CPT code 24361: Elbow arthroplasty2026 Medicare rate & RVUs in Nevada
Reports elbow reconstruction using a prosthetic replacement of the distal humerus, rather than an interposition procedure or total elbow replacement.
CMS doesn’t publish an office rate for 24361 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24361 covers
This operation reconstructs the elbow by replacing the distal end of the humerus with a prosthetic component. An orthopedic surgeon typically performs it in a hospital or ambulatory surgical setting when the planned reconstruction calls for distal humeral prosthetic replacement. The operative report should make clear which part of the joint was reconstructed and that the distal humerus was replaced with a prosthesis.
Select this code based on the documented procedure, not simply the diagnosis or presence of an implant. Distinguish it from interposition arthroplasty, other implant-and-graft techniques, and total elbow replacement. It has a 90-day global period, including 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
24361 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $914.18 |
How the 24361 rate is calculated
Each of 24361’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24361
RVUs × geographic indexes × conversion factor
Work14.05
14.05 RVUs× 1.000 GPCI
Practice expense10.81
10.81 RVUs× 1.000 GPCI
Malpractice3.00
3.00 RVUs× 1.000 GPCI
Adjusted RVUs
27.8600
Conversion factor
$33.4009
Medicare rate
$930.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24361
24361 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24361
Elbow arthroplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24361
Elbow arthroplasty
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24361 without 50 · national facility
$930.55
Elbow arthroplasty
24361-50 · Bilateral: 150%
$1,395.83
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24361 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24360Elbow arthroplasty
- 24360 describes interposition arthroplasty. Choose 24361 when the operation replaces the distal humerus with a prosthetic component.
- 24362Elbow arthroplasty
- 24362 identifies a different implant-and-graft elbow arthroplasty approach. Use the operative details to distinguish it from distal humeral prosthetic replacement.
- 24363Elbow arthroplasty
- 24363 is for total elbow replacement. This code is for reconstruction with distal humeral prosthetic replacement, not the total elbow procedure.
- 24370Elbow revision
- 24370 describes revision of an elbow reconstruction. It applies to revision surgery, not the initial distal humeral prosthetic replacement.
24361 billing questions
How does this differ from total elbow replacement?
This code describes reconstruction using a prosthetic replacement of the distal humerus. Total elbow replacement is reported with 24363.
How should this be distinguished from 24360?
Use 24360 for an interposition arthroplasty. Use 24361 when the documented reconstruction replaces the distal humerus with a prosthetic component.
What operative documentation supports this code?
Document the elbow reconstruction, the distal humeral portion replaced, and the use of a prosthetic component. The operative report should distinguish the work from interposition or total elbow replacement.
How is bilateral surgery reported?
When both elbows are treated in the same session, modifier 50 identifies the bilateral procedure; CMS pays it at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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