CPT code 24075: Soft-tissue excision, subcutaneous, under 3 cm2026 Medicare rate & RVUs in El Centro, CA
Report this service when a surgeon removes a subcutaneous soft-tissue mass from the upper arm or elbow area and it measures less than 3 cm.
In El Centro, CA, Medicare pays $596.57 for 24075 in the office and $323.85 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 24075 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 24075 covers
This service removes a small soft-tissue mass located beneath the skin in the upper arm or elbow area. Typical examples include a subcutaneous lipoma or other discrete mass requiring excision rather than tissue sampling alone. Orthopedic, hand, or general surgeons may perform the procedure in an office, ambulatory surgery center, or hospital operating room. The code is for a subcutaneous mass, not a mass situated in deeper tissue planes or a skin-only lesion.
Report it when the operative documentation supports the arm or elbow site, subcutaneous depth, and lesion size under 3 cm, and describes removal rather than biopsy alone. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
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.
How El Centro, CA compares for 24075
Across 109 of 109 payment localities, the office rate for 24075 runs from $498.30 in Arkansas to $748.16 in San Benito County, CA. El Centro, CA pays $596.57. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro, CA · this page$596.57
- Bakersfield, CA · California$598.89+$2.32
- Chico, CA · California$596.42−$0.15
- Fresno, CA · California$596.42−$0.15
- Hanford, CA · California$596.42−$0.15
- Los Angeles, CA · California$638.51+$41.94
- Madera, CA · California$596.42−$0.15
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $596.42 | $323.70 |
| Modesto, CACalifornia | $596.42 | $323.70 |
| Napa, CACalifornia | $691.06 | $363.09 |
| Oxnard, CACalifornia | $635.08 | $340.96 |
| Redding, CACalifornia | $596.42 | $323.70 |
| Rest of CaliforniaCalifornia | $596.42 | $323.70 |
| Riverside, CACalifornia | $606.09 | $333.37 |
| Sacramento, CACalifornia | $625.94 | $336.55 |
| Salinas, CACalifornia | $623.65 | $335.25 |
| San Diego, CACalifornia | $638.55 | $340.94 |
| Marin County, CACalifornia | $730.93 | $380.07 |
| San Francisco, CACalifornia | $729.91 | $379.05 |
| San Benito County, CACalifornia | $748.16 | $389.34 |
| Santa Clara County, CACalifornia | $743.99 | $385.16 |
| San Luis Obispo, CACalifornia | $613.69 | $330.26 |
| Santa Cruz, CACalifornia | $644.75 | $342.42 |
| Santa Maria, CACalifornia | $626.05 | $335.90 |
| Santa Rosa, CACalifornia | $651.21 | $345.64 |
| Stockton, CACalifornia | $596.42 | $323.70 |
| Vallejo, CACalifornia | $689.58 | $361.62 |
| Visalia, CACalifornia | $596.42 | $323.70 |
| Yuba City, CACalifornia | $596.42 | $323.70 |
| Washington, DC areaDistrict of Columbia | $651.79 | $358.66 |
| Miami, FLFlorida | $631.91 | $372.87 |
| Chicago, ILIllinois | $611.39 | $361.31 |
| Manhattan, NYNew York | $660.97 | $371.82 |
| AlaskaAlaska | $651.06 | $386.05 |
| AlabamaAlabama | $506.25 | $288.52 |
| ArkansasArkansas | $498.30 | $284.55 |
| ArizonaArizona | $552.71 | $311.59 |
| ColoradoColorado | $590.25 | $325.49 |
| ConnecticutConnecticut | $609.47 | $341.47 |
| DelawareDelaware | $562.32 | $316.47 |
| Fort Lauderdale, FLFlorida | $598.99 | $346.92 |
| Rest of FloridaFlorida | $566.94 | $329.05 |
| Atlanta, GAGeorgia | $582.37 | $329.55 |
| Rest of GeorgiaGeorgia | $531.90 | $309.93 |
| Hawaii, Guam, HIHawaii | $611.83 | $328.91 |
| IowaIowa | $517.23 | $289.55 |
| IdahoIdaho | $521.52 | $292.60 |
| East St. Louis, ILIllinois | $567.85 | $338.92 |
| Rest of IllinoisIllinois | $551.48 | $324.29 |
| Suburban Chicago, ILIllinois | $604.50 | $348.94 |
| IndianaIndiana | $524.73 | $294.05 |
| KansasKansas | $516.03 | $291.08 |
| KentuckyKentucky | $522.37 | $301.15 |
| New Orleans, LALouisiana | $549.89 | $315.73 |
| Rest of LouisianaLouisiana | $522.05 | $301.83 |
| Metropolitan Boston, MAMassachusetts | $649.72 | $352.61 |
| Rest of MassachusettsMassachusetts | $586.87 | $324.84 |
| Baltimore area, MDMaryland | $608.12 | $341.12 |
| Rest of MarylandMaryland | $573.22 | $321.39 |
| Rest of MaineMaine | $526.00 | $297.07 |
| Southern Maine, MEMaine | $554.78 | $308.18 |
| Detroit, MIMichigan | $576.06 | $335.93 |
| Rest of MichiganMichigan | $538.43 | $311.25 |
| MinnesotaMinnesota | $559.97 | $303.91 |
| Metropolitan Kansas City, MOMissouri | $544.30 | $310.65 |
| Metropolitan St. Louis, MOMissouri | $550.27 | $313.38 |
| Rest of MissouriMissouri | $513.30 | $298.80 |
| MississippiMississippi | $505.83 | $291.59 |
| MontanaMontana | $569.43 | $320.59 |
| North CarolinaNorth Carolina | $531.73 | $299.57 |
| North DakotaNorth Dakota | $551.63 | $302.79 |
| NebraskaNebraska | $519.87 | $290.20 |
| New HampshireNew Hampshire | $582.19 | $323.15 |
| Northern New JerseyNew Jersey | $644.46 | $355.81 |
| Rest of New JerseyNew Jersey | $614.86 | $343.13 |
| New MexicoNew Mexico | $542.20 | $314.02 |
| NevadaNevada | $564.87 | $315.78 |
| NYC suburbs and Long Island, NYNew York | $679.96 | $384.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $620.15 | $347.67 |
| Queens, NYNew York | $664.67 | $370.54 |
| Rest of New YorkNew York | $540.48 | $304.09 |
| OhioOhio | $534.80 | $307.61 |
| OklahomaOklahoma | $519.82 | $297.61 |
| Portland, OROregon | $608.56 | $332.10 |
| Rest of OregonOregon | $558.95 | $311.11 |
| Metropolitan Philadelphia, PAPennsylvania | $594.23 | $335.19 |
| Rest of PennsylvaniaPennsylvania | $534.91 | $306.48 |
| Puerto RicoPuerto Rico | $573.45 | $321.88 |
| Rhode IslandRhode Island | $582.11 | $325.06 |
| South CarolinaSouth Carolina | $534.46 | $304.54 |
| South DakotaSouth Dakota | $549.52 | $300.69 |
| TennesseeTennessee | $519.03 | $292.84 |
| Austin, TXTexas | $589.62 | $326.35 |
| Beaumont, TXTexas | $531.22 | $304.78 |
| Brazoria, TXTexas | $560.36 | $313.77 |
| Dallas, TXTexas | $564.85 | $317.01 |
| Fort Worth, TXTexas | $561.23 | $315.88 |
| Galveston, TXTexas | $562.61 | $315.51 |
| Houston, TXTexas | $579.08 | $331.99 |
| Rest of TexasTexas | $546.09 | $309.95 |
| UtahUtah | $542.33 | $308.42 |
| VirginiaVirginia | $553.82 | $309.22 |
| Virgin Islands, VIUnited States Virgin Islands | $573.45 | $321.88 |
| VermontVermont | $550.62 | $304.27 |
| Rest of WashingtonWashington | $585.37 | $323.35 |
| King County, WAWashington | $662.02 | $356.69 |
| WisconsinWisconsin | $531.82 | $293.44 |
| West VirginiaWest Virginia | $529.85 | $313.61 |
| WyomingWyoming | $561.67 | $312.83 |
24075 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$498.30
$672.29
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $651.06 | 1 |
| AL | $506.25 | 1 |
| AR | $498.30 | 1 |
| AZ | $552.71 | 1 |
| CA | $596.42–$748.16 | 29 |
| CO | $590.25 | 1 |
| CT | $609.47 | 1 |
| DC | $651.79 | 1 |
| DE | $562.32 | 1 |
| FL | $566.94–$631.91 | 3 |
| GA | $531.90–$582.37 | 2 |
| GU | $611.83 | 1 |
| HI | $611.83 | 1 |
| IA | $517.23 | 1 |
| ID | $521.52 | 1 |
| IL | $551.48–$611.39 | 4 |
| IN | $524.73 | 1 |
| KS | $516.03 | 1 |
| KY | $522.37 | 1 |
| LA | $522.05–$549.89 | 2 |
| MA | $586.87–$649.72 | 2 |
| MD | $573.22–$651.79 | 3 |
| ME | $526.00–$554.78 | 2 |
| MI | $538.43–$576.06 | 2 |
| MN | $559.97 | 1 |
| MO | $513.30–$550.27 | 3 |
| MS | $505.83 | 1 |
| MT | $569.43 | 1 |
| NC | $531.73 | 1 |
| ND | $551.63 | 1 |
| NE | $519.87 | 1 |
| NH | $582.19 | 1 |
| NJ | $614.86–$644.46 | 2 |
| NM | $542.20 | 1 |
| NV | $564.87 | 1 |
| NY | $540.48–$679.96 | 5 |
| OH | $534.80 | 1 |
| OK | $519.82 | 1 |
| OR | $558.95–$608.56 | 2 |
| PA | $534.91–$594.23 | 2 |
| PR | $573.45 | 1 |
| RI | $582.11 | 1 |
| SC | $534.46 | 1 |
| SD | $549.52 | 1 |
| TN | $519.03 | 1 |
| TX | $531.22–$589.62 | 8 |
| UT | $542.33 | 1 |
| VA | $553.82–$651.79 | 2 |
| VI | $573.45 | 1 |
| VT | $550.62 | 1 |
| WA | $585.37–$662.02 | 2 |
| WI | $531.82 | 1 |
| WV | $529.85 | 1 |
| WY | $561.67 | 1 |
How the 24075 rate is calculated
Each of 24075’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24075
RVUs × geographic indexes × conversion factor
Work4.13
4.13 RVUs× 1.000 GPCI
Practice expense12.02
12.02 RVUs× 1.000 GPCI
Malpractice0.90
0.90 RVUs× 1.000 GPCI
Adjusted RVUs
17.0500
Conversion factor
$33.4009
Medicare rate
$569.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,262
- Code
- 24075
- Physician work
- 4.13
- Practice expense
- 12.02
- Malpractice
- 0.90
GPCI2026.csv
10
- Locality
- El Centro, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.13 | × 1.017 | 4.2002 |
| Practice expense | 12.02 | × 1.096 | 13.1739 |
| Malpractice | 0.90 | × 0.541 | 0.4869 |
| Total RVUs | 17.8610 | ||
| Conversion factor | × 33.4009 | ||
Office rate, El Centro, CA$596.57
Office: (4.13 × 1.017 + 12.02 × 1.096 + 0.9 × 0.541) × $33.4009 = $596.57
Facility: (4.13 × 1.017 + 4.57 × 1.096 + 0.9 × 0.541) × $33.4009 = $323.85
Payment rules and modifiers for 24075
24075 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24075
Soft-tissue excision, subcutaneous, under 3 cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24075
Soft-tissue excision, subcutaneous, under 3 cm
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24075 without 50 · national office
$569.49
Soft-tissue excision, subcutaneous, under 3 cm
24075-50 · Bilateral: 150%
$854.24
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 24075 has changed in El Centro, CA
24075 · Office / nonfacility
$596.57
Effective 2026-10-01
The base rate is $60.51 higher than on 2025-10-01, moving from $536.06 to $596.57 (11.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$536.06changed to$596.57
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.24 changed to 4.13
- Practice expense RVU 10.77 changed to 12.02
- Malpractice RVU 0.88 changed to 0.90
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$556.04changed to$536.06
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 10.88 changed to 10.77
- Malpractice RVU 0.90 changed to 0.88
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$546.97changed to$556.04
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$566.49changed to$546.97
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.99 changed to 10.88
- Malpractice RVU 0.89 changed to 0.90
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.595 changed to 0.570
January 1, 2023
RVU23A
$577.26changed to$566.49
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 11.05 changed to 10.99
- Malpractice RVU 0.90 changed to 0.89
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.620 changed to 0.595
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$574.00changed to$577.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.86 changed to 11.05
- Malpractice RVU 0.86 changed to 0.90
- Malpractice GPCI 0.616 changed to 0.620
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$553.00changed to$574.00
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.77 changed to 10.86
- Malpractice RVU 0.87 changed to 0.86
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.606 changed to 0.616
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$534.88changed to$553.00
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 9.32 changed to 9.77
- Malpractice RVU 0.89 changed to 0.87
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.570 changed to 0.606
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$520.08changed to$534.88
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 8.96 changed to 9.32
- Malpractice RVU 0.88 changed to 0.89
- Malpractice GPCI 0.567 changed to 0.570
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$518.79changed to$520.08
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 8.87 changed to 8.96
- Malpractice RVU 0.89 changed to 0.88
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.567
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$518.79
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $596.57 | $323.85 | RVU26D |
| 2026-07-01 | $596.57 | $323.85 | RVU26C |
| 2026-04-01 | $596.57 | $323.85 | RVU26B |
| 2026-01-01 | $596.57 | $323.85 | RVU26A |
| 2025-10-01 | $536.06 | $333.13 | RVU25D |
| 2025-07-01 | $536.06 | $333.13 | RVU25C |
| 2025-04-01 | $536.06 | $333.13 | RVU25B |
| 2025-01-01 | $536.06 | $333.13 | RVU25A |
| 2024-10-01 | $556.04 | $338.83 | RVU24D |
| 2024-07-01 | $556.04 | $338.83 | RVU24C |
| 2024-04-01 | $556.04 | $338.83 | RVU24B |
| 2024-03-09 | $556.04 | $338.83 | RVU24AR |
| 2024-01-01 | $546.97 | $333.30 | RVU24A |
| 2023-10-01 | $566.49 | $341.25 | RVU23D |
| 2023-07-01 | $566.49 | $341.25 | RVU23C |
| 2023-04-01 | $566.49 | $341.25 | RVU23B |
| 2023-01-01 | $566.49 | $341.25 | RVU23A |
| 2022-10-01 | $577.26 | $342.86 | RVU22D |
| 2022-07-01 | $577.26 | $342.86 | RVU22C |
| 2022-04-01 | $577.26 | $342.86 | RVU22B |
| 2022-01-01 | $577.26 | $342.86 | RVU22A |
| 2021-10-01 | $574.00 | $341.74 | RVU21D |
| 2021-07-01 | $574.00 | $341.74 | RVU21C |
| 2021-04-01 | $574.00 | $341.74 | RVU21B |
| 2021-01-01 | $574.00 | $341.74 | RVU21A |
| 2020-10-01 | $553.00 | $344.08 | RVU20D |
| 2020-07-01 | $553.00 | $344.08 | RVU20C |
| 2020-04-01 | $553.00 | $344.08 | RVU20B |
| 2020-01-01 | $553.00 | $344.08 | RVU20A |
| 2019-10-01 | $534.88 | $342.52 | RVU19D |
| 2019-07-01 | $534.88 | $342.52 | RVU19C |
| 2019-04-01 | $534.88 | $342.52 | RVU19B |
| 2019-01-01 | $534.88 | $342.52 | RVU19A |
| 2018-10-01 | $520.08 | $343.39 | RVU18D |
| 2018-07-01 | $520.08 | $343.39 | RVU18C |
| 2018-04-01 | $520.08 | $343.39 | RVU18B |
| 2018-01-01 | $520.08 | $343.39 | RVU18AR1 |
| 2017-10-01 | $518.79 | $344.14 | RVU17D |
| 2017-07-01 | $518.79 | $344.14 | RVU17C |
| 2017-04-01 | $518.79 | $344.14 | RVU17B |
| 2017-01-01 | $518.79 | $344.14 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the El Centro, CA rate applies
El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- El Centro
- Bombay Beach
- Brawley
- Calexico
- Calipatria
- Desert Shores
- El Centro Naval Air Facility
- Heber
24075 billing questions
How is this different from 24071?
Both describe excision of a subcutaneous arm or elbow mass. Use 24075 when the mass is under 3 cm; 24071 is for a mass measuring 3 cm or more.
When should 24076 be considered instead?
24076 describes excision of a deep arm or elbow soft-tissue tumor under 5 cm. Choose based on the documented tissue depth, not simply the skin incision or mass size.
Can this code be used for a biopsy?
No. It represents removal of the mass, not sampling for diagnosis. Soft-tissue biopsy codes 24065 and 24066 distinguish superficial from deep tissue sampling.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care, such as routine follow-up for the excision.
How is bilateral excision reported?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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