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

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, 2026One payment locality23 Medicare services in 2024

In Montana, Medicare pays $797.78 for 24116 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$797.78Hospital or facility

Check a contract rate as a % of Medicare · 24116 nationwide

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

We’ll open 24116 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 24116 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Montana compares for 24116

Across 109 of 109 payment localities, the facility rate for 24116 runs from $712.39 in Arkansas to $979.40 in Alaska. Montana pays $797.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

24116 in Montana vs other payment areas
  1. Montana · this page$797.78
  2. Los Angeles, CA · California$843.41+$45.63
  3. Washington, DC area · District of Columbia$885.10+$87.32
  4. Miami, FL · Florida$940.58+$142.80
  5. Chicago, IL · Illinois$912.17+$114.39
  6. Manhattan, NY · New York$924.17+$126.39
  7. Alaska · Alaska$979.40+$181.62

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

24116 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$721.76
ArkansasArkansas—$712.39
ArizonaArizona—$775.97
Bakersfield, CACalifornia—$802.58
Chico, CACalifornia—$795.59
El Centro, CACalifornia—$796.01
Fresno, CACalifornia—$795.59
Hanford, CACalifornia—$795.59

24116 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
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

See 24116 in every payment locality

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,272

Code
24116
Physician work
11.92
Practice expense
9.43
Malpractice
2.54

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 24116 in Montana
ComponentRVULocality factorAdjusted
Physician work11.92× 1.00011.9200
Practice expense9.43× 1.0009.4300
Malpractice2.54× 0.9982.5349
Total RVUs23.8849
Conversion factor× 33.4009

Facility rate, Montana$797.78

Facility: (11.92 × 1 + 9.43 × 1 + 2.54 × 0.998) × $33.4009 = $797.78

Open 24116 in the RVU calculator

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

How 24116 has changed in Montana

24116 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$797.78RVU26D
2026-07-01Not available in this setting$797.78RVU26C
2026-04-01Not available in this setting$797.78RVU26B
2026-01-01Not available in this setting$797.78RVU26A
2025-10-01Not available in this setting$848.30RVU25D
2025-07-01Not available in this setting$848.30RVU25C
2025-04-01Not available in this setting$848.30RVU25B
2025-01-01Not available in this setting$848.30RVU25A
2024-10-01Not available in this setting$866.62RVU24D
2024-07-01Not available in this setting$866.62RVU24C
2024-04-01Not available in this setting$866.62RVU24B
2024-03-09Not available in this setting$866.62RVU24AR
2024-01-01Not available in this setting$852.47RVU24A
2023-10-01Not available in this setting$875.17RVU23D
2023-07-01Not available in this setting$875.17RVU23C
2023-04-01Not available in this setting$875.17RVU23B
2023-01-01Not available in this setting$875.17RVU23A
2022-10-01Not available in this setting$883.57RVU22D
2022-07-01Not available in this setting$883.57RVU22C
2022-04-01Not available in this setting$883.57RVU22B
2022-01-01Not available in this setting$883.57RVU22A
2021-10-01Not available in this setting$885.04RVU21D
2021-07-01Not available in this setting$885.04RVU21C
2021-04-01Not available in this setting$885.04RVU21B
2021-01-01Not available in this setting$885.04RVU21A
2020-10-01Not available in this setting$924.10RVU20D
2020-07-01Not available in this setting$924.10RVU20C
2020-04-01Not available in this setting$924.10RVU20B
2020-01-01Not available in this setting$924.10RVU20A
2019-10-01Not available in this setting$953.73RVU19D
2019-07-01Not available in this setting$953.73RVU19C
2019-04-01Not available in this setting$949.03RVU19B
2019-01-01Not available in this setting$949.03RVU19A
2018-10-01Not available in this setting$950.93RVU18D
2018-07-01Not available in this setting$950.93RVU18C
2018-04-01Not available in this setting$950.93RVU18B
2018-01-01Not available in this setting$950.93RVU18AR1
2017-10-01Not available in this setting$928.89RVU17D
2017-07-01Not available in this setting$928.89RVU17C
2017-04-01Not available in this setting$928.89RVU17B
2017-01-01Not available in this setting$928.89RVU17A
2016-10-01Not available in this setting$908.70RVU16D
2016-07-01Not available in this setting$908.70RVU16C
2016-04-01Not available in this setting$908.70RVU16B
2016-01-01Not available in this setting$908.70RVU16A
2015-10-01Not available in this setting$914.54RVU15D
2015-07-01Not available in this setting$914.54RVU15C
2015-04-01Not available in this setting$909.99RVU15B
2015-01-01Not available in this setting$909.99RVU15A
2014-10-01Not available in this setting$893.04RVU14D
2014-07-01Not available in this setting$893.04RVU14C
2014-04-01Not available in this setting$893.04RVU14B
2014-01-01Not available in this setting$893.04RVU14A
2013-10-01Not available in this setting$876.71RVU13D
2013-07-01Not available in this setting$876.71RVU13C
2013-04-01Not available in this setting$876.71RVU13B
2013-01-01Not available in this setting$876.71RVU13AR

Price 24116 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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