No office rate
Both describe elbow arthrodesis. Select based on the graft technique documented: local bone graft for 24800 versus the autogenous graft approach represented by 24802.
On this page
CMS RVU26D · Effective 2026-10-01
24800 Elbow fusion Medicare reimbursement rates in Kentucky
Elbow fusion using bone taken locally during the operation, reported for selected salvage cases requiring a stable, fixed elbow. Compare 24800 office and facility rates across CMS payment localities in Kentucky.
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 24800 in Kentucky?
Kentucky 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
$737.52
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 24800: Elbow fusion with local bone graft
Elbow fusion using bone taken locally during the operation, reported for selected salvage cases requiring a stable, fixed elbow.
An orthopedic surgeon fuses the elbow by preparing the joint surfaces and stabilizing the bones in a functional position, using bone obtained locally during the operation. This is a reconstructive or salvage option when the treatment plan calls for a permanently fixed elbow rather than retained joint motion. The procedure is generally performed in an operating room, with the operative report identifying the fusion technique, fixation, and local graft use.
Choose this code when the documented technique uses local bone graft; distinguish it from 24802 when the procedure uses the autogenous graft approach described by that code. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24800
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.12 · 48%
- Practice expense (office) RVU9.89 · 42%
- Malpractice RVU2.37 · 10%
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.
24800 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
This is an elbow arthroplasty approach, not fusion. It is considered when the operative plan reconstructs the joint rather than permanently fixing it.
No office rate
This code describes elbow arthroplasty with an implant. Use 24800 for a fusion using local bone graft, not an implant-based joint replacement.
Compare 24800 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$737.52
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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 24800 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,358
- Code
- 24800
- Physician work
- 11.12
- Practice expense
- 9.89
- Malpractice
- 2.37
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.12 | × 1.000 | 11.1200 |
| Practice expense | 9.89 | × 0.889 | 8.7922 |
| Malpractice | 2.37 | × 0.915 | 2.1686 |
| Total RVUs | 22.0808 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$737.52
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.12 | 1 |
| Practice expense | 9.89 | 0.889 |
| Malpractice | 2.37 | 0.915 |
(11.12 × 1 + 9.89 × 0.889 + 2.37 × 0.915) × $33.4009 = $737.52
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.
24800 billing questions
How is 24800 distinguished from 24802?
Use 24800 when the operative technique uses local bone graft. Code 24802 describes the elbow fusion approach with autogenous bone graft; the operative report should identify the graft technique.
Can the local graft be reported separately?
The local graft is part of the service represented by 24800. The documentation should describe its use as part of the fusion rather than treating it as a separate service.
What documentation supports 24800?
The operative report should establish that an elbow arthrodesis was performed and identify the use of local bone graft, along with the fixation and operative technique.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral elbow fusion paid?
When reported bilaterally with modifier 50, CMS pays 24800 at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid 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.
2,35524670,,Cltx ulnar fx prox w/o mnpj,A,,2.62,6.92,,5.27,,0.54,10.08,8.43,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,35624675,,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
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631