rate is available.
New Orleans
Louisiana · 24101
Office
Unavailable
Facility
$474.41
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24101
Office
Unavailable
Facility
$453.77
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24101
Office
Unavailable
Facility
$532.21
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24101
Office
Unavailable
Facility
$489.95
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24101
Office
Unavailable
Facility
$513.03
No comparable office rate is available.
Rest Of Maryland
Maryland · 24101
Office
Unavailable
Facility
$484.10
No comparable office rate is available.
Rest Of Maine
Maine · 24101
Office
Unavailable
Facility
$448.00
No comparable office rate is available.
Southern Maine
Maine · 24101
Office
Unavailable
Facility
$465.11
No comparable office rate is available.
Detroit
Michigan · 24101
Office
Unavailable
Facility
$503.03
No comparable office rate is available.
Rest Of Michigan
Michigan · 24101
Office
Unavailable
Facility
$467.51
No comparable office rate is available.
Minnesota
Minnesota · 24101
Office
Unavailable
Facility
$460.09
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24101
Office
Unavailable
Facility
$467.30
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24101
Office
Unavailable
Facility
$471.41
No comparable office rate is available.
Rest Of Missouri
Missouri · 24101
Office
Unavailable
Facility
$449.02
No comparable office rate is available.
Mississippi
Mississippi · 24101
Office
Unavailable
Facility
$438.97
No comparable office rate is available.
Montana**
Montana · 24101
Office
Unavailable
Facility
$482.56
No comparable office rate is available.
North Carolina
North Carolina · 24101
Office
Unavailable
Facility
$451.77
No comparable office rate is available.
North Dakota**
North Dakota · 24101
Office
Unavailable
Facility
$457.84
No comparable office rate is available.
Nebraska
Nebraska · 24101
Office
Unavailable
Facility
$438.52
No comparable office rate is available.
New Hampshire
New Hampshire · 24101
Office
Unavailable
Facility
$487.09
No comparable office rate is available.
Northern Nj
New Jersey · 24101
Office
Unavailable
Facility
$536.13
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24101
Office
Unavailable
Facility
$516.59
No comparable office rate is available.
New Mexico
New Mexico · 24101
Office
Unavailable
Facility
$471.46
No comparable office rate is available.
Nevada**
Nevada · 24101
Office
Unavailable
Facility
$475.91
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24101
Office
Unavailable
Facility
$576.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24101
Office
Unavailable
Facility
$523.04
No comparable office rate is available.
Queens
New York · 24101
Office
Unavailable
Facility
$557.14
No comparable office rate is available.
Rest Of New York
New York · 24101
Office
Unavailable
Facility
$458.45
No comparable office rate is available.
Ohio
Ohio · 24101
Office
Unavailable
Facility
$462.46
No comparable office rate is available.
Oklahoma
Oklahoma · 24101
Office
Unavailable
Facility
$448.10
No comparable office rate is available.
Portland
Oregon · 24101
Office
Unavailable
Facility
$501.41
No comparable office rate is available.
Rest Of Oregon
Oregon · 24101
Office
Unavailable
Facility
$469.30
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24101
Office
Unavailable
Facility
$504.06
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24101
Office
Unavailable
Facility
$461.01
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24101
Office
Unavailable
Facility
$484.61
No comparable office rate is available.
Rhode Island
Rhode Island · 24101
Office
Unavailable
Facility
$489.81
No comparable office rate is available.
South Carolina
South Carolina · 24101
Office
Unavailable
Facility
$458.46
No comparable office rate is available.
South Dakota**
South Dakota · 24101
Office
Unavailable
Facility
$454.92
No comparable office rate is available.
Tennessee
Tennessee · 24101
Office
Unavailable
Facility
$441.85
No comparable office rate is available.
Austin
Texas · 24101
Office
Unavailable
Facility
$491.97
No comparable office rate is available.
Beaumont
Texas · 24101
Office
Unavailable
Facility
$458.46
No comparable office rate is available.
Brazoria
Texas · 24101
Office
Unavailable
Facility
$472.98
No comparable office rate is available.
Dallas
Texas · 24101
Office
Unavailable
Facility
$477.62
No comparable office rate is available.
Fort Worth
Texas · 24101
Office
Unavailable
Facility
$475.80
No comparable office rate is available.
Galveston
Texas · 24101
Office
Unavailable
Facility
$475.45
No comparable office rate is available.
Houston
Texas · 24101
Office
Unavailable
Facility
$498.33
No comparable office rate is available.
Rest Of Texas
Texas · 24101
Office
Unavailable
Facility
$466.57
No comparable office rate is available.
Utah
Utah · 24101
Office
Unavailable
Facility
$464.24
No comparable office rate is available.
Virginia
Virginia · 24101
Office
Unavailable
Facility
$466.36
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24101
Office
Unavailable
Facility
$484.61
No comparable office rate is available.
Vermont
Vermont · 24101
Office
Unavailable
Facility
$459.66
No comparable office rate is available.
Rest Of Washington
Washington · 24101
Office
Unavailable
Facility
$487.83
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24101
Office
Unavailable
Facility
$538.79
No comparable office rate is available.
Wisconsin
Wisconsin · 24101
Office
Unavailable
Facility
$443.85
No comparable office rate is available.
West Virginia
West Virginia · 24101
Office
Unavailable
Facility
$469.75
No comparable office rate is available.
Wyoming**
Wyoming · 24101
Office
Unavailable
Facility
$471.79
No comparable office rate is available.
See how rates vary across the country
24101 · 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 24101 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$524.28
$476.62 × 110% = $524.28
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 24101 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,267
- Code
- 24101
- Physician work
- 6.14
- Practice expense
- 7.06
- Malpractice
- 1.25
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.14 | × 1.005 | 6.1707 |
| Practice expense | 7.06 | × 0.988 | 6.9753 |
| Malpractice | 1.25 | × 0.899 | 1.1238 |
| Total RVUs | 14.2697 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$476.62
Open 24101 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.14 | 1.005 |
| Practice expense | 7.06 | 0.988 |
| Malpractice | 1.25 | 0.899 |
(6.14 × 1.005 + 7.06 × 0.988 + 1.25 × 0.899) × $33.4009 = $476.62
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
24101 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $476.62 | RVU26D |
| 2026-07-01 | Not available in this setting | $476.62 | RVU26C |
| 2026-04-01 | Not available in this setting | $476.62 | RVU26B |
| 2026-01-01 | Not available in this setting | $476.62 | RVU26A |
| 2025-10-01 | Not available in this setting | $501.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $501.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $501.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $501.68 | RVU25A |
24101 billing questions
How does this differ from 24100?
24100 is for elbow arthrotomy with biopsy only. Use 24101 when the documented procedure includes exploration or removal of a loose or foreign body.
When is 24102 a better fit?
Use 24102 when the surgeon performs synovectomy through elbow arthrotomy. A biopsy or removal procedure without synovectomy points to 24101 when its requirements are met.
Can the surgeon separately report the biopsy or loose-body removal?
The biopsy or removal performed through this arthrotomy is part of the service described by 24101. The operative report should specify the target and work rather than treating those elements as separate procedures.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The surgeon's operative documentation should support the elbow procedure and its target.
How is bilateral elbow surgery handled?
CMS pays bilateral surgery reported with modifier 50 at 150%. Document the procedure performed on each elbow.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid for this procedure. Co-surgeons and team surgery are not permitted under the CMS rules provided.
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.
2,26424077,,Rad rescj tum tiss a/e <5cm,A,,15.33,9.82,NA,9.82,,3.53,28.68,28.68,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26524079,,Rad rescj tum tiss a/e 5 cm+,A,,20.09,12.00,NA,12.00,,4.62,36.71,36.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26624100,,Arthrt elbw synovial bx only,A,,4.94,6.30,NA,6.30,,1.07,12.31,12.31,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26724101,,Arthrt elbw jt expl bx rmvl,A,,6.14,7.06,NA,7.06,,1.25,14.45,14.45,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26824102,,Arthrt elbow w/synovectomy,A,,8.05,7.66,NA,7.66,,1.62,17.33,17.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26924105,,Excision olecranon bursa,A,,3.69,6.28,NA,6.28,,0.75,10.72,10.72,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27024110,,Exc/curtg b1 cst/b9 tum hum,A,,7.39,7.99,NA,7.99,,1.57,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503