CPT code 24130: Radial head excision, removal of radial head2026 Medicare rate & RVUs in Missouri
Reports surgical removal of the radial head, commonly selected for an irreparable radial head fracture or other elbow condition requiring excision.
CMS doesn’t publish an office rate for 24130 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 24130 covers
The surgeon removes the radial head, the upper end of the radius that forms part of the elbow joint. This may be chosen for a severely comminuted radial head fracture that cannot be reconstructed or for another elbow condition in which removal is planned. Orthopedic surgeons typically perform the operation in a hospital or ambulatory surgery setting. The operative report should identify the radial head removed, the indication, and the side treated.
Report this code when the service is excision of the radial head, rather than partial bone removal, removal of a prosthetic radial head, or tumor resection. It 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 other procedures at 50%. Modifier 50 identifies bilateral surgery and is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires 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.
Where 24130 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $470.03 |
| Metropolitan St. Louis, MO | Unavailable | $474.11 |
| Rest of Missouri | Unavailable | $451.80 |
How the 24130 rate is calculated
Each of 24130’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 · 24130
RVUs × geographic indexes × conversion factor
Work6.26
6.26 RVUs× 1.000 GPCI
Practice expense7.04
7.04 RVUs× 1.000 GPCI
Malpractice1.23
1.23 RVUs× 1.000 GPCI
Adjusted RVUs
14.5300
Conversion factor
$33.4009
Medicare rate
$485.32
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24130
24130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24130
Radial head excision, removal of radial head
| 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 · 24130
Radial head excision, removal of radial head
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
24130 without 50 · national facility
$485.32
Radial head excision, removal of radial head
24130-50 · Bilateral: 150%
$727.98
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).
24130 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24145Bone excisionRadial head or neck
- 24130 describes excision of the radial head. Use 24145 when the documented service is partial bone excision involving the radial head or neck.
- 24136Bone sequestrectomyRadial head or neck
- 24136 is for removal of a sequestrum from the radial head or neck. It is not the code for excision of the radial head as a whole.
- 24152Tumor resectionRadial head and neck
- 24152 describes radical resection for a tumor involving the radial head or neck. Use 24130 for radial head excision without that tumor-resection service.
- 24164Prosthesis removalProsthetic radial head
- 24164 applies when the surgeon removes a prosthetic radial head. Code 24130 describes excision of the radial head itself.
24130 billing questions
How is this different from partial excision of the radial head or neck?
Use 24130 for excision of the radial head. Code 24145 describes partial bone excision involving the radial head or neck, rather than removal of the radial head.
Can this code be used to remove a radial head prosthesis?
No. Code 24164 is for removal of a prosthetic radial head; 24130 describes excision of the radial head itself.
What documentation supports reporting 24130?
The operative report should establish that the radial head was excised, identify the treated side, and document the clinical indication, such as an irreparable fracture.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting and assistant surgeons?
Modifier 50 identifies bilateral surgery and is paid at 150%. Assistant-at-surgery payment is restricted for this code.
Can a co-surgeon or surgical team report this service?
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
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