CPT code 24160 captures the surgical removal of a previously implanted elbow prosthesis that includes both humeral and ulnar components. This explantation code is clinically important because it records complex revision procedures that can arise from prosthesis failure, infection, loosening, or pain. Proper coding of explantation procedures affects quality measurement, resource use tracking, and national procedure volume estimates.

Key payers considered in national analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for elbow prosthesis removal, common sites of service, and the implications of coding this service for billing and aggregate tracking. The publication also summarizes how payers approach coverage and billing for explantation procedures, bench-marking expectations, and relevant policy considerations.

This report provides benchmarks where available, national policy updates that affect surgical explantation billing, and practical context for clinicians and revenue cycle staff who document and submit claims involving elbow prosthesis removal. Data not available in the input is noted where applicable.