No office rate
Choose 24360 when a soft-tissue membrane is interposed at the elbow. Code 24361 describes arthroplasty using a distal humeral prosthetic replacement.
On this page
CMS RVU26D · Effective 2026-10-01
24360 Elbow arthroplasty Medicare reimbursement rates in New Mexico
Reports elbow arthroplasty using a soft-tissue membrane, such as fascia, to separate damaged joint surfaces rather than replace them with a prosthesis. Compare 24360 office and facility rates across CMS payment localities in New Mexico.
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 24360 in New Mexico?
New Mexico 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
$827.26
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 24360: Elbow interposition arthroplasty
Reports elbow arthroplasty using a soft-tissue membrane, such as fascia, to separate damaged joint surfaces rather than replace them with a prosthesis.
An orthopedic surgeon performs this operation for a damaged, painful elbow joint by reshaping the joint surfaces and placing a soft-tissue membrane, commonly fascia, between them. The interposed tissue helps reduce direct contact between the surfaces while retaining the patient’s native joint rather than substituting an elbow prosthesis. It is generally performed in an operating room for selected patients with elbow arthritis or other substantial joint damage.
Report the code when the operative service includes elbow arthroplasty with membrane interposition, not for isolated tendon or ligament repair, debridement, or prosthetic elbow replacement. The operative report should identify the joint work and the membrane used. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24360
- 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 RVU12.35 · 49%
- Practice expense (office) RVU10.11 · 40%
- Malpractice RVU2.62 · 10%
27
Medicare services in 2024 · #5729 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.
24360 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Code 24362 describes elbow arthroplasty with an implant and fascia; 24360 is the membrane-interposition procedure.
No office rate
Code 24363 is for total elbow replacement. Use 24360 when the surgeon performs interposition arthroplasty instead of replacing the joint with a prosthesis.
No office rate
Code 24370 addresses revision of a prior elbow reconstruction. Code 24360 describes the interposition arthroplasty itself, not revision surgery.
Compare 24360 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$827.26
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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 24360 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
2,310
- Code
- 24360
- Physician work
- 12.35
- Practice expense
- 10.11
- Malpractice
- 2.62
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.35 | × 1.000 | 12.3500 |
| Practice expense | 10.11 | × 0.917 | 9.2709 |
| Malpractice | 2.62 | × 1.201 | 3.1466 |
| Total RVUs | 24.7675 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$827.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.35 | 1 |
| Practice expense | 10.11 | 0.917 |
| Malpractice | 2.62 | 1.201 |
(12.35 × 1 + 10.11 × 0.917 + 2.62 × 1.201) × $33.4009 = $827.26
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.
24360 billing questions
How does this differ from a prosthetic elbow arthroplasty?
This code describes interposition of a soft-tissue membrane between joint surfaces. Prosthetic replacement procedures use different codes, such as 24363 for total elbow replacement.
Does this code include the membrane interposition?
Yes. The defining service is elbow arthroplasty with a soft-tissue membrane placed between the joint surfaces.
What documentation supports reporting this code?
The operative report should describe the elbow joint reconstruction and identify the membrane interposed. A note documenting only debridement or tendon or ligament work does not establish this service.
What is the Medicare global period?
It has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How is bilateral surgery handled?
For bilateral surgery, Medicare pays this procedure at 150% when reported with modifier 50.
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.
2,30724357,,Repair elbow perc,A,,5.30,5.59,NA,5.59,,0.62,11.51,11.51,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30824358,,Repair elbow w/deb open,A,,6.49,7.20,NA,7.20,,1.28,14.97,14.97,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30924359,,Repair elbow deb/attch open,A,,8.76,7.97,NA,7.97,,1.74,18.47,18.47,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31024360,,Reconstruct elbow joint,A,,12.35,10.11,NA,10.11,,2.62,25.08,25.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31124361,,Reconstruct elbow joint,A,,14.05,10.81,NA,10.81,,3.00,27.86,27.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31224362,,Reconstruct elbow joint,A,,14.94,11.10,NA,11.10,,3.18,29.22,29.22,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31324363,,Replace elbow joint,A,,21.45,13.16,NA,13.16,,4.33,38.94,38.94,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210