No office rate
Use 24164 for removal of a radial head prosthesis. This code is for removal of the humeral and ulnar components of an elbow prosthesis.
On this page
CMS RVU26D · Effective 2026-10-01
24160 Elbow prosthesis removal Medicare reimbursement rates in Georgia
Removal of the humeral and ulnar components of an elbow prosthesis, such as for infection or loosening when the procedure is explantation rather than revision. Compare 24160 office and facility rates across CMS payment localities in Georgia.
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 24160 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1128.69–$1182.79
2 of 2 localities have a 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.
Orthopedic surgery
About 24160: Removal of humeral and ulnar elbow prosthesis
Removal of the humeral and ulnar components of an elbow prosthesis, such as for infection or loosening when the procedure is explantation rather than revision.
An orthopedic surgeon removes the prosthetic humeral and ulnar components from an elbow joint. The procedure may be performed when an elbow replacement is infected, loose, or otherwise requires removal without the work being a component revision. It is typically performed in a hospital or other surgical facility; Medicare recorded facility services for this code in 2024.
Report the code when the operative documentation supports removal of both specified components. If the surgeon revises the elbow replacement, distinguish that work from removal alone and select the applicable revision code based on the components revised. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24160
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.16 · 53%
- Practice expense (office) RVU12.34 · 36%
- Malpractice RVU3.88 · 11%
93
Medicare services in 2024 · #4931 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.
24160 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
Use 24370 when the work is revision of both humeral and ulnar components of a total elbow arthroplasty, rather than removal alone.
No office rate
Use 24371 for revision involving one component of a total elbow arthroplasty. This code describes removal of the humeral and ulnar components.
Compare 24160 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$1182.79
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$1128.69
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24160 billing questions
How is this different from removal of a radial head prosthesis?
This code covers removal of the humeral and ulnar components of an elbow prosthesis. Code 24164 is for removal of a radial head prosthesis.
Should this be reported with a total elbow revision code?
When the surgeon revises the prosthesis, choose the revision code that matches the components revised. Do not treat removal of the old components as automatically separately reportable.
What documentation supports reporting this code?
The operative report should identify the elbow prosthesis components removed and describe the removal performed. Include the clinical reason, such as infection or loosening, when documented.
How does Medicare handle bilateral reporting?
For bilateral procedures reported with modifier 50, Medicare pays this code at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeon payment is allowed 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.
2,28424150,,Rad rescj tum dstl/shft hum,A,,22.87,14.09,NA,14.09,,4.87,41.83,41.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28524152,,Rad resection tum radial h/n,A,,19.49,13.01,NA,13.01,,4.15,36.65,36.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28624155,,Resection of elbow joint,A,,11.79,9.39,NA,9.39,,2.51,23.69,23.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28724160,,Rmvl prosthhumrl&ulnar cmpnt,A,,18.16,12.34,NA,12.34,,3.88,34.38,34.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28824164,,Removal prosth radial head,A,,9.75,8.60,NA,8.60,,2.08,20.43,20.43,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28924200,,Rmvl fb upper arm/elbw subq,A,,1.76,5.16,,2.17,,0.36,7.28,4.29,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29024201,,Rmvl fb upper arm/elbw deep,A,,4.58,14.41,,6.18,,0.99,19.98,11.75,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00