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See a sample rate comparisonCPT 24360 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24360 |
| Medicaid Fee Schedule | View Medicaid rates for 24360 |
National average reimbursement for CPT 24360 by major payers:
$1,184.13
$1,218.13
$1,245.13
$1,481.30
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CPT 24360
5 of 25 sample ratesHigher to lower in this preview
The Endoscopy Center At Gateway LLC
$5,433.00Published rateHosp Of The Univ Of PA Spu
Trustees Of The University Of Pennsylvania
$3,890.00Published rateEdison Surgery Center LLC
$2,790.00Published rateFlorida Orthopaedic Institute Surgery Center LLC
$1,723.00Published ratePrince Georges Multi Specialty Surgery Center
$953.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24360 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24360 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 24360 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 24360-CPT | High | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24361-CPT | High | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24362-CPT | High | Arthroplst Elbow; W/ Implnt & Fascia Lata Ligamnt Reconstruc, Arthroplasty Elbow; With Implant And Fascia Lata Ligament Reconstruct |
| 24363-CPT | High | Arthroplst Elbow; W/ Distal Humerus & Proxim Ulnar Prosthet, Arthroplasty Elbow; With Distal Humerus And Proximal Ulnar Prosthetic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24360 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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