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CPT code 24077: Tumor resection, radical, under 5 cm2026 Medicare rate & RVUs

Reports radical removal of a soft-tissue tumor in the upper arm or elbow area when the tumor is less than 5 cm.

CMS RVU26DEffective Oct 1, 2026109 payment localities137 Medicare services in 2024

Medicare pays $957.94 for 24077 nationally in a facility.

Medicare rate · 24077

Tumor resection, radical, under 5 cm

Office or facility?

Work RVUs
15.33
Total RVUs
28.68
Global days
090

National rate · 2026

$957.94

Facility setting, before claim adjustments.

See every locality for 24077 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 24077 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 24077 covers

This code describes radical resection of a soft-tissue tumor in the upper arm or elbow area, with a tumor size under 5 cm. The surgeon removes the tumor with surrounding tissue as needed for an oncologic resection, rather than simply shelling out or locally excising a mass. Orthopedic oncologists and other surgeons treating soft-tissue tumors may perform the procedure in a hospital operating room or an appropriately equipped outpatient surgical setting.

Choose the code based on the operative work, anatomic area, and tumor size: the documentation should establish a radical resection and support the under-5-cm category. Include the tumor’s location and size and describe the extent of tissue removed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is 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.

Where 24077 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

24077 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$865.77
AlaskaUnavailable$1,182.34
ArizonaUnavailable$930.79
ArkansasUnavailable$854.51
Atlanta, GAUnavailable$988.42
Austin, TXUnavailable$964.54
Bakersfield, CAUnavailable$953.05
Baltimore area, MDUnavailable$1,018.02
Beaumont, TXUnavailable$920.05
Brazoria, TXUnavailable$933.14

24077 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
24077 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 24077 rate is calculated

Each of 24077’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 · 24077

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.33

15.33 RVUs× 1.000 GPCI

Practice expense9.82

9.82 RVUs× 1.000 GPCI

Malpractice3.53

3.53 RVUs× 1.000 GPCI

Adjusted RVUs

28.6800

Conversion factor

$33.4009

Medicare rate

$957.94

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 24077

24077 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24077

Tumor resection, radical, under 5 cm

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 24077

Tumor resection, radical, 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

24077 without 50 · national facility

$957.94

Tumor resection, radical, under 5 cm

24077-50 · Bilateral: 150%

$1,436.91

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).

When to use modifier 50

24077 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 24077

    Tumor resection, radical, under 5 cm15.33 wRVU

    Not priced

  • 24076

    Tumor excision, deep, under 5 cm7.22 wRVU

    Not priced

  • 24079

    Tumor resection, arm or elbow, 5 cm or larger20.09 wRVU

    Not priced

  • 24073

    Tumor excision, deep, 5 cm or larger9.88 wRVU

    Not priced

  • 24075

    Soft-tissue excision, subcutaneous, under 3 cm4.13 wRVU

    $569.49

How to choose

24076Tumor excisionDeep, under 5 cm
Both codes concern tumors under 5 cm in the upper arm or elbow area. Choose 24077 for radical resection; 24076 describes excision of a deep tumor.
24079Tumor resectionArm or elbow, 5 cm or larger
This is the corresponding radical resection code for tumors 5 cm or larger; 24077 is for tumors under 5 cm.
24073Tumor excisionDeep, 5 cm or larger
24073 describes excision of a deep tumor 5 cm or larger. Use 24077 for radical resection when the tumor is under 5 cm.
24075Soft-tissue excisionSubcutaneous, under 3 cm
24075 is for excision of a subcutaneous lesion under 3 cm, not radical resection of a soft-tissue tumor.

Codes related to 24077

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 24077
CodeHow it relatesNational office range
Same family
24079Tumor resection, arm or elbow, 5 cm or largerRadical resection in the same area for a tumor 5 cm or larger.No office rate
Used instead
24076Tumor excision, deep, under 5 cmDeep tumor excision under 5 cm when the procedure is not a radical resection.No office rate
24073Tumor excision, deep, 5 cm or largerDeep tumor excision in the same area for a tumor 5 cm or larger.No office rate
24075Soft-tissue excision, subcutaneous, under 3 cmSubcutaneous lesion excision under 3 cm in the upper arm or elbow area.$498.30–$748.16

24077 billing questions

How is this different from 24076?

24077 is for radical resection of a tumor under 5 cm. Use 24076 for a deep soft-tissue tumor under 5 cm when the operative service is an excision rather than a radical resection.

When should 24079 be reported instead?

Use 24079 when the radical resection is in the upper arm or elbow area and the tumor is 5 cm or larger. This code is for tumors under 5 cm.

What documentation supports the radical resection?

Document the tumor’s arm or elbow location, size, and the operative extent of removal. The operative report should support radical resection rather than routine excision of a mass.

Are related postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral cases and multiple procedures handled?

A bilateral procedure reported with modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted. Co-surgeons are paid only with supporting documentation; team surgery is 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
RVUs for 24077PPRRVU2026_Oct_nonQPP.csv, line 2,264 (RVU26D)

Open CMS sourceHow we calculate rates

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