$91.43
24220 reports contrast injection into the elbow joint; 73085 reports the radiographic arthrography study.
On this page
CMS RVU26D · Effective 2026-10-01
24220 Arthrographic injection Medicare reimbursement rates in Utah
Injection of contrast into the elbow joint for arthrographic imaging, reported when the joint is prepared for radiographic or cross-sectional evaluation. Compare 24220 office and facility rates across CMS payment localities in Utah.
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 24220 in Utah?
Utah 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
$177.58
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$55.13
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Radiology
About 24220: Elbow joint arthrographic injection
Injection of contrast into the elbow joint for arthrographic imaging, reported when the joint is prepared for radiographic or cross-sectional evaluation.
For code 24220, a clinician places contrast into the elbow joint space to outline its structures during arthrographic imaging. Radiologists and orthopedic clinicians commonly perform the injection in an imaging department or procedure setting. The resulting study may use radiographs or cross-sectional imaging to evaluate the joint. This is an imaging-preparation injection, not a therapeutic injection intended to treat elbow pain or inflammation.
Report the injection when the record supports intra-articular contrast placement for an elbow arthrogram, including the joint treated, laterality, and imaging purpose. The associated imaging service, such as elbow arthrography, is reported separately when performed and documented. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 24220
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.28 · 23%
- Practice expense (office) RVU4.17 · 75%
- Malpractice RVU0.13 · 2%
184
Medicare services in 2024 · #4390 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.
24220 compared with similar codes
Office rates for Utah, from the same CMS release.
$231.59
24200 reports removal of a subcutaneous foreign body from the upper arm or elbow, not an arthrographic injection.
$635.10
24201 reports removal of a deep foreign body from the upper arm or elbow; 24220 prepares the elbow joint for arthrographic imaging.
Compare 24220 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
Utah →
Office / nonfacility
$177.58
Facility
$55.13
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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 24220 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,291
- Code
- 24220
- Physician work
- 1.28
- Practice expense
- 4.17
- Malpractice
- 0.13
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.28 | × 1.000 | 1.2800 |
| Practice expense | 4.17 | × 0.940 | 3.9198 |
| Malpractice | 0.13 | × 0.898 | 0.1167 |
| Total RVUs | 5.3165 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$177.58
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.28 | 1 |
| Practice expense | 4.17 | 0.94 |
| Malpractice | 0.13 | 0.898 |
(1.28 × 1 + 4.17 × 0.94 + 0.13 × 0.898) × $33.4009 = $177.58
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.28 | 1 |
| Practice expense | 0.27 | 0.94 |
| Malpractice | 0.13 | 0.898 |
(1.28 × 1 + 0.27 × 0.94 + 0.13 × 0.898) × $33.4009 = $55.13
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.
24220 billing questions
How is 24220 different from an elbow therapeutic injection?
Use 24220 when contrast is injected into the elbow joint to support arthrographic imaging. A therapeutic injection is performed to treat symptoms rather than outline the joint for imaging.
Can the elbow imaging study be reported separately?
Yes. The imaging service, such as elbow arthrography reported with 73085, is separate from the contrast injection when that imaging service is performed and documented.
What documentation supports 24220?
Document the elbow and laterality, intra-articular contrast placement, and the arthrographic imaging purpose. The record should also support the imaging service reported with the injection.
How does CMS handle bilateral reporting?
CMS pays a bilateral procedure reported with modifier 50 at 150%. The documentation should support arthrographic injections in both elbows.
How does the multiple-procedure reduction affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the remaining procedures are paid at 50% under the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.
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.
2,28824164,,Removal prosth radial head,A,,9.75,8.60,NA,8.60,,2.08,20.43,20.43,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28924200,,Rmvl fb upper arm/elbw subq,A,,1.76,5.16,,2.17,,0.36,7.28,4.29,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29024201,,Rmvl fb upper arm/elbw deep,A,,4.58,14.41,,6.18,,0.99,19.98,11.75,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29124220,,Injection px for elbow arthg,A,,1.28,4.17,,0.27,,0.13,5.58,1.68,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29224300,,Mnpj elbow under anes,A,,3.94,8.66,NA,8.66,,0.76,13.36,13.36,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29324301,,Musc/tdn transfer upr a/e 1,A,,10.12,8.75,NA,8.75,,2.11,20.98,20.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29424305,,Tendon lngth upr a/e ea tdn,A,,7.43,7.35,NA,7.35,,1.41,16.19,16.19,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985