Billing code 24300: Elbow manipulationMedicare rate & RVUs in Delaware
Reports physician-performed manipulation of a stiff elbow while the patient is under anesthesia to improve restricted joint motion without open release.
CMS doesn’t publish an office rate for 24300 in Delaware.
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 9 sections
What 24300 covers
An orthopedic surgeon or other qualified physician uses controlled movement of the elbow while the patient is anesthetized to address limited motion from stiffness or contracture, often after injury, surgery, or immobilization. This is a manipulation service, not an open capsular release or a repair of an elbow tendon or ligament. It is generally performed in a hospital or ambulatory surgery setting.
Report 24300 when the documented service is manipulation of the elbow joint under anesthesia. The record should identify the treated elbow, the reason for restricted motion, the manipulation performed, and the clinical response. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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.
24300 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $440.86 |
How the 24300 rate is calculated
Each of 24300’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 · 24300
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.94Practice expense 8.66Malpractice 0.76
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24300
24300 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24300
Elbow manipulation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24300
Elbow manipulation
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24300 without 50 · national facility
$446.24
Elbow manipulation
24300-50 · Bilateral: 150%
$669.36
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).
24300 compared with similar codes
Compare codes
24300 vs 24006 vs 24605 vs 24600: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24006Elbow release
- 24300 is manipulation under anesthesia without open capsular release. 24006 is considered when the surgeon performs an open elbow capsular release.
- 24605Elbow reduction
- 24605 is for closed treatment of an elbow dislocation requiring anesthesia. 24300 is for elbow manipulation to address restricted motion, not a dislocation reduction.
- 24600Elbow reduction
- 24600 describes closed treatment of an elbow dislocation without anesthesia. Use 24300 for manipulation under anesthesia when the indication is elbow stiffness or contracture.
24300 billing questions
When should 24300 be used instead of a closed reduction code?
Use 24300 for manipulation of an elbow with restricted motion, such as stiffness or contracture. For treatment of an elbow dislocation, use the applicable closed-treatment code, such as 24605 when anesthesia is required.
How is 24300 different from an elbow capsular release?
24300 describes manipulation under anesthesia without an open release. When the surgeon opens the elbow and releases the capsule, consider 24006 instead.
Can both elbows be reported on the same claim?
Yes, when both elbows are treated and the documentation supports bilateral manipulation, report modifier 50. CMS pays the bilateral procedure 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 surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 24300. Co-surgeons and team surgery are 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
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