CPT code 24105: Bursa excision, olecranon bursa2026 Medicare rate & RVUs

Medicare pays $358.06 for 24105 nationally in a facility.

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

What 24105 covers

This service removes the bursa over the posterior tip of the ulna, commonly for persistent or recurrent olecranon bursitis that has not resolved with conservative care. An orthopedic surgeon typically performs the open procedure in an operating room or ambulatory surgery setting. The operative target is the bursal sac, not the elbow joint lining or the olecranon bone itself.

Report the code when the operative note supports excision of the olecranon bursa and identifies the affected side and clinical indication. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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.

Where 24105 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

24105 rates by state

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

How the 24105 rate is calculated

Each of 24105’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.

Payment rules and modifiers for 24105

24105 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

24105 compared with similar codes

How to choose

24102Elbow synovectomyOpen joint approach

This code concerns removal of the olecranon bursa. Choose 24102 when the operative work is synovectomy of the elbow joint lining.

24100Elbow biopsySynovial tissue only

This code treats bursal disease by excising the bursa. Code 24100 is for obtaining a synovial biopsy from the elbow joint.

24101Elbow arthrotomyExploration, biopsy, or removal

Choose this code for bursa excision. Code 24101 describes an elbow joint exploration with biopsy or removal, rather than removal of the bursal sac.

24147Olecranon excisionPartial bone removal

This code removes the olecranon bursa; 24147 addresses partial excision of olecranon bone. Select based on the documented operative target.

Codes related to 24105

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

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

Open CMS sourceHow we calculate rates