No office rate
Choose 24366 when a prosthetic implant is used for radial head arthroplasty; 24365 is the implant-free sibling service.
On this page
CMS RVU26D · Effective 2026-10-01
24366 Radial head arthroplasty Medicare reimbursement rates in North Dakota
Orthopedic surgeons report this service when reconstructing the radial head with a prosthetic implant rather than performing implant-free arthroplasty or fracture fixation. Compare 24366 office and facility rates across CMS payment localities in North Dakota.
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 24366 in North Dakota?
North Dakota 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
$598.58
1 of 1 localities have a supported rate.
Payment area: North Dakota**
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 24366: Radial head arthroplasty with implant
Orthopedic surgeons report this service when reconstructing the radial head with a prosthetic implant rather than performing implant-free arthroplasty or fracture fixation.
The surgeon removes or reshapes the damaged radial head and places a prosthetic implant to restore the radial head’s role in elbow articulation and forearm rotation. This operation is performed by an orthopedic surgeon in an operating room, commonly when the radial head cannot be reconstructed adequately with the patient’s own bone. The operative report should identify the treated side and document the implant and the work performed on the radial head.
Report 24366 for radial head arthroplasty with an implant; distinguish it from implant-free arthroplasty and from open treatment of a radial head or neck fracture. For an acute fracture managed with prosthetic replacement, evaluate 24666, which describes the fracture treatment with replacement. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for a bilateral procedure 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 24366
- 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 RVU9.13 · 48%
- Practice expense (office) RVU8.04 · 42%
- Malpractice RVU1.85 · 10%
356
Medicare services in 2024 · #3832 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.
24366 compared with similar codes
Office rates for North Dakota, from the same CMS release.
No office rate
For open treatment of an acute radial head or neck fracture with prosthetic replacement, evaluate 24666. Code 24366 describes radial head arthroplasty rather than the fracture-treatment service.
No office rate
24665 describes open treatment of a radial head or neck fracture with internal fixation or excision when performed. It does not describe the prosthetic replacement captured by 24666.
Compare 24366 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
North Dakota** →
Office / nonfacility
Unavailable
Facility
$598.58
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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 24366 in North Dakota**.
PPRRVU2026_Oct_nonQPP.csv
2,315
- Code
- 24366
- Physician work
- 9.13
- Practice expense
- 8.04
- Malpractice
- 1.85
GPCI2026.csv
84
- Locality
- North Dakota**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.13 | × 1.000 | 9.1300 |
| Practice expense | 8.04 | × 1.000 | 8.0400 |
| Malpractice | 1.85 | × 0.406 | 0.7511 |
| Total RVUs | 17.9211 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota**$598.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.13 | 1 |
| Practice expense | 8.04 | 1 |
| Malpractice | 1.85 | 0.406 |
(9.13 × 1 + 8.04 × 1 + 1.85 × 0.406) × $33.4009 = $598.58
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.
24366 billing questions
How does 24366 differ from 24365?
24366 describes radial head arthroplasty with a prosthetic implant. Use 24365 for the corresponding arthroplasty without an implant.
Should 24366 be reported for an acute fracture treated with a radial head prosthesis?
When the procedure is open treatment of a radial head or neck fracture with prosthetic replacement, evaluate 24666. That code describes the fracture treatment with replacement rather than separately reporting 24366 for the arthroplasty.
Can 24366 be billed with 24666 for the same radial head?
Do not separately report 24366 for the prosthetic replacement included in the fracture treatment described by 24666.
What documentation supports 24366?
Document the side, the radial head procedure, and the prosthetic implant placed. The operative report should also make clear whether the service was arthroplasty or open fracture treatment.
Can an assistant or co-surgeon be reported?
CMS may pay for an assistant at surgery. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How is a bilateral procedure handled?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
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.
2,31224362,,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
2,31424365,,Reconstruct head of radius,A,,8.40,7.95,NA,7.95,,1.78,18.13,18.13,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31524366,,Reconstruct head of radius,A,,9.13,8.04,NA,8.04,,1.85,19.02,19.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31624370,,Revise reconst elbow joint,A,,22.96,13.65,NA,13.65,,4.61,41.22,41.22,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31724371,,Revise reconst elbow joint,A,,26.81,14.88,NA,14.88,,5.36,47.05,47.05,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31824400,,Osteot humerus w/wo int fixj,A,,11.05,9.81,NA,9.81,,2.34,23.20,23.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8113292,NY,04,QUEENS,1.064,1.182,1.442
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744