CPT code 24130: Radial head excision, removal of radial head2026 Medicare rate & RVUs in Puerto Rico

Reports surgical removal of the radial head, commonly selected for an irreparable radial head fracture or other elbow condition requiring excision.

CMS RVU26DEffective Oct 1, 2026One payment locality181 Medicare services in 2024

In Puerto Rico, Medicare pays $487.29 for 24130 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$487.29Hospital or facility

Check a contract rate as a % of Medicare · 24130 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 24130 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 24130 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 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.

How Puerto Rico compares for 24130

Across 109 of 109 payment localities, the facility rate for 24130 runs from $432.23 in Arkansas to $593.19 in San Benito County, CA. Puerto Rico pays $487.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

24130 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$487.29
  2. Los Angeles, CA · California$523.11+$35.82
  3. Washington, DC area · District of Columbia$543.10+$55.81
  4. Miami, FL · Florida$557.77+$70.48
  5. Chicago, IL · Illinois$541.16+$53.87
  6. Manhattan, NY · New York$560.86+$73.57
  7. Alaska · Alaska$586.70+$99.41

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

Every other payment area

24130 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$438.09
ArkansasArkansas—$432.23
ArizonaArizona—$472.11
Bakersfield, CACalifornia—$495.80
Chico, CACalifornia—$492.38
El Centro, CACalifornia—$492.59
Fresno, CACalifornia—$492.38
Hanford, CACalifornia—$492.38

24130 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
24130 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 24130 in every payment locality

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

Office or facility?

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,276

Code
24130
Physician work
6.26
Practice expense
7.04
Malpractice
1.23

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 24130 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work6.26× 1.0006.2600
Practice expense7.04× 1.0117.1174
Malpractice1.23× 0.9851.2115
Total RVUs14.5890
Conversion factor× 33.4009

Facility rate, Puerto Rico$487.29

Facility: (6.26 × 1 + 7.04 × 1.011 + 1.23 × 0.985) × $33.4009 = $487.29

Open 24130 in the RVU calculator

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

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)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
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 · 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.

  • 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

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).

When to use modifier 50

How 24130 has changed in Puerto Rico

24130 · 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$487.29RVU26D
2026-07-01Not available in this setting$487.29RVU26C
2026-04-01Not available in this setting$487.29RVU26B
2026-01-01Not available in this setting$487.29RVU26A
2025-10-01Not available in this setting$514.79RVU25D
2025-07-01Not available in this setting$514.79RVU25C
2025-04-01Not available in this setting$514.79RVU25B
2025-01-01Not available in this setting$514.79RVU25A
2024-10-01Not available in this setting$522.08RVU24D
2024-07-01Not available in this setting$522.08RVU24C
2024-04-01Not available in this setting$522.08RVU24B
2024-03-09Not available in this setting$522.08RVU24AR
2024-01-01Not available in this setting$513.56RVU24A
2023-10-01Not available in this setting$528.75RVU23D
2023-07-01Not available in this setting$527.28RVU23C
2023-04-01Not available in this setting$527.28RVU23B
2023-01-01Not available in this setting$527.28RVU23A
2022-10-01Not available in this setting$528.21RVU22D
2022-07-01Not available in this setting$528.21RVU22C
2022-04-01Not available in this setting$528.21RVU22B
2022-01-01Not available in this setting$528.21RVU22A
2021-10-01Not available in this setting$528.75RVU21D
2021-07-01Not available in this setting$528.75RVU21C
2021-04-01Not available in this setting$528.75RVU21B
2021-01-01Not available in this setting$528.75RVU21A
2020-10-01Not available in this setting$531.67RVU20D
2020-07-01Not available in this setting$531.67RVU20C
2020-04-01Not available in this setting$531.67RVU20B
2020-01-01Not available in this setting$531.67RVU20A
2019-10-01Not available in this setting$530.02RVU19D
2019-07-01Not available in this setting$530.02RVU19C
2019-04-01Not available in this setting$530.02RVU19B
2019-01-01Not available in this setting$530.02RVU19A
2018-10-01Not available in this setting$527.26RVU18D
2018-07-01Not available in this setting$527.26RVU18C
2018-04-01Not available in this setting$527.26RVU18B
2018-01-01Not available in this setting$527.26RVU18AR1
2017-10-01Not available in this setting$470.56RVU17D
2017-07-01Not available in this setting$470.56RVU17C
2017-04-01Not available in this setting$470.56RVU17B
2017-01-01Not available in this setting$470.56RVU17A
2016-10-01Not available in this setting$416.75RVU16D
2016-07-01Not available in this setting$416.75RVU16C
2016-04-01Not available in this setting$416.75RVU16B
2016-01-01Not available in this setting$416.75RVU16A
2015-10-01Not available in this setting$417.85RVU15D
2015-07-01Not available in this setting$417.85RVU15C
2015-04-01Not available in this setting$415.77RVU15B
2015-01-01Not available in this setting$415.77RVU15A
2014-10-01Not available in this setting$410.71RVU14D
2014-07-01Not available in this setting$410.71RVU14C
2014-04-01Not available in this setting$410.71RVU14B
2014-01-01Not available in this setting$410.71RVU14A
2013-10-01Not available in this setting$400.68RVU13D
2013-07-01Not available in this setting$400.68RVU13C
2013-04-01Not available in this setting$400.68RVU13B
2013-01-01Not available in this setting$400.68RVU13AR

Price 24130 for an earlier date of service

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

Browse all communities in Puerto Rico

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

Show the CMS file lines behind this rate
RVUs for 24130PPRRVU2026_Oct_nonQPP.csv, line 2,276 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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