No office rate
Both codes describe elbow arthrodesis. Choose 24802 for fusion with autogenous graft; 24800 represents the local-graft approach, with or without external fixation.
On this page
CMS RVU26D · Effective 2026-10-01
24802 Elbow fusion Medicare reimbursement rates in Hawaii
Reports surgical fusion of the elbow using the patient's own bone graft when the treatment plan calls for a permanently stabilized joint. Compare 24802 office and facility rates across CMS payment localities in Hawaii.
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 24802 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$934.06
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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 24802: Elbow fusion with autogenous graft
Reports surgical fusion of the elbow using the patient's own bone graft when the treatment plan calls for a permanently stabilized joint.
This procedure permanently joins the elbow bones using bone harvested from the same patient to support fusion. An orthopedic surgeon typically performs it in an operating room when a severely damaged or painful elbow is being treated with fusion for stability rather than motion preservation. The operative documentation should establish the arthrodesis and use of autogenous graft; the graft harvest is included in this service.
Select this code when the elbow fusion uses the patient's own graft, distinguishing it from the local-graft approach represented by 24800. CMS assigns 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24802
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.96 · 50%
- Practice expense (office) RVU10.80 · 39%
- Malpractice RVU2.98 · 11%
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.
24802 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
This code describes elbow interposition arthroplasty, not permanent fusion with autogenous graft.
No office rate
This code describes total elbow replacement with a prosthesis; 24802 is used when the surgeon fuses the elbow with the patient's own bone graft.
Compare 24802 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$934.06
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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 24802 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,359
- Code
- 24802
- Physician work
- 13.96
- Practice expense
- 10.80
- Malpractice
- 2.98
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.96 | × 1.000 | 13.9600 |
| Practice expense | 10.80 | × 1.137 | 12.2796 |
| Malpractice | 2.98 | × 0.579 | 1.7254 |
| Total RVUs | 27.9650 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$934.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.96 | 1 |
| Practice expense | 10.8 | 1.137 |
| Malpractice | 2.98 | 0.579 |
(13.96 × 1 + 10.8 × 1.137 + 2.98 × 0.579) × $33.4009 = $934.06
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.
24802 billing questions
How does this differ from 24800?
Use 24802 when the elbow fusion uses autogenous graft. Code 24800 describes the local-graft approach, with or without external fixation.
Is harvesting the patient's graft separately reportable?
No. Obtaining the autogenous graft is included in this elbow arthrodesis service.
Can an assistant-at-surgery claim be submitted?
CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral elbow fusion handled?
When both elbows are treated and modifier 50 is reported, CMS pays this bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 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 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.
2,35624675,,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
2,36224925,,Amputation follow-up surgery,A,,7.12,7.71,NA,7.71,,1.50,16.33,16.33,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014