CPT code 24110: Bone lesion excision, humerus, without graft2026 Medicare rate & RVUs in Puerto Rico
Reports excision or curettage of a bone cyst or benign tumor in the humerus when the procedure does not include bone grafting.
In Puerto Rico, Medicare pays $568.29 for 24110 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 24110 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 24110 covers
An orthopedic surgeon removes or curettes a cystic or benign bone lesion in the humerus, the upper-arm bone. The procedure is performed in an operating-room setting and may involve opening the affected bone to remove lesion tissue. This code distinguishes the humeral site and the procedure without the grafting specified by related codes.
Choose the code from the operative report’s documented site and treatment: the lesion must be in the humerus, and the work must be excision or curettage of a bone cyst or benign tumor. Record the lesion and the procedure performed, including whether grafting was part of the service. This major surgery 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 others at 50%. Bilateral reporting with modifier 50 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.
How Puerto Rico compares for 24110
Across 109 of 109 payment localities, the facility rate for 24110 runs from $503.08 in Arkansas to $686.92 in San Benito County, CA. Puerto Rico pays $568.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$568.29
- Los Angeles, CA · California$607.48+$39.19
- Washington, DC area · District of Columbia$632.90+$64.61
- Miami, FL · Florida$657.27+$88.98
- Chicago, IL · Illinois$637.12+$68.83
- Manhattan, NY · New York$655.91+$87.62
- Alaska · Alaska$683.36+$115.07
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $510.03 |
| ArkansasArkansas | — | $503.08 |
| ArizonaArizona | — | $550.32 |
| Bakersfield, CACalifornia | — | $575.95 |
| Chico, CACalifornia | — | $571.63 |
| El Centro, CACalifornia | — | $571.89 |
| Fresno, CACalifornia | — | $571.63 |
| Hanford, CACalifornia | — | $571.63 |
| Madera, CACalifornia | — | $571.63 |
| Merced, CACalifornia | — | $571.63 |
| Modesto, CACalifornia | — | $571.63 |
| Napa, CACalifornia | — | $640.76 |
| Oxnard, CACalifornia | — | $601.86 |
| Redding, CACalifornia | — | $571.63 |
| Rest of CaliforniaCalifornia | — | $571.63 |
| Riverside, CACalifornia | — | $588.50 |
| Sacramento, CACalifornia | — | $594.20 |
| Salinas, CACalifornia | — | $591.90 |
| San Diego, CACalifornia | — | $601.84 |
| Marin County, CACalifornia | — | $670.64 |
| San Francisco, CACalifornia | — | $668.86 |
| San Benito County, CACalifornia | — | $686.92 |
| Santa Clara County, CACalifornia | — | $679.63 |
| San Luis Obispo, CACalifornia | — | $583.10 |
| Santa Cruz, CACalifornia | — | $604.37 |
| Santa Maria, CACalifornia | — | $593.03 |
| Santa Rosa, CACalifornia | — | $610.07 |
| Stockton, CACalifornia | — | $571.63 |
| Vallejo, CACalifornia | — | $638.19 |
| Visalia, CACalifornia | — | $571.63 |
| Yuba City, CACalifornia | — | $571.63 |
| ColoradoColorado | — | $574.70 |
| ConnecticutConnecticut | — | $602.64 |
| DelawareDelaware | — | $558.88 |
| Fort Lauderdale, FLFlorida | — | $611.99 |
| Rest of FloridaFlorida | — | $580.78 |
| Atlanta, GAGeorgia | — | $581.70 |
| Rest of GeorgiaGeorgia | — | $547.39 |
| Hawaii, Guam, HIHawaii | — | $580.63 |
| IowaIowa | — | $511.84 |
| IdahoIdaho | — | $517.16 |
| East St. Louis, ILIllinois | — | $597.97 |
| Rest of IllinoisIllinois | — | $572.45 |
| Suburban Chicago, ILIllinois | — | $615.56 |
| IndianaIndiana | — | $519.71 |
| KansasKansas | — | $514.52 |
| KentuckyKentucky | — | $532.06 |
| New Orleans, LALouisiana | — | $557.53 |
| Rest of LouisianaLouisiana | — | $533.25 |
| Metropolitan Boston, MAMassachusetts | — | $622.27 |
| Rest of MassachusettsMassachusetts | — | $573.59 |
| Baltimore area, MDMaryland | — | $602.00 |
| Rest of MarylandMaryland | — | $567.52 |
| Rest of MaineMaine | — | $524.97 |
| Southern Maine, MEMaine | — | $544.39 |
| Detroit, MIMichigan | — | $592.78 |
| Rest of MichiganMichigan | — | $549.69 |
| MinnesotaMinnesota | — | $536.97 |
| Metropolitan Kansas City, MOMissouri | — | $548.66 |
| Metropolitan St. Louis, MOMissouri | — | $553.44 |
| Rest of MissouriMissouri | — | $527.95 |
| MississippiMississippi | — | $515.36 |
| MontanaMontana | — | $566.04 |
| North CarolinaNorth Carolina | — | $529.33 |
| North DakotaNorth Dakota | — | $535.00 |
| NebraskaNebraska | — | $512.98 |
| New HampshireNew Hampshire | — | $570.53 |
| Northern New JerseyNew Jersey | — | $627.96 |
| Rest of New JerseyNew Jersey | — | $605.66 |
| New MexicoNew Mexico | — | $554.54 |
| NevadaNevada | — | $557.65 |
| NYC suburbs and Long Island, NYNew York | — | $677.32 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $613.62 |
| Queens, NYNew York | — | $653.69 |
| Rest of New YorkNew York | — | $537.23 |
| OhioOhio | — | $543.35 |
| OklahomaOklahoma | — | $525.90 |
| Portland, OROregon | — | $586.29 |
| Rest of OregonOregon | — | $549.50 |
| Metropolitan Philadelphia, PAPennsylvania | — | $591.65 |
| Rest of PennsylvaniaPennsylvania | — | $541.38 |
| Rhode IslandRhode Island | — | $573.98 |
| South CarolinaSouth Carolina | — | $538.00 |
| South DakotaSouth Dakota | — | $531.33 |
| TennesseeTennessee | — | $517.58 |
| Austin, TXTexas | — | $576.14 |
| Beaumont, TXTexas | — | $538.40 |
| Brazoria, TXTexas | — | $554.18 |
| Dallas, TXTexas | — | $559.85 |
| Fort Worth, TXTexas | — | $557.87 |
| Galveston, TXTexas | — | $557.23 |
| Houston, TXTexas | — | $585.97 |
| Rest of TexasTexas | — | $547.45 |
| UtahUtah | — | $544.78 |
| VirginiaVirginia | — | $546.19 |
| Virgin Islands, VIUnited States Virgin Islands | — | $568.29 |
| VermontVermont | — | $537.57 |
| Rest of WashingtonWashington | — | $570.97 |
| King County, WAWashington | — | $629.47 |
| WisconsinWisconsin | — | $518.65 |
| West VirginiaWest Virginia | — | $553.79 |
| WyomingWyoming | — | $552.51 |
24110 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 24110 rate is calculated
Each of 24110’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 · 24110
RVUs × geographic indexes × conversion factor
Work7.39
7.39 RVUs× 1.000 GPCI
Practice expense7.99
7.99 RVUs× 1.000 GPCI
Malpractice1.57
1.57 RVUs× 1.000 GPCI
Adjusted RVUs
16.9500
Conversion factor
$33.4009
Medicare rate
$566.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,270
- Code
- 24110
- Physician work
- 7.39
- Practice expense
- 7.99
- Malpractice
- 1.57
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.39 | × 1.000 | 7.3900 |
| Practice expense | 7.99 | × 1.011 | 8.0779 |
| Malpractice | 1.57 | × 0.985 | 1.5465 |
| Total RVUs | 17.0143 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$568.29
Facility: (7.39 × 1 + 7.99 × 1.011 + 1.57 × 0.985) × $33.4009 = $568.29
Payment rules and modifiers for 24110
24110 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24110
Bone lesion excision, humerus, without graft
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 24110
Bone lesion excision, humerus, without graft
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
24110 without 50 · national facility
$566.15
Bone lesion excision, humerus, without graft
24110-50 · Bilateral: 150%
$849.23
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 24110 has changed in Puerto Rico
24110 · 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 | $568.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $568.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $568.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $568.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $591.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $591.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $591.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $591.48 | RVU25A |
| 2024-10-01 | Not available in this setting | $602.65 | RVU24D |
| 2024-07-01 | Not available in this setting | $602.65 | RVU24C |
| 2024-04-01 | Not available in this setting | $602.65 | RVU24B |
| 2024-03-09 | Not available in this setting | $602.65 | RVU24AR |
| 2024-01-01 | Not available in this setting | $592.82 | RVU24A |
| 2023-10-01 | Not available in this setting | $607.78 | RVU23D |
| 2023-07-01 | Not available in this setting | $606.24 | RVU23C |
| 2023-04-01 | Not available in this setting | $606.24 | RVU23B |
| 2023-01-01 | Not available in this setting | $606.24 | RVU23A |
| 2022-10-01 | Not available in this setting | $611.36 | RVU22D |
| 2022-07-01 | Not available in this setting | $611.36 | RVU22C |
| 2022-04-01 | Not available in this setting | $611.36 | RVU22B |
| 2022-01-01 | Not available in this setting | $611.36 | RVU22A |
| 2021-10-01 | Not available in this setting | $601.73 | RVU21D |
| 2021-07-01 | Not available in this setting | $601.73 | RVU21C |
| 2021-04-01 | Not available in this setting | $601.73 | RVU21B |
| 2021-01-01 | Not available in this setting | $601.73 | RVU21A |
| 2020-10-01 | Not available in this setting | $612.64 | RVU20D |
| 2020-07-01 | Not available in this setting | $612.64 | RVU20C |
| 2020-04-01 | Not available in this setting | $612.64 | RVU20B |
| 2020-01-01 | Not available in this setting | $612.64 | RVU20A |
| 2019-10-01 | Not available in this setting | $609.04 | RVU19D |
| 2019-07-01 | Not available in this setting | $609.04 | RVU19C |
| 2019-04-01 | Not available in this setting | $609.04 | RVU19B |
| 2019-01-01 | Not available in this setting | $609.04 | RVU19A |
| 2018-10-01 | Not available in this setting | $608.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $608.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $608.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $608.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $540.84 | RVU17D |
| 2017-07-01 | Not available in this setting | $540.84 | RVU17C |
| 2017-04-01 | Not available in this setting | $540.84 | RVU17B |
| 2017-01-01 | Not available in this setting | $540.84 | RVU17A |
| 2016-10-01 | Not available in this setting | $478.40 | RVU16D |
| 2016-07-01 | Not available in this setting | $478.40 | RVU16C |
| 2016-04-01 | Not available in this setting | $478.40 | RVU16B |
| 2016-01-01 | Not available in this setting | $478.40 | RVU16A |
| 2015-10-01 | Not available in this setting | $485.19 | RVU15D |
| 2015-07-01 | Not available in this setting | $485.19 | RVU15C |
| 2015-04-01 | Not available in this setting | $482.78 | RVU15B |
| 2015-01-01 | Not available in this setting | $482.78 | RVU15A |
| 2014-10-01 | Not available in this setting | $476.05 | RVU14D |
| 2014-07-01 | Not available in this setting | $476.05 | RVU14C |
| 2014-04-01 | Not available in this setting | $476.05 | RVU14B |
| 2014-01-01 | Not available in this setting | $476.05 | RVU14A |
| 2013-10-01 | Not available in this setting | $464.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $464.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $464.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $464.14 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
24110 billing questions
How does this code differ from 24115 or 24116?
This code describes humeral cyst or benign tumor excision or curettage without the grafting specified by those codes. Use the operative documentation to identify whether grafting was performed and which type.
Can this code be used for a lesion in the radius?
No. The site for this code is the humerus; 24120 is the related code for a bone cyst or benign tumor in the radius without grafting.
What documentation supports reporting this service?
The operative report should identify the humerus as the treated bone and describe excision or curettage of a cyst or benign tumor. It should also make clear whether bone grafting was performed.
How are bilateral services and other same-session procedures paid?
CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. 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
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