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CPT code 24116: Bone lesion surgery, humerus, allograft reconstruction2026 Medicare rate & RVUs

Reports operative removal or curettage of a benign cyst or tumor in the humerus when the resulting bone defect is reconstructed with allograft.

CMS RVU26DEffective Oct 1, 2026109 payment localities23 Medicare services in 2024

Medicare pays $797.95 for 24116 nationally in a facility.

Medicare rate · 24116

Bone lesion surgery, humerus, allograft reconstruction

Office or facility?

Work RVUs
11.92
Total RVUs
23.89
Global days
090

National rate · 2026

$797.95

Facility setting, before claim adjustments.

See every locality for 24116 →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 24116 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 24116 covers

An orthopedic surgeon removes or curettes a benign bone cyst or tumor in the humerus and uses donor bone graft to reconstruct the resulting defect. This is generally an operating-room procedure rather than an office service; CMS recorded facility services for this code in 2024 and no office services.

Select this code when the operative report supports a benign lesion in the humerus, its excision or curettage, and use of allograft. The related day-before preoperative visit and 90 days of postoperative care are included in the 90-day global period. For other procedures performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon and team-surgery payment are not permitted for this code.

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 24116 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

24116 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$721.76
AlaskaUnavailable$979.40
ArizonaUnavailable$775.97
ArkansasUnavailable$712.39
Atlanta, GAUnavailable$821.23
Austin, TXUnavailable$807.34
Bakersfield, CAUnavailable$802.58
Baltimore area, MDUnavailable$847.42
Beaumont, TXUnavailable$763.58
Brazoria, TXUnavailable$779.63

24116 rates by state

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

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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
24116 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 24116 rate is calculated

Each of 24116’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 · 24116

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.92

11.92 RVUs× 1.000 GPCI

Practice expense9.43

9.43 RVUs× 1.000 GPCI

Malpractice2.54

2.54 RVUs× 1.000 GPCI

Adjusted RVUs

23.8900

Conversion factor

$33.4009

Medicare rate

$797.95

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

Payment rules and modifiers for 24116

24116 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24116

Bone lesion surgery, humerus, allograft reconstruction

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)2Paid.
Co-surgeons (62)0Not permitted.
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 · 24116

Bone lesion surgery, humerus, allograft reconstruction

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

24116 without 50 · national facility

$797.95

Bone lesion surgery, humerus, allograft reconstruction

24116-50 · Bilateral: 150%

$1,196.93

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

24116 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 24116

    Bone lesion surgery, humerus, allograft reconstruction11.92 wRVU

    Not priced

  • 24110

    Bone lesion excision, humerus, without graft7.39 wRVU

    Not priced

  • 24115

    Bone lesion curettage, humerus with autograft9.87 wRVU

    Not priced

  • 24126

    Bone lesion surgery, radius, with allograft8.4 wRVU

    Not priced

How to choose

24110Bone lesion excisionHumerus, without graft
Use 24110 for the comparable humeral lesion procedure without the allograft distinction; use 24116 when allograft is used.
24115Bone lesion curettageHumerus with autograft
Both apply to benign lesions in the humerus. The graft type separates them: 24115 specifies autograft, while 24116 specifies allograft.
24126Bone lesion surgeryRadius, with allograft
Both specify allograft reconstruction for a benign bone lesion, but 24126 is for the radius rather than the humerus.

Codes related to 24116

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

Codes related to 24116
CodeHow it relatesNational office range
Same family
24110Bone lesion excision, humerus, without graftHumeral benign lesion procedure without the allograft distinction.No office rate
24115Bone lesion curettage, humerus with autograftHumeral benign lesion procedure specifying autograft instead.No office rate
24120Bone lesion removal, radius or ulna, no graftComparable benign lesion procedure for the radius without the allograft distinction.No office rate
24126Bone lesion surgery, radius, with allograftComparable allograft procedure for a benign lesion in the radius.No office rate

24116 billing questions

When should 24116 be selected instead of 24110?

Use 24116 when the humeral lesion is treated with allograft reconstruction. Code 24110 describes the comparable humeral lesion procedure without the graft distinction.

How does 24116 differ from 24115?

Both concern a benign cyst or tumor in the humerus, but 24116 specifies allograft and 24115 specifies autograft.

What documentation supports reporting 24116?

The operative report should identify the humeral lesion, describe its excision or curettage, and document reconstruction with allograft.

How are other procedures in the same session paid?

CMS pays the highest-valued procedure in full and other procedures at 50% when they are performed in the same session.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid for this code. CMS does not permit co-surgeon or team-surgery payment.

What postoperative care is included?

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

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 24116PPRRVU2026_Oct_nonQPP.csv, line 2,272 (RVU26D)

Open CMS sourceHow we calculate rates

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