CPT 24360 · Joint Arthroplasty · Medicare (FCSO MAC)
Hemiarthroplasty Elbow (Distal Humerus or Proximal Ulna) at Medicare (FCSO MAC).
How Medicare (FCSO MAC) approaches CPT 24360 (Hemiarthroplasty Elbow (Distal Humerus or Proximal Ulna)) for prior-authorization review: at last review on 2026-05-02, the policy covers this code with prior authorization required.
Free with practitioner sign-in — magic-link email auth, no credit card.
Coverage
Covered
Prior auth
Prior auth required
Last reviewed
2026-05-02
Criteria summary
High-level themes from the Medicare (FCSO MAC) policy of record for CPT 24360. Verbatim policy text and per-criterion analysis are available after sign-in.
- At least 12 weeks of conservative care typically required.
- Imaging concordance documentation required.
See the full Medicare (FCSO MAC) criteria.
Sign in for verbatim conservative-care language, exact imaging-concordance rules, repeat-procedure thresholds, and the denial-risk score for any specific clinical scenario.
Sign in — free for practitioners →