CPT code 24076: Tumor excision, deep, under 5 cm2026 Medicare rate & RVUs in Montana
Reports excision of a deep soft-tissue tumor in the upper arm or elbow area when the tumor measures less than 5 cm.
In Montana, Medicare pays $520.95 for 24076 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 24076 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 24076 covers
This operation removes a soft-tissue tumor beneath the deep fascia in the upper arm or elbow region, including an intramuscular mass measuring less than 5 cm. An orthopedic surgeon or other surgeon treating soft-tissue masses typically performs it in an operating room, using dissection through the overlying tissues to reach and remove the tumor. It is distinct from a superficial mass excision and from a radical resection.
Select the code based on the tumor’s location, depth, and size; a deep tumor measuring 5 cm or more is reported with 24073. The operative report should support the arm or elbow site, subfascial depth, tumor measurement, and excision performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 Montana compares for 24076
Across 109 of 109 payment localities, the facility rate for 24076 runs from $463.66 in Arkansas to $633.04 in Alaska. Montana pays $520.95. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$520.95
- Los Angeles, CA · California$555.12+$34.17
- Washington, DC area · District of Columbia$580.51+$59.56
- Miami, FL · Florida$610.06+$89.11
- Chicago, IL · Illinois$591.36+$70.41
- Manhattan, NY · New York$603.92+$82.97
- Alaska · Alaska$633.04+$112.09
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $469.97 |
| ArkansasArkansas | — | $463.66 |
| ArizonaArizona | — | $506.49 |
| Bakersfield, CACalifornia | — | $527.13 |
| Chico, CACalifornia | — | $522.84 |
| El Centro, CACalifornia | — | $523.11 |
| Fresno, CACalifornia | — | $522.84 |
| Hanford, CACalifornia | — | $522.84 |
| Madera, CACalifornia | — | $522.84 |
| Merced, CACalifornia | — | $522.84 |
| Modesto, CACalifornia | — | $522.84 |
| Napa, CACalifornia | — | $583.05 |
| Oxnard, CACalifornia | — | $549.62 |
| Redding, CACalifornia | — | $522.84 |
| Rest of CaliforniaCalifornia | — | $522.84 |
| Riverside, CACalifornia | — | $539.60 |
| Sacramento, CACalifornia | — | $542.69 |
| Salinas, CACalifornia | — | $540.57 |
| San Diego, CACalifornia | — | $549.07 |
| Marin County, CACalifornia | — | $609.17 |
| San Francisco, CACalifornia | — | $607.40 |
| San Benito County, CACalifornia | — | $624.09 |
| Santa Clara County, CACalifornia | — | $616.85 |
| San Luis Obispo, CACalifornia | — | $532.64 |
| Santa Cruz, CACalifornia | — | $550.92 |
| Santa Maria, CACalifornia | — | $541.44 |
| Santa Rosa, CACalifornia | — | $556.05 |
| Stockton, CACalifornia | — | $522.84 |
| Vallejo, CACalifornia | — | $580.50 |
| Visalia, CACalifornia | — | $522.84 |
| Yuba City, CACalifornia | — | $522.84 |
| ColoradoColorado | — | $527.12 |
| ConnecticutConnecticut | — | $554.36 |
| DelawareDelaware | — | $514.26 |
| Fort Lauderdale, FLFlorida | — | $566.12 |
| Rest of FloridaFlorida | — | $537.24 |
| Atlanta, GAGeorgia | — | $535.90 |
| Rest of GeorgiaGeorgia | — | $506.46 |
| Hawaii, Guam, HIHawaii | — | $530.33 |
| IowaIowa | — | $470.27 |
| IdahoIdaho | — | $475.37 |
| East St. Louis, ILIllinois | — | $555.67 |
| Rest of IllinoisIllinois | — | $530.57 |
| Suburban Chicago, ILIllinois | — | $569.12 |
| IndianaIndiana | — | $477.64 |
| KansasKansas | — | $473.34 |
| KentuckyKentucky | — | $491.34 |
| New Orleans, LALouisiana | — | $514.70 |
| Rest of LouisianaLouisiana | — | $492.67 |
| Metropolitan Boston, MAMassachusetts | — | $569.40 |
| Rest of MassachusettsMassachusetts | — | $526.41 |
| Baltimore area, MDMaryland | — | $553.89 |
| Rest of MarylandMaryland | — | $521.93 |
| Rest of MaineMaine | — | $483.13 |
| Southern Maine, MEMaine | — | $499.78 |
| Detroit, MIMichigan | — | $548.83 |
| Rest of MichiganMichigan | — | $507.96 |
| MinnesotaMinnesota | — | $490.98 |
| Metropolitan Kansas City, MOMissouri | — | $505.96 |
| Metropolitan St. Louis, MOMissouri | — | $510.22 |
| Rest of MissouriMissouri | — | $488.26 |
| MississippiMississippi | — | $475.79 |
| North CarolinaNorth Carolina | — | $486.98 |
| North DakotaNorth Dakota | — | $490.10 |
| NebraskaNebraska | — | $471.10 |
| New HampshireNew Hampshire | — | $523.88 |
| Northern New JerseyNew Jersey | — | $576.24 |
| Rest of New JerseyNew Jersey | — | $556.71 |
| New MexicoNew Mexico | — | $512.62 |
| NevadaNevada | — | $512.58 |
| NYC suburbs and Long Island, NYNew York | — | $624.20 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $564.49 |
| Queens, NYNew York | — | $600.98 |
| Rest of New YorkNew York | — | $494.19 |
| OhioOhio | — | $501.65 |
| OklahomaOklahoma | — | $485.06 |
| Portland, OROregon | — | $536.86 |
| Rest of OregonOregon | — | $504.67 |
| Metropolitan Philadelphia, PAPennsylvania | — | $544.79 |
| Rest of PennsylvaniaPennsylvania | — | $499.51 |
| Puerto RicoPuerto Rico | — | $522.78 |
| Rhode IslandRhode Island | — | $527.53 |
| South CarolinaSouth Carolina | — | $495.93 |
| South DakotaSouth Dakota | — | $486.46 |
| TennesseeTennessee | — | $476.20 |
| Austin, TXTexas | — | $528.81 |
| Beaumont, TXTexas | — | $496.85 |
| Brazoria, TXTexas | — | $509.47 |
| Dallas, TXTexas | — | $514.91 |
| Fort Worth, TXTexas | — | $513.31 |
| Galveston, TXTexas | — | $512.43 |
| Houston, TXTexas | — | $540.98 |
| Rest of TexasTexas | — | $504.38 |
| UtahUtah | — | $502.07 |
| VirginiaVirginia | — | $501.86 |
| Virgin Islands, VIUnited States Virgin Islands | — | $522.78 |
| VermontVermont | — | $493.04 |
| Rest of WashingtonWashington | — | $523.81 |
| King County, WAWashington | — | $575.29 |
| WisconsinWisconsin | — | $475.43 |
| West VirginiaWest Virginia | — | $513.67 |
| WyomingWyoming | — | $507.51 |
24076 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 24076 rate is calculated
Each of 24076’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 · 24076
RVUs × geographic indexes × conversion factor
Work7.22
7.22 RVUs× 1.000 GPCI
Practice expense6.82
6.82 RVUs× 1.000 GPCI
Malpractice1.56
1.56 RVUs× 1.000 GPCI
Adjusted RVUs
15.6000
Conversion factor
$33.4009
Medicare rate
$521.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,263
- Code
- 24076
- Physician work
- 7.22
- Practice expense
- 6.82
- Malpractice
- 1.56
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.22 | × 1.000 | 7.2200 |
| Practice expense | 6.82 | × 1.000 | 6.8200 |
| Malpractice | 1.56 | × 0.998 | 1.5569 |
| Total RVUs | 15.5969 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$520.95
Facility: (7.22 × 1 + 6.82 × 1 + 1.56 × 0.998) × $33.4009 = $520.95
Payment rules and modifiers for 24076
24076 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24076
Tumor excision, deep, under 5 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 · 24076
Tumor excision, deep, under 5 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
24076 without 50 · national facility
$521.05
Tumor excision, deep, under 5 cm
24076-50 · Bilateral: 150%
$781.58
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 24076 has changed in Montana
24076 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $520.95 | RVU26D |
| 2026-07-01 | Not available in this setting | $520.95 | RVU26C |
| 2026-04-01 | Not available in this setting | $520.95 | RVU26B |
| 2026-01-01 | Not available in this setting | $520.95 | RVU26A |
| 2025-10-01 | Not available in this setting | $542.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $542.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $542.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $542.33 | RVU25A |
| 2024-10-01 | Not available in this setting | $552.77 | RVU24D |
| 2024-07-01 | Not available in this setting | $552.77 | RVU24C |
| 2024-04-01 | Not available in this setting | $552.77 | RVU24B |
| 2024-03-09 | Not available in this setting | $552.77 | RVU24AR |
| 2024-01-01 | Not available in this setting | $543.75 | RVU24A |
| 2023-10-01 | Not available in this setting | $558.33 | RVU23D |
| 2023-07-01 | Not available in this setting | $558.33 | RVU23C |
| 2023-04-01 | Not available in this setting | $558.33 | RVU23B |
| 2023-01-01 | Not available in this setting | $558.33 | RVU23A |
| 2022-10-01 | Not available in this setting | $561.12 | RVU22D |
| 2022-07-01 | Not available in this setting | $561.12 | RVU22C |
| 2022-04-01 | Not available in this setting | $561.12 | RVU22B |
| 2022-01-01 | Not available in this setting | $561.12 | RVU22A |
| 2021-10-01 | Not available in this setting | $559.17 | RVU21D |
| 2021-07-01 | Not available in this setting | $559.17 | RVU21C |
| 2021-04-01 | Not available in this setting | $559.17 | RVU21B |
| 2021-01-01 | Not available in this setting | $559.17 | RVU21A |
| 2020-10-01 | Not available in this setting | $582.70 | RVU20D |
| 2020-07-01 | Not available in this setting | $582.70 | RVU20C |
| 2020-04-01 | Not available in this setting | $582.70 | RVU20B |
| 2020-01-01 | Not available in this setting | $582.70 | RVU20A |
| 2019-10-01 | Not available in this setting | $599.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $599.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $599.53 | RVU19B |
| 2019-01-01 | Not available in this setting | $599.53 | RVU19A |
| 2018-10-01 | Not available in this setting | $598.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $598.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $598.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $598.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $583.93 | RVU17D |
| 2017-07-01 | Not available in this setting | $583.93 | RVU17C |
| 2017-04-01 | Not available in this setting | $583.93 | RVU17B |
| 2017-01-01 | Not available in this setting | $583.93 | RVU17A |
| 2016-10-01 | Not available in this setting | $571.97 | RVU16D |
| 2016-07-01 | Not available in this setting | $571.97 | RVU16C |
| 2016-04-01 | Not available in this setting | $571.97 | RVU16B |
| 2016-01-01 | Not available in this setting | $571.97 | RVU16A |
| 2015-10-01 | Not available in this setting | $571.79 | RVU15D |
| 2015-07-01 | Not available in this setting | $571.79 | RVU15C |
| 2015-04-01 | Not available in this setting | $568.95 | RVU15B |
| 2015-01-01 | Not available in this setting | $568.95 | RVU15A |
| 2014-10-01 | Not available in this setting | $561.50 | RVU14D |
| 2014-07-01 | Not available in this setting | $561.50 | RVU14C |
| 2014-04-01 | Not available in this setting | $561.50 | RVU14B |
| 2014-01-01 | Not available in this setting | $561.50 | RVU14A |
| 2013-10-01 | Not available in this setting | $555.00 | RVU13D |
| 2013-07-01 | Not available in this setting | $555.00 | RVU13C |
| 2013-04-01 | Not available in this setting | $555.00 | RVU13B |
| 2013-01-01 | Not available in this setting | $555.00 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
24076 billing questions
How does this differ from 24073?
Both cover deep soft-tissue tumor excision in the arm or elbow area. Use 24076 for a tumor under 5 cm and 24073 for one measuring 5 cm or more.
When is 24077 a better fit?
24077 describes radical resection of a soft-tissue tumor under 5 cm in this region. Choose based on the operative service documented, rather than size alone.
Can the pathologist bill separately?
The surgeon’s code represents removal of the tumor, not microscopic examination of the specimen. A pathologist may report the examination when performed as a separate service.
What documentation supports the deep-tumor code?
Document the upper arm or elbow site, the tumor’s relationship to the deep fascia or muscle, its measured size, and the excision performed.
How is bilateral excision reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays this code at 150%.
Is an assistant or co-surgeon payable?
CMS 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
Show the CMS file lines behind this rate
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