No office rate
Choose 24164 when the surgeon removes an implanted radial head. Choose 24130 when the procedure excises the patient’s native radial head.
On this page
CMS RVU26D · Effective 2026-10-01
24164 Prosthesis removal Medicare reimbursement rates in Minnesota
Removal of an implanted radial head at the elbow, reported when the surgeon takes out the prosthetic component rather than excising native bone. Compare 24164 office and facility rates across CMS payment localities in Minnesota.
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 24164 in Minnesota?
Minnesota 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
$641.80
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 24164: Removal of radial head prosthesis
Removal of an implanted radial head at the elbow, reported when the surgeon takes out the prosthetic component rather than excising native bone.
The orthopedic surgeon removes the artificial radial head component at the elbow, commonly during surgery for a failed, loose, painful, or infected implant. The procedure is performed in an operating room and may be part of a larger elbow operation. The operative report should identify the prosthetic radial head as the component removed and describe the work performed; removal of a native radial head is a different service.
Report this code when the documented procedure removes the radial head prosthesis, distinguishing it from removal of other elbow replacement components or excision of native bone. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are subject to a statutory payment restriction; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24164
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.75 · 48%
- Practice expense (office) RVU8.60 · 42%
- Malpractice RVU2.08 · 10%
63
Medicare services in 2024 · #5207 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.
24164 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
24160 concerns removal of prosthetic humeral and ulnar elbow components; 24164 concerns removal of the prosthetic radial head.
No office rate
24666 applies to operative treatment of a radial head or neck fracture with prosthetic replacement. It is not the code for removing an existing radial head prosthesis.
Compare 24164 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$641.80
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.
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 24164 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,288
- Code
- 24164
- Physician work
- 9.75
- Practice expense
- 8.60
- Malpractice
- 2.08
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.75 | × 1.000 | 9.7500 |
| Practice expense | 8.60 | × 1.029 | 8.8494 |
| Malpractice | 2.08 | × 0.296 | 0.6157 |
| Total RVUs | 19.2151 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$641.80
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.75 | 1 |
| Practice expense | 8.6 | 1.029 |
| Malpractice | 2.08 | 0.296 |
(9.75 × 1 + 8.6 × 1.029 + 2.08 × 0.296) × $33.4009 = $641.80
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.
24164 billing questions
How does this differ from 24130?
24164 is for removing a prosthetic radial head. Code 24130 describes excision of the native radial head, not removal of an implant.
When would 24160 be more appropriate?
Use 24160 when the removed prosthetic components are the humeral and ulnar components of an elbow replacement. This code is for removal of the prosthetic radial head.
What documentation supports reporting 24164?
The operative report should identify the radial head prosthesis and document its removal. It should distinguish the implant from native radial-head bone and from other prosthetic components.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The code is classified as major surgery.
How are bilateral procedures and additional procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted by statute. Co-surgeons are paid only with supporting documentation, and 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.
2,28524152,,Rad resection tum radial h/n,A,,19.49,13.01,NA,13.01,,4.15,36.65,36.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28624155,,Resection of elbow joint,A,,11.79,9.39,NA,9.39,,2.51,23.69,23.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28724160,,Rmvl prosthhumrl&ulnar cmpnt,A,,18.16,12.34,NA,12.34,,3.88,34.38,34.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28824164,,Removal prosth radial head,A,,9.75,8.60,NA,8.60,,2.08,20.43,20.43,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28924200,,Rmvl fb upper arm/elbw subq,A,,1.76,5.16,,2.17,,0.36,7.28,4.29,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29024201,,Rmvl fb upper arm/elbw deep,A,,4.58,14.41,,6.18,,0.99,19.98,11.75,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29124220,,Injection px for elbow arthg,A,,1.28,4.17,,0.27,,0.13,5.58,1.68,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002