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See a sample rate comparisonCPT 24371 Fee Schedule
Last Verified: October 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). The Procedure May Include A Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24371 |
| Medicaid Fee Schedule | View Medicaid rates for 24371 |
National average reimbursement for CPT 24371 by major payers:
$2,335.00
$2,493.43
$2,432.25
$2,901.88
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CPT 24371
5 of 25 sample ratesHigher to lower in this preview
West Penn Allegheny Health System Inc., Allegheny General Hospital
Highmark Health
$56,287.23Published rateVillages Endoscopy Center LLC
$9,650.00Published rateBanner Mesa Surgery Center LLC
$7,454.00Published rateDmg Surgical Center LLC, Surgical Center Of Dupage Medical Group
$4,000.00Published rateEye Surgical Center, LLC, The Institute For Refractive And Intraocular Surgery
Eye Surgical Center LLC
$832.00Published rate
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See a sample payer proposalCPT 24371 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24371 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 24371 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 |
|---|---|---|
| 24361-CPT | High | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). |
| 24363-CPT | High | Arthroplst Elbow; W/ Distal Humerus & Proxim Ulnar Prosthet, Arthroplasty Elbow; With Distal Humerus And Proximal Ulnar Prosthetic |
| 24365-CPT | Moderate | Reshape Bones Of The Elbow, Surgery To Reshape The End Of The Elbow Joint By Grinding Down The Surface. The Procedure Is Done To Allow Growth Of New Tissue. |
| 24371-CPT | High | Elbow Replacement Surgery, Surgery To Replace Damaged Ends Of The Elbow Joint With New Tissue Or An Artificial Part (Prosthesis). The Procedure May Include A Graft. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24371. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24371 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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