Billing code 24371: Elbow revisionMedicare rate & RVUs in Florida
Revision of a total elbow replacement addresses a failed or damaged prosthetic joint and may include reconstruction with allograft.
CMS doesn’t publish an office rate for 24371 in Florida.
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 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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,722.63 |
| Miami | Unavailable | $1,865.62 |
| Rest Of Florida | Unavailable | $1,639.70 |
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
Work26.81
26.81 RVUs× 1.000 GPCI
Practice expense14.88
14.88 RVUs× 1.000 GPCI
Malpractice5.36
5.36 RVUs× 1.000 GPCI
Adjusted RVUs
47.0500
Conversion factor
$33.4009
Medicare rate
$1,571.51
Every GPCI starts 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
| 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) | 2 | Paid. |
| 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 · 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.
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).
24371 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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