Billing code 24362: Elbow arthroplastyMedicare rate & RVUs in Washington
Report this elbow arthroplasty when surgical reconstruction includes replacing the radial head with a prosthetic component, rather than replacing the entire elbow joint.
CMS doesn’t publish an office rate for 24362 in Washington.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24362 covers
An orthopedic surgeon performs this open elbow joint reconstruction when the radial head is replaced with a prosthetic component. A common setting is surgery for a severely damaged radial head, such as an unreconstructible fracture. The service concerns radial head replacement within an elbow arthroplasty, not an isolated tendon repair or ligament reconstruction.
Select the code when the operative report supports elbow arthroplasty that includes radial head replacement; document the indication and the structures reconstructed or replaced. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. For bilateral reporting with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
Where 24362 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $976.73 |
| Seattle (King Cnty) | Unavailable | $1,065.65 |
How the 24362 rate is calculated
Each of 24362’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24362
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.94Practice expense 11.10Malpractice 3.18
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24362
24362 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24362
Elbow arthroplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24362
Elbow arthroplasty
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24362 without 50 · national facility
$975.97
Elbow arthroplasty
24362-50 · Bilateral: 150%
$1,463.96
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24362 compared with similar codes
Compare codes
24362 vs 24363 vs 24361 vs 24365 vs 24360: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24363Elbow arthroplasty
- 24362 covers elbow arthroplasty with radial head replacement; 24363 is for total elbow replacement.
- 24361Elbow arthroplasty
- 24361 centers on distal humeral prosthetic replacement. Choose 24362 when the arthroplasty includes radial head replacement.
- 24365Radial head reconstruction
- 24365 describes radial head reconstruction with an implant. Use 24362 for elbow arthroplasty that includes radial head replacement.
- 24360Elbow arthroplasty
- 24360 is an elbow arthroplasty using an interposition approach; 24362 includes radial head replacement.
24362 billing questions
How is this code distinguished from total elbow replacement?
Use 24362 when the arthroplasty includes radial head replacement. Code 24363 describes replacement of the elbow joint as a total elbow arthroplasty.
Does this code describe an isolated radial head reconstruction?
No. It describes elbow arthroplasty with radial head replacement; 24365 is the nearby code for radial head reconstruction with an implant.
What documentation supports reporting 24362?
The operative report should establish the elbow arthroplasty and identify the radial head replacement, along with the clinical reason for surgery.
How does the multiple-procedure rule affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can modifier 50 be used for bilateral surgery?
CMS identifies this as a bilateral procedure; when reported with modifier 50, payment is at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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