No office rate
24300 is manipulation under anesthesia without open capsular release. 24006 is considered when the surgeon performs an open elbow capsular release.
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CMS RVU26D · Effective 2026-10-01
24300 Elbow manipulation Medicare reimbursement rates in Wyoming
Reports physician-performed manipulation of a stiff elbow while the patient is under anesthesia to improve restricted joint motion without open release. Compare 24300 office and facility rates across CMS payment localities in Wyoming.
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 24300 in Wyoming?
Wyoming 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
$439.64
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 procedure
About 24300: Elbow joint manipulation under anesthesia
Reports physician-performed manipulation of a stiff elbow while the patient is under anesthesia to improve restricted joint motion without open release.
An orthopedic surgeon or other qualified physician uses controlled movement of the elbow while the patient is anesthetized to address limited motion from stiffness or contracture, often after injury, surgery, or immobilization. This is a manipulation service, not an open capsular release or a repair of an elbow tendon or ligament. It is generally performed in a hospital or ambulatory surgery setting.
Report 24300 when the documented service is manipulation of the elbow joint under anesthesia. The record should identify the treated elbow, the reason for restricted motion, the manipulation performed, and the clinical response. The code has 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 reduced to 50%. For bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 24300
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.94 · 29%
- Practice expense (office) RVU8.66 · 65%
- Malpractice RVU0.76 · 6%
131
Medicare services in 2024 · #4657 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.
24300 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
24605 is for closed treatment of an elbow dislocation requiring anesthesia. 24300 is for elbow manipulation to address restricted motion, not a dislocation reduction.
$467.77
24600 describes closed treatment of an elbow dislocation without anesthesia. Use 24300 for manipulation under anesthesia when the indication is elbow stiffness or contracture.
Compare 24300 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$439.64
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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 24300 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,292
- Code
- 24300
- Physician work
- 3.94
- Practice expense
- 8.66
- Malpractice
- 0.76
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.94 | × 1.000 | 3.9400 |
| Practice expense | 8.66 | × 1.000 | 8.6600 |
| Malpractice | 0.76 | × 0.740 | 0.5624 |
| Total RVUs | 13.1624 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$439.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.94 | 1 |
| Practice expense | 8.66 | 1 |
| Malpractice | 0.76 | 0.74 |
(3.94 × 1 + 8.66 × 1 + 0.76 × 0.74) × $33.4009 = $439.64
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.
24300 billing questions
When should 24300 be used instead of a closed reduction code?
Use 24300 for manipulation of an elbow with restricted motion, such as stiffness or contracture. For treatment of an elbow dislocation, use the applicable closed-treatment code, such as 24605 when anesthesia is required.
How is 24300 different from an elbow capsular release?
24300 describes manipulation under anesthesia without an open release. When the surgeon opens the elbow and releases the capsule, consider 24006 instead.
Can both elbows be reported on the same claim?
Yes, when both elbows are treated and the documentation supports bilateral manipulation, report modifier 50. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 24300. Co-surgeons and team surgery are not permitted.
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.
2,28924200,,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
2,29524310,,Tnot opn elbw to sho ea tdn,A,,5.97,6.12,NA,6.12,,1.15,13.24,13.24,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,