CPT code 24105: Bursa excision, olecranon bursa2026 Medicare rate & RVUs in Delaware
Removal of the inflamed bursa over the elbow tip is reported for operative treatment of persistent or recurrent olecranon bursitis.
In Delaware, Medicare pays $353.63 for 24105 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 24105 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 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.
How Delaware compares for 24105
Across 109 of 109 payment localities, the facility rate for 24105 runs from $316.33 in Arkansas to $452.70 in San Benito County, CA. Delaware pays $353.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$353.63
- Los Angeles, CA · California$393.08+$39.45
- Washington, DC area · District of Columbia$404.88+$51.25
- Miami, FL · Florida$404.96+$51.33
- Chicago, IL · Illinois$392.41+$38.78
- Manhattan, NY · New York$414.61+$60.98
- Alaska · Alaska$422.07+$68.44
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $320.97 |
| ArkansasArkansas | — | $316.33 |
| ArizonaArizona | — | $347.95 |
| Bakersfield, CACalifornia | — | $370.74 |
| Chico, CACalifornia | — | $368.67 |
| El Centro, CACalifornia | — | $368.79 |
| Fresno, CACalifornia | — | $368.67 |
| Hanford, CACalifornia | — | $368.67 |
| Madera, CACalifornia | — | $368.67 |
| Merced, CACalifornia | — | $368.67 |
| Modesto, CACalifornia | — | $368.67 |
| Napa, CACalifornia | — | $420.20 |
| Oxnard, CACalifornia | — | $390.24 |
| Redding, CACalifornia | — | $368.67 |
| Rest of CaliforniaCalifornia | — | $368.67 |
| Riverside, CACalifornia | — | $376.73 |
| Sacramento, CACalifornia | — | $385.06 |
| Salinas, CACalifornia | — | $383.61 |
| San Diego, CACalifornia | — | $391.39 |
| Marin County, CACalifornia | — | $442.21 |
| San Francisco, CACalifornia | — | $441.36 |
| San Benito County, CACalifornia | — | $452.70 |
| Santa Clara County, CACalifornia | — | $449.22 |
| San Luis Obispo, CACalifornia | — | $377.69 |
| Santa Cruz, CACalifornia | — | $394.12 |
| Santa Maria, CACalifornia | — | $384.70 |
| Santa Rosa, CACalifornia | — | $397.96 |
| Stockton, CACalifornia | — | $368.67 |
| Vallejo, CACalifornia | — | $418.97 |
| Visalia, CACalifornia | — | $368.67 |
| Yuba City, CACalifornia | — | $368.67 |
| ColoradoColorado | — | $367.48 |
| ConnecticutConnecticut | — | $381.93 |
| Fort Lauderdale, FLFlorida | — | $381.03 |
| Rest of FloridaFlorida | — | $361.43 |
| Atlanta, GAGeorgia | — | $366.82 |
| Rest of GeorgiaGeorgia | — | $340.21 |
| Hawaii, Guam, HIHawaii | — | $376.25 |
| IowaIowa | — | $325.12 |
| IdahoIdaho | — | $328.08 |
| East St. Louis, ILIllinois | — | $366.68 |
| Rest of IllinoisIllinois | — | $353.91 |
| Suburban Chicago, ILIllinois | — | $383.92 |
| IndianaIndiana | — | $329.87 |
| KansasKansas | — | $325.50 |
| KentuckyKentucky | — | $332.65 |
| New Orleans, LALouisiana | — | $349.09 |
| Rest of LouisianaLouisiana | — | $332.88 |
| Metropolitan Boston, MAMassachusetts | — | $401.05 |
| Rest of MassachusettsMassachusetts | — | $366.06 |
| Baltimore area, MDMaryland | — | $381.28 |
| Rest of MarylandMaryland | — | $359.75 |
| Rest of MaineMaine | — | $331.81 |
| Southern Maine, MEMaine | — | $346.93 |
| Detroit, MIMichigan | — | $367.90 |
| Rest of MichiganMichigan | — | $343.04 |
| MinnesotaMinnesota | — | $346.50 |
| Metropolitan Kansas City, MOMissouri | — | $344.69 |
| Metropolitan St. Louis, MOMissouri | — | $348.04 |
| Rest of MissouriMissouri | — | $328.46 |
| MississippiMississippi | — | $322.36 |
| MontanaMontana | — | $358.01 |
| North CarolinaNorth Carolina | — | $334.96 |
| North DakotaNorth Dakota | — | $343.18 |
| NebraskaNebraska | — | $326.32 |
| New HampshireNew Hampshire | — | $363.53 |
| Northern New JerseyNew Jersey | — | $401.09 |
| Rest of New JerseyNew Jersey | — | $384.72 |
| New MexicoNew Mexico | — | $345.68 |
| NevadaNevada | — | $354.08 |
| NYC suburbs and Long Island, NYNew York | — | $427.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $388.79 |
| Queens, NYNew York | — | $415.19 |
| Rest of New YorkNew York | — | $340.13 |
| OhioOhio | — | $340.01 |
| OklahomaOklahoma | — | $330.03 |
| Portland, OROregon | — | $376.90 |
| Rest of OregonOregon | — | $349.78 |
| Metropolitan Philadelphia, PAPennsylvania | — | $373.71 |
| Rest of PennsylvaniaPennsylvania | — | $339.48 |
| Puerto RicoPuerto Rico | — | $359.99 |
| Rhode IslandRhode Island | — | $364.62 |
| South CarolinaSouth Carolina | — | $338.36 |
| South DakotaSouth Dakota | — | $341.42 |
| TennesseeTennessee | — | $327.37 |
| Austin, TXTexas | — | $367.61 |
| Beaumont, TXTexas | — | $337.40 |
| Brazoria, TXTexas | — | $351.64 |
| Dallas, TXTexas | — | $354.77 |
| Fort Worth, TXTexas | — | $353.00 |
| Galveston, TXTexas | — | $353.27 |
| Houston, TXTexas | — | $366.99 |
| Rest of TexasTexas | — | $344.93 |
| UtahUtah | — | $342.92 |
| VirginiaVirginia | — | $347.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $359.99 |
| VermontVermont | — | $343.59 |
| Rest of WashingtonWashington | — | $364.79 |
| King County, WAWashington | — | $407.25 |
| WisconsinWisconsin | — | $331.91 |
| West VirginiaWest Virginia | — | $341.38 |
| WyomingWyoming | — | $351.54 |
24105 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 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.
How the rate is built · 24105
RVUs × geographic indexes × conversion factor
Work3.69
3.69 RVUs× 1.000 GPCI
Practice expense6.28
6.28 RVUs× 1.000 GPCI
Malpractice0.75
0.75 RVUs× 1.000 GPCI
Adjusted RVUs
10.7200
Conversion factor
$33.4009
Medicare rate
$358.06
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,269
- Code
- 24105
- Physician work
- 3.69
- Practice expense
- 6.28
- Malpractice
- 0.75
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.69 | × 1.005 | 3.7084 |
| Practice expense | 6.28 | × 0.988 | 6.2046 |
| Malpractice | 0.75 | × 0.899 | 0.6743 |
| Total RVUs | 10.5873 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$353.63
Facility: (3.69 × 1.005 + 6.28 × 0.988 + 0.75 × 0.899) × $33.4009 = $353.63
Payment rules and modifiers for 24105
24105 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24105
Bursa excision, olecranon bursa
| 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 · 24105
Bursa excision, olecranon bursa
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
24105 without 50 · national facility
$358.06
Bursa excision, olecranon bursa
24105-50 · Bilateral: 150%
$537.09
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 24105 has changed in Delaware
24105 · 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 | $353.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $353.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $353.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $353.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $361.39 | RVU25D |
| 2025-07-01 | Not available in this setting | $361.39 | RVU25C |
| 2025-04-01 | Not available in this setting | $361.39 | RVU25B |
| 2025-01-01 | Not available in this setting | $361.39 | RVU25A |
| 2024-10-01 | Not available in this setting | $368.26 | RVU24D |
| 2024-07-01 | Not available in this setting | $368.26 | RVU24C |
| 2024-04-01 | Not available in this setting | $368.26 | RVU24B |
| 2024-03-09 | Not available in this setting | $368.26 | RVU24AR |
| 2024-01-01 | Not available in this setting | $362.25 | RVU24A |
| 2023-10-01 | Not available in this setting | $372.27 | RVU23D |
| 2023-07-01 | Not available in this setting | $372.27 | RVU23C |
| 2023-04-01 | Not available in this setting | $372.27 | RVU23B |
| 2023-01-01 | Not available in this setting | $372.27 | RVU23A |
| 2022-10-01 | Not available in this setting | $375.51 | RVU22D |
| 2022-07-01 | Not available in this setting | $375.51 | RVU22C |
| 2022-04-01 | Not available in this setting | $375.51 | RVU22B |
| 2022-01-01 | Not available in this setting | $375.51 | RVU22A |
| 2021-10-01 | Not available in this setting | $374.02 | RVU21D |
| 2021-07-01 | Not available in this setting | $374.02 | RVU21C |
| 2021-04-01 | Not available in this setting | $374.02 | RVU21B |
| 2021-01-01 | Not available in this setting | $374.02 | RVU21A |
| 2020-10-01 | Not available in this setting | $373.11 | RVU20D |
| 2020-07-01 | Not available in this setting | $373.11 | RVU20C |
| 2020-04-01 | Not available in this setting | $373.11 | RVU20B |
| 2020-01-01 | Not available in this setting | $373.11 | RVU20A |
| 2019-10-01 | Not available in this setting | $372.71 | RVU19D |
| 2019-07-01 | Not available in this setting | $372.71 | RVU19C |
| 2019-04-01 | Not available in this setting | $372.71 | RVU19B |
| 2019-01-01 | Not available in this setting | $372.71 | RVU19A |
| 2018-10-01 | Not available in this setting | $370.47 | RVU18D |
| 2018-07-01 | Not available in this setting | $370.47 | RVU18C |
| 2018-04-01 | Not available in this setting | $370.47 | RVU18B |
| 2018-01-01 | Not available in this setting | $370.47 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $368.61 | RVU17D |
| 2017-07-01 | Not available in this setting | $368.61 | RVU17C |
| 2017-04-01 | Not available in this setting | $368.61 | RVU17B |
| 2017-01-01 | Not available in this setting | $368.61 | RVU17A |
| 2016-10-01 | Not available in this setting | $369.09 | RVU16D |
| 2016-07-01 | Not available in this setting | $369.09 | RVU16C |
| 2016-04-01 | Not available in this setting | $369.09 | RVU16B |
| 2016-01-01 | Not available in this setting | $369.09 | RVU16A |
| 2015-10-01 | Not available in this setting | $370.83 | RVU15D |
| 2015-07-01 | Not available in this setting | $370.83 | RVU15C |
| 2015-04-01 | Not available in this setting | $368.99 | RVU15B |
| 2015-01-01 | Not available in this setting | $368.99 | RVU15A |
| 2014-10-01 | Not available in this setting | $360.65 | RVU14D |
| 2014-07-01 | Not available in this setting | $360.65 | RVU14C |
| 2014-04-01 | Not available in this setting | $360.65 | RVU14B |
| 2014-01-01 | Not available in this setting | $360.65 | RVU14A |
| 2013-10-01 | Not available in this setting | $359.38 | RVU13D |
| 2013-07-01 | Not available in this setting | $359.38 | RVU13C |
| 2013-04-01 | Not available in this setting | $359.38 | RVU13B |
| 2013-01-01 | Not available in this setting | $359.38 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
24105 billing questions
When should this code be chosen instead of an elbow synovectomy code?
Use this code when the operation removes the bursa over the olecranon. A synovectomy code is for work on the joint lining, not the superficial bursal sac.
Does this code describe removal of olecranon bone?
No. The target is the bursa. If the operation removes olecranon bone, assess the bone procedure separately based on the documented work.
What documentation supports reporting the service?
Document the side, the bursal condition prompting surgery, and the operative findings and work showing that the olecranon bursa was excised.
How is bilateral surgery reported?
Report bilateral surgery with modifier 50; Medicare pays it at 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.
Are related postoperative visits separately included?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
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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