24149 is for radical resection of the elbow. Select this code when the documented procedure is resection of the joint, not a radical resection.
On this page
CMS RVU26D · Effective 2026-10-01
24155 Elbow resection Medicare reimbursement rates in Michigan
Reports operative removal of the elbow joint for a condition requiring resection of the joint itself, rather than treatment limited to bone or synovium. Compare 24155 office and facility rates across CMS payment localities in Michigan.
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 24155 in Michigan?
Michigan 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
$774.80–$837.80
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 24155: Elbow joint resection
Reports operative removal of the elbow joint for a condition requiring resection of the joint itself, rather than treatment limited to bone or synovium.
An orthopedic surgeon performs this operation when treatment requires resection of the elbow joint itself, such as in a severely damaged or infected joint selected for resection as a salvage procedure. The operative work is directed at the joint, not just the synovial lining, an isolated bone lesion, or the radial head. The code describes a substantial elbow operation, not a diagnostic arthrotomy or biopsy.
Report it when the operative note supports resection of the joint and identifies the indication and structures addressed. Distinguish it from limited procedures such as synovectomy or isolated radial-head excision, and from radical resection for a tumor. Medicare 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 is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24155
- 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 RVU11.79 · 50%
- Practice expense (office) RVU9.39 · 40%
- Malpractice RVU2.51 · 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.
24155 compared with similar codes
Office rates for Michigan, from the same CMS release.
24130 describes excision of the radial head alone. It does not represent resection of the elbow joint.
24160 addresses removal of humeral and ulnar prosthetic components. This code describes resection of the elbow joint, not removal of those components.
24102 describes elbow arthrotomy with synovectomy. Choose this code when the operative work resects the joint itself, rather than focusing on synovial tissue.
Compare 24155 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
Detroit →
Office / nonfacility
Unavailable
Facility
$837.80
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$774.80
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
24155 billing questions
How is this different from radical resection of the elbow?
This code describes resection of the elbow joint. Use 24149 when the documented operation is a radical resection, rather than a resection of the joint as described here.
Does removal of the radial head support this code?
Not by itself. An operation limited to excision of the radial head is represented by 24130; this code requires resection of the elbow joint.
What documentation supports reporting this procedure?
The operative report should describe the indication and the joint resection performed, including the structures addressed. A note describing only biopsy, synovectomy, or isolated bone excision does not establish joint resection.
How is bilateral surgery reported?
For resection of both elbows in the same session, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is submitted; 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.
