No office rate
24100 describes elbow arthrotomy with biopsy only. Choose 24101 when the procedure includes exploration or removal of an intra-articular loose body or foreign object.
On this page
CMS RVU26D · Effective 2026-10-01
24101 Elbow arthrotomy Medicare reimbursement rates in Kansas
Open elbow-joint surgery for exploration, tissue biopsy, or removal of an intra-articular loose body or foreign object. Compare 24101 office and facility rates across CMS payment localities in Kansas.
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 24101 in Kansas?
Kansas 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
$439.30
1 of 1 localities have a supported rate.
Payment area: Kansas
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 24101: Elbow arthrotomy with exploration or removal
Open elbow-joint surgery for exploration, tissue biopsy, or removal of an intra-articular loose body or foreign object.
An orthopedic surgeon opens the elbow joint to inspect its interior, obtain tissue for biopsy, or remove an intra-articular loose body or foreign object. The service is performed in an operative setting; examples include evaluating abnormal joint tissue or removing a loose fragment that is inside the joint. This is an open approach, rather than arthroscopic treatment, and it is distinct from surgery directed at the olecranon bursa or excision of the radial head.
Select this code when the documented work includes elbow arthrotomy with exploration, biopsy, or removal. The operative report should identify the joint target and describe the work performed; biopsy alone is represented by a different elbow arthrotomy code, and synovectomy has its own code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Modifier 50 for bilateral surgery is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24101
- 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 RVU6.14 · 42%
- Practice expense (office) RVU7.06 · 49%
- Malpractice RVU1.25 · 9%
255
Medicare services in 2024 · #4120 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.
24101 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
24102 is the elbow arthrotomy code for synovectomy. 24101 describes exploration, biopsy, or removal without that synovectomy service.
No office rate
24105 treats the olecranon bursa. Use 24101 for open work inside the elbow joint, not excision of the bursa.
No office rate
24130 describes excision of the radial head. It is not the code for opening the joint to explore it or remove an intra-articular loose body.
Compare 24101 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
Kansas →
Office / nonfacility
Unavailable
Facility
$439.30
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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 24101 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,267
- Code
- 24101
- Physician work
- 6.14
- Practice expense
- 7.06
- Malpractice
- 1.25
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.14 | × 1.000 | 6.1400 |
| Practice expense | 7.06 | × 0.904 | 6.3822 |
| Malpractice | 1.25 | × 0.504 | 0.6300 |
| Total RVUs | 13.1522 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$439.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.14 | 1 |
| Practice expense | 7.06 | 0.904 |
| Malpractice | 1.25 | 0.504 |
(6.14 × 1 + 7.06 × 0.904 + 1.25 × 0.504) × $33.4009 = $439.30
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.
24101 billing questions
How does this differ from 24100?
24100 is for elbow arthrotomy with biopsy only. Use 24101 when the documented procedure includes exploration or removal of a loose or foreign body.
When is 24102 a better fit?
Use 24102 when the surgeon performs synovectomy through elbow arthrotomy. A biopsy or removal procedure without synovectomy points to 24101 when its requirements are met.
Can the surgeon separately report the biopsy or loose-body removal?
The biopsy or removal performed through this arthrotomy is part of the service described by 24101. The operative report should specify the target and work rather than treating those elements as separate procedures.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The surgeon's operative documentation should support the elbow procedure and its target.
How is bilateral elbow surgery handled?
CMS pays bilateral surgery reported with modifier 50 at 150%. Document the procedure performed on each elbow.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid for this procedure. Co-surgeons and team surgery are not permitted under the CMS rules provided.
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.
2,26424077,,Rad rescj tum tiss a/e <5cm,A,,15.33,9.82,NA,9.82,,3.53,28.68,28.68,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26524079,,Rad rescj tum tiss a/e 5 cm+,A,,20.09,12.00,NA,12.00,,4.62,36.71,36.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26624100,,Arthrt elbw synovial bx only,A,,4.94,6.30,NA,6.30,,1.07,12.31,12.31,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26724101,,Arthrt elbw jt expl bx rmvl,A,,6.14,7.06,NA,7.06,,1.25,14.45,14.45,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26824102,,Arthrt elbow w/synovectomy,A,,8.05,7.66,NA,7.66,,1.62,17.33,17.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26924105,,Excision olecranon bursa,A,,3.69,6.28,NA,6.28,,0.75,10.72,10.72,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27024110,,Exc/curtg b1 cst/b9 tum hum,A,,7.39,7.99,NA,7.99,,1.57,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958