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 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$782.21
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 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 rates for Modesto, 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.
The same code, a different location
How does Modesto compare?
24800 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 24800
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Merced
California · 24800
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Napa
California · 24800
Office
Unavailable
Facility
$870.41
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24800
Office
Unavailable
Facility
$821.59
No comparable office rate is available.
Redding
California · 24800
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Rest Of California
California · 24800
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24800
Office
Unavailable
Facility
$807.67
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24800
Office
Unavailable
Facility
$811.40
No comparable office rate is available.
Salinas
California · 24800
Office
Unavailable
Facility
$808.22
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24800
Office
Unavailable
Facility
$820.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24800
Office
Unavailable
Facility
$908.81
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24800
Office
Unavailable
Facility
$906.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24800
Office
Unavailable
Facility
$931.05
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24800
Office
Unavailable
Facility
$920.04
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24800
Office
Unavailable
Facility
$796.41
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24800
Office
Unavailable
Facility
$823.00
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24800
Office
Unavailable
Facility
$809.42
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24800
Office
Unavailable
Facility
$830.64
No comparable office rate is available.
Stockton
California · 24800
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Vallejo
California · 24800
Office
Unavailable
Facility
$866.53
No comparable office rate is available.
Visalia
California · 24800
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Yuba City
California · 24800
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 24800
Office
Unavailable
Facility
$868.71
No comparable office rate is available.
Miami
Florida · 24800
Office
Unavailable
Facility
$915.49
No comparable office rate is available.
Chicago
Illinois · 24800
Office
Unavailable
Facility
$887.68
No comparable office rate is available.
Manhattan
New York · 24800
Office
Unavailable
Facility
$904.59
No comparable office rate is available.
Alaska*
Alaska · 24800
Office
Unavailable
Facility
$952.55
No comparable office rate is available.
Alabama
Alabama · 24800
Office
Unavailable
Facility
$705.27
No comparable office rate is available.
Arkansas
Arkansas · 24800
Office
Unavailable
Facility
$695.94
No comparable office rate is available.
Arizona
Arizona · 24800
Office
Unavailable
Facility
$759.27
No comparable office rate is available.
Colorado
Colorado · 24800
Office
Unavailable
Facility
$789.18
No comparable office rate is available.
Connecticut
Connecticut · 24800
Office
Unavailable
Facility
$830.40
No comparable office rate is available.
Delaware
Delaware · 24800
Office
Unavailable
Facility
$770.81
No comparable office rate is available.
Fort Lauderdale
Florida · 24800
Office
Unavailable
Facility
$849.17
No comparable office rate is available.
Rest Of Florida
Florida · 24800
Office
Unavailable
Facility
$806.20
No comparable office rate is available.
Atlanta
Georgia · 24800
Office
Unavailable
Facility
$803.22
No comparable office rate is available.
Rest Of Georgia
Georgia · 24800
Office
Unavailable
Facility
$760.44
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24800
Office
Unavailable
Facility
$792.84
No comparable office rate is available.
Iowa
Iowa · 24800
Office
Unavailable
Facility
$705.10
No comparable office rate is available.
Idaho
Idaho · 24800
Office
Unavailable
Facility
$712.77
No comparable office rate is available.
East St. Louis
Illinois · 24800
Office
Unavailable
Facility
$834.75
No comparable office rate is available.
Rest Of Illinois
Illinois · 24800
Office
Unavailable
Facility
$796.74
No comparable office rate is available.
Suburban Chicago
Illinois · 24800
Office
Unavailable
Facility
$853.54
No comparable office rate is available.
Indiana
Indiana · 24800
Office
Unavailable
Facility
$716.11
No comparable office rate is available.
Kansas
Kansas · 24800
Office
Unavailable
Facility
$709.94
No comparable office rate is available.
Kentucky
Kentucky · 24800
Office
Unavailable
Facility
$737.52
No comparable office rate is available.
New Orleans
Louisiana · 24800
Office
Unavailable
Facility
$772.19
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24800
Office
Unavailable
Facility
$739.60
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24800
Office
Unavailable
Facility
$851.52
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24800
Office
Unavailable
Facility
$788.29
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24800
Office
Unavailable
Facility
$829.73
No comparable office rate is available.
Rest Of Maryland
Maryland · 24800
Office
Unavailable
Facility
$782.10
No comparable office rate is available.
Rest Of Maine
Maine · 24800
Office
Unavailable
Facility
$724.56
No comparable office rate is available.
Southern Maine
Maine · 24800
Office
Unavailable
Facility
$748.73
No comparable office rate is available.
Detroit
Michigan · 24800
Office
Unavailable
Facility
$823.66
No comparable office rate is available.
Rest Of Michigan
Michigan · 24800
Office
Unavailable
Facility
$762.39
No comparable office rate is available.
Minnesota
Minnesota · 24800
Office
Unavailable
Facility
$734.76
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24800
Office
Unavailable
Facility
$758.94
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24800
Office
Unavailable
Facility
$765.22
No comparable office rate is available.
Rest Of Missouri
Missouri · 24800
Office
Unavailable
Facility
$733.27
No comparable office rate is available.
Mississippi
Mississippi · 24800
Office
Unavailable
Facility
$714.34
No comparable office rate is available.
Montana**
Montana · 24800
Office
Unavailable
Facility
$780.75
No comparable office rate is available.
North Carolina
North Carolina · 24800
Office
Unavailable
Facility
$730.20
No comparable office rate is available.
North Dakota**
North Dakota · 24800
Office
Unavailable
Facility
$733.89
No comparable office rate is available.
Nebraska
Nebraska · 24800
Office
Unavailable
Facility
$706.24
No comparable office rate is available.
New Hampshire
New Hampshire · 24800
Office
Unavailable
Facility
$784.56
No comparable office rate is available.
Northern Nj
New Jersey · 24800
Office
Unavailable
Facility
$862.55
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24800
Office
Unavailable
Facility
$833.84
No comparable office rate is available.
New Mexico
New Mexico · 24800
Office
Unavailable
Facility
$769.41
No comparable office rate is available.
Nevada**
Nevada · 24800
Office
Unavailable
Facility
$768.02
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24800
Office
Unavailable
Facility
$934.96
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24800
Office
Unavailable
Facility
$845.63
No comparable office rate is available.
Queens
New York · 24800
Office
Unavailable
Facility
$899.79
No comparable office rate is available.
Rest Of New York
New York · 24800
Office
Unavailable
Facility
$740.89
No comparable office rate is available.
Ohio
Ohio · 24800
Office
Unavailable
Facility
$752.81
No comparable office rate is available.
Oklahoma
Oklahoma · 24800
Office
Unavailable
Facility
$727.91
No comparable office rate is available.
Portland
Oregon · 24800
Office
Unavailable
Facility
$803.26
No comparable office rate is available.
Rest Of Oregon
Oregon · 24800
Office
Unavailable
Facility
$756.08
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24800
Office
Unavailable
Facility
$816.42
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24800
Office
Unavailable
Facility
$749.47
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24800
Office
Unavailable
Facility
$783.36
No comparable office rate is available.
Rhode Island
Rhode Island · 24800
Office
Unavailable
Facility
$790.32
No comparable office rate is available.
South Carolina
South Carolina · 24800
Office
Unavailable
Facility
$743.93
No comparable office rate is available.
South Dakota**
South Dakota · 24800
Office
Unavailable
Facility
$728.35
No comparable office rate is available.
Tennessee
Tennessee · 24800
Office
Unavailable
Facility
$714.20
No comparable office rate is available.
Austin
Texas · 24800
Office
Unavailable
Facility
$791.79
No comparable office rate is available.
Beaumont
Texas · 24800
Office
Unavailable
Facility
$745.56
No comparable office rate is available.
Brazoria
Texas · 24800
Office
Unavailable
Facility
$763.50
No comparable office rate is available.
Dallas
Texas · 24800
Office
Unavailable
Facility
$771.69
No comparable office rate is available.
Fort Worth
Texas · 24800
Office
Unavailable
Facility
$769.42
No comparable office rate is available.
Galveston
Texas · 24800
Office
Unavailable
Facility
$767.96
No comparable office rate is available.
Houston
Texas · 24800
Office
Unavailable
Facility
$811.34
No comparable office rate is available.
Rest Of Texas
Texas · 24800
Office
Unavailable
Facility
$756.39
No comparable office rate is available.
Utah
Utah · 24800
Office
Unavailable
Facility
$753.02
No comparable office rate is available.
Virginia
Virginia · 24800
Office
Unavailable
Facility
$752.02
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24800
Office
Unavailable
Facility
$783.36
No comparable office rate is available.
Vermont
Vermont · 24800
Office
Unavailable
Facility
$738.50
No comparable office rate is available.
Rest Of Washington
Washington · 24800
Office
Unavailable
Facility
$784.33
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24800
Office
Unavailable
Facility
$859.98
No comparable office rate is available.
Wisconsin
Wisconsin · 24800
Office
Unavailable
Facility
$712.26
No comparable office rate is available.
West Virginia
West Virginia · 24800
Office
Unavailable
Facility
$771.76
No comparable office rate is available.
Wyoming**
Wyoming · 24800
Office
Unavailable
Facility
$760.33
No comparable office rate is available.
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 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, 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 24800 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$860.43
$782.21 × 110% = $860.43
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 24800 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
2,358
- Code
- 24800
- Physician work
- 11.12
- Practice expense
- 9.89
- Malpractice
- 2.37
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.12 | × 1.017 | 11.3090 |
| Practice expense | 9.89 | × 1.096 | 10.8394 |
| Malpractice | 2.37 | × 0.536 | 1.2703 |
| Total RVUs | 23.4188 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$782.21
Open 24800 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.12 | 1.017 |
| Practice expense | 9.89 | 1.096 |
| Malpractice | 2.37 | 0.536 |
(11.12 × 1.017 + 9.89 × 1.096 + 2.37 × 0.536) × $33.4009 = $782.21
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
24800 · 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 | $782.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $782.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $782.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $782.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $833.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $833.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $833.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $833.99 | RVU25A |
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536