No office rate
24100 is for elbow arthrotomy with synovial biopsy alone. Choose 24102 when synovium is removed as treatment.
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CMS RVU26D · Effective 2026-10-01
24102 Elbow synovectomy Medicare reimbursement rates in Oregon
Report 24102 when a surgeon opens the elbow joint and removes synovial tissue to treat joint synovitis rather than obtain a biopsy alone. Compare 24102 office and facility rates across CMS payment localities in Oregon.
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 24102 in Oregon?
Oregon 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
$561.74–$597.69
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 24102: Elbow arthrotomy with synovectomy
Report 24102 when a surgeon opens the elbow joint and removes synovial tissue to treat joint synovitis rather than obtain a biopsy alone.
The surgeon opens the elbow joint and removes synovial tissue, typically to address clinically significant synovitis, such as persistent proliferative inflammation. An orthopedic surgeon generally performs this operation in a hospital or other surgical facility. The code describes an arthrotomy with synovectomy, not an isolated diagnostic sample or an arthroscopic procedure.
Select 24102 when the operative report supports removal of synovium as treatment; a limited synovial sample for diagnosis points to a different service. Document the affected elbow, surgical approach, reason for synovectomy, and work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24102
- 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 RVU8.05 · 46%
- Practice expense (office) RVU7.66 · 44%
- Malpractice RVU1.62 · 9%
232
Medicare services in 2024 · #4193 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.
24102 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
24101 covers elbow arthrotomy for exploration, biopsy, or removal of a loose or foreign body; 24102 is distinguished by synovectomy.
No office rate
29835 describes partial synovectomy performed arthroscopically. 24102 uses an arthrotomy approach.
No office rate
29836 describes major elbow synovectomy performed arthroscopically; 24102 is the arthrotomy service.
Compare 24102 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
Portland →
Office / nonfacility
Unavailable
Facility
$597.69
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$561.74
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24102 billing questions
When should 24102 be chosen instead of 24100?
Use 24102 when the surgeon removes synovium therapeutically during an elbow arthrotomy. Code 24100 describes an elbow arthrotomy for synovial biopsy alone.
Is an arthroscopic elbow synovectomy reported with 24102?
No. 24102 describes an arthrotomy; an arthroscopic synovectomy is represented by the arthroscopy code that matches the extent of synovectomy performed.
What documentation supports 24102?
The operative report should identify the elbow, the arthrotomy approach, the synovitis being treated, and the synovial tissue removed.
How is bilateral elbow surgery handled?
CMS lists bilateral reporting with modifier 50 and payment at 150%. The documentation should support treatment of both elbows.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
24102 has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,26524079,,Rad rescj tum tiss a/e 5 cm+,A,,20.09,12.00,NA,12.00,,4.62,36.71,36.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26624100,,Arthrt elbw synovial bx only,A,,4.94,6.30,NA,6.30,,1.07,12.31,12.31,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26724101,,Arthrt elbw jt expl bx rmvl,A,,6.14,7.06,NA,7.06,,1.25,14.45,14.45,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26824102,,Arthrt elbow w/synovectomy,A,,8.05,7.66,NA,7.66,,1.62,17.33,17.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26924105,,Excision olecranon bursa,A,,3.69,6.28,NA,6.28,,0.75,10.72,10.72,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27024110,,Exc/curtg b1 cst/b9 tum hum,A,,7.39,7.99,NA,7.99,,1.57,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27124115,,Exc/crtg b1 cst/tum hum agrf,A,,9.87,8.78,NA,8.78,,2.10,20.75,20.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00