Billing code 24360: Elbow arthroplastyMedicare rate & RVUs in Guam
Reports elbow arthroplasty using a soft-tissue membrane, such as fascia, to separate damaged joint surfaces rather than replace them with a prosthesis.
CMS doesn’t publish an office rate for 24360 in Guam.
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 24360 covers
An orthopedic surgeon performs this operation for a damaged, painful elbow joint by reshaping the joint surfaces and placing a soft-tissue membrane, commonly fascia, between them. The interposed tissue helps reduce direct contact between the surfaces while retaining the patient’s native joint rather than substituting an elbow prosthesis. It is generally performed in an operating room for selected patients with elbow arthritis or other substantial joint damage.
Report the code when the operative service includes elbow arthroplasty with membrane interposition, not for isolated tendon or ligament repair, debridement, or prosthetic elbow replacement. The operative report should identify the joint work and the membrane used. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is 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.
24360 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $847.12 |
How the 24360 rate is calculated
Each of 24360’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 · 24360
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.35Practice expense 10.11Malpractice 2.62
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24360
24360 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24360
Elbow arthroplasty
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 24360
Elbow arthroplasty
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
24360 without 50 · national facility
$837.69
Elbow arthroplasty
24360-50 · Bilateral: 150%
$1,256.54
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).
24360 compared with similar codes
Compare codes
24360 vs 24361 vs 24362 vs 24363 vs 24370: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24361Elbow arthroplasty
- Choose 24360 when a soft-tissue membrane is interposed at the elbow. Code 24361 describes arthroplasty using a distal humeral prosthetic replacement.
- 24362Elbow arthroplasty
- Code 24362 describes elbow arthroplasty with an implant and fascia; 24360 is the membrane-interposition procedure.
- 24363Elbow arthroplasty
- Code 24363 is for total elbow replacement. Use 24360 when the surgeon performs interposition arthroplasty instead of replacing the joint with a prosthesis.
- 24370Elbow revision
- Code 24370 addresses revision of a prior elbow reconstruction. Code 24360 describes the interposition arthroplasty itself, not revision surgery.
24360 billing questions
How does this differ from a prosthetic elbow arthroplasty?
This code describes interposition of a soft-tissue membrane between joint surfaces. Prosthetic replacement procedures use different codes, such as 24363 for total elbow replacement.
Does this code include the membrane interposition?
Yes. The defining service is elbow arthroplasty with a soft-tissue membrane placed between the joint surfaces.
What documentation supports reporting this code?
The operative report should describe the elbow joint reconstruction and identify the membrane interposed. A note documenting only debridement or tendon or ligament work does not establish this service.
What is the Medicare global period?
It has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is bilateral surgery handled?
For bilateral surgery, Medicare pays this procedure at 150% when reported with modifier 50.
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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