No office rate
Both codes concern revision of a total elbow arthroplasty. Choose based on the full CPT descriptor and the operative work documented, rather than the similar abbreviated CMS descriptions.
On this page
CMS RVU26D · Effective 2026-10-01
24371 Elbow revision Medicare reimbursement rates in Texas
Revision of a total elbow replacement addresses a failed or damaged prosthetic joint and may include reconstruction with allograft. Compare 24371 office and facility rates across CMS payment localities in Texas.
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 24371 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 24371 pays more and less in Texas
Orthopedic surgery
About 24371: Total elbow arthroplasty revision
Revision of a total elbow replacement addresses a failed or damaged prosthetic joint and may include reconstruction with allograft.
This operation revises a total elbow replacement, addressing problems such as implant loosening, wear, instability, or bone loss. The surgeon removes or revises the prosthetic components and may use allograft as part of the reconstruction. It is typically performed by an orthopedic surgeon in a hospital or other surgical facility when the existing elbow implant requires operative revision rather than a first-time replacement.
Report the code supported by the operative report’s description of the revision and reconstruction. Documentation should identify the existing elbow prosthesis, the components addressed, the reason for revision, and any allograft work. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. 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%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24371
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU26.81 · 57%
- Practice expense (office) RVU14.88 · 32%
- Malpractice RVU5.36 · 11%
127
Medicare services in 2024 · #4684 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.
24371 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
This is a primary total elbow arthroplasty code. Use 24371 when revising an existing total elbow prosthesis, not when performing the initial replacement.
No office rate
This describes a primary elbow replacement with distal humeral and proximal ulnar prosthetic replacement; it is not a revision of an existing total elbow arthroplasty.
Compare 24371 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $1581.72 |
| Beaumont | Office Unavailable | Facility $1514.07 |
| Brazoria | Office Unavailable | Facility $1534.82 |
| Dallas | Office Unavailable | Facility $1552.16 |
| Fort Worth | Office Unavailable | Facility $1549.52 |
| Galveston | Office Unavailable | Facility $1544.40 |
| Houston | Office Unavailable | Facility $1642.51 |
| Rest Of Texas | Office Unavailable | Facility $1528.80 |
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24371 billing questions
How does this differ from code 24370?
Both are elbow arthroplasty revision codes. Use the code whose full CPT descriptor matches the documented revision work; the short CMS descriptions alone do not distinguish their scope.
Can this be reported for a first-time elbow replacement?
No. This code is for revision of an existing total elbow prosthesis. A primary elbow arthroplasty is reported with the code matching the initial reconstruction performed.
What operative documentation supports this code?
Document the existing prosthesis, the reason for revision, which components were addressed, and any allograft or other reconstruction work.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.
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.
2,31424365,,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
2,31924410,,Mlt osteot rlgnm imed rd hum,A,,14.73,11.39,NA,11.39,,3.13,29.25,29.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,32024420,,Osteoplasty humerus,A,,13.39,13.75,NA,13.75,,2.85,29.99,29.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00