CPT code 24147: Olecranon excision, partial bone removal2026 Medicare rate & RVUs in Arkansas
This operation removes a limited portion of the olecranon for a focal bony problem, such as a symptomatic spur or prominence.
In Arkansas, Medicare pays $530.83 for 24147 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 24147 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 24147 covers
The surgeon removes a limited amount of bone from the olecranon, the bony tip of the ulna at the elbow. This may address a painful prominence or osteophyte that causes symptoms or interferes with elbow motion. Orthopedic surgeons most often perform the operation in a hospital or ambulatory surgery setting, sometimes alongside other elbow work when each procedure is separately indicated.
Report the code when the operative record supports partial removal of olecranon bone, rather than treatment of the overlying bursa alone or removal of a bone sequestrum. Document the treated site, the bone removed, and the clinical reason for excision. Medicare assigns 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 the others at 50%. Bilateral reporting with modifier 50 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 Arkansas compares for 24147
Across 109 of 109 payment localities, the facility rate for 24147 runs from $530.83 in Arkansas to $729.19 in San Benito County, CA. Arkansas pays $530.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$530.83
- Los Angeles, CA · California$642.95+$112.12
- Washington, DC area · District of Columbia$667.76+$136.93
- Miami, FL · Florida$686.58+$155.75
- Chicago, IL · Illinois$665.96+$135.13
- Manhattan, NY · New York$689.84+$159.01
- Alaska · Alaska$720.05+$189.22
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $538.08 |
| ArizonaArizona | — | $580.18 |
| Bakersfield, CACalifornia | — | $609.27 |
| Chico, CACalifornia | — | $605.03 |
| El Centro, CACalifornia | — | $605.29 |
| Fresno, CACalifornia | — | $605.03 |
| Hanford, CACalifornia | — | $605.03 |
| Madera, CACalifornia | — | $605.03 |
| Merced, CACalifornia | — | $605.03 |
| Modesto, CACalifornia | — | $605.03 |
| Napa, CACalifornia | — | $679.77 |
| Oxnard, CACalifornia | — | $637.25 |
| Redding, CACalifornia | — | $605.03 |
| Rest of CaliforniaCalifornia | — | $605.03 |
| Riverside, CACalifornia | — | $621.49 |
| Sacramento, CACalifornia | — | $629.33 |
| Salinas, CACalifornia | — | $626.89 |
| San Diego, CACalifornia | — | $637.68 |
| Marin County, CACalifornia | — | $712.14 |
| San Francisco, CACalifornia | — | $710.40 |
| San Benito County, CACalifornia | — | $729.19 |
| Santa Clara County, CACalifornia | — | $722.09 |
| San Luis Obispo, CACalifornia | — | $617.51 |
| Santa Cruz, CACalifornia | — | $640.59 |
| Santa Maria, CACalifornia | — | $628.16 |
| Santa Rosa, CACalifornia | — | $646.66 |
| Stockton, CACalifornia | — | $605.03 |
| Vallejo, CACalifornia | — | $677.27 |
| Visalia, CACalifornia | — | $605.03 |
| Yuba City, CACalifornia | — | $605.03 |
| ColoradoColorado | — | $606.99 |
| ConnecticutConnecticut | — | $634.72 |
| DelawareDelaware | — | $589.17 |
| Fort Lauderdale, FLFlorida | — | $641.60 |
| Rest of FloridaFlorida | — | $609.47 |
| Atlanta, GAGeorgia | — | $612.22 |
| Rest of GeorgiaGeorgia | — | $575.00 |
| Hawaii, Guam, HIHawaii | — | $614.79 |
| IowaIowa | — | $541.05 |
| IdahoIdaho | — | $546.39 |
| East St. Louis, ILIllinois | — | $625.14 |
| Rest of IllinoisIllinois | — | $600.06 |
| Suburban Chicago, ILIllinois | — | $645.62 |
| IndianaIndiana | — | $549.08 |
| KansasKansas | — | $543.33 |
| KentuckyKentucky | — | $559.98 |
| New Orleans, LALouisiana | — | $586.37 |
| Rest of LouisianaLouisiana | — | $561.01 |
| Metropolitan Boston, MAMassachusetts | — | $657.69 |
| Rest of MassachusettsMassachusetts | — | $605.63 |
| Baltimore area, MDMaryland | — | $633.92 |
| Rest of MarylandMaryland | — | $598.38 |
| Rest of MaineMaine | — | $554.00 |
| Southern Maine, MEMaine | — | $575.07 |
| Detroit, MIMichigan | — | $621.44 |
| Rest of MichiganMichigan | — | $577.88 |
| MinnesotaMinnesota | — | $568.98 |
| Metropolitan Kansas City, MOMissouri | — | $577.66 |
| Metropolitan St. Louis, MOMissouri | — | $582.71 |
| Rest of MissouriMissouri | — | $555.16 |
| MississippiMississippi | — | $542.86 |
| MontanaMontana | — | $596.44 |
| North CarolinaNorth Carolina | — | $558.64 |
| North DakotaNorth Dakota | — | $566.18 |
| NebraskaNebraska | — | $542.40 |
| New HampshireNew Hampshire | — | $602.05 |
| Northern New JerseyNew Jersey | — | $662.53 |
| Rest of New JerseyNew Jersey | — | $638.41 |
| New MexicoNew Mexico | — | $582.72 |
| NevadaNevada | — | $588.30 |
| NYC suburbs and Long Island, NYNew York | — | $711.53 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $646.33 |
| Queens, NYNew York | — | $688.29 |
| Rest of New YorkNew York | — | $566.85 |
| OhioOhio | — | $571.70 |
| OklahomaOklahoma | — | $554.09 |
| Portland, OROregon | — | $619.76 |
| Rest of OregonOregon | — | $580.20 |
| Metropolitan Philadelphia, PAPennsylvania | — | $622.90 |
| Rest of PennsylvaniaPennsylvania | — | $569.93 |
| Puerto RicoPuerto Rico | — | $598.97 |
| Rhode IslandRhode Island | — | $605.45 |
| South CarolinaSouth Carolina | — | $566.82 |
| South DakotaSouth Dakota | — | $562.61 |
| TennesseeTennessee | — | $546.47 |
| Austin, TXTexas | — | $608.06 |
| Beaumont, TXTexas | — | $566.79 |
| Brazoria, TXTexas | — | $584.73 |
| Dallas, TXTexas | — | $590.42 |
| Fort Worth, TXTexas | — | $588.18 |
| Galveston, TXTexas | — | $587.76 |
| Houston, TXTexas | — | $615.76 |
| Rest of TexasTexas | — | $576.78 |
| UtahUtah | — | $573.91 |
| VirginiaVirginia | — | $576.58 |
| Virgin Islands, VIUnited States Virgin Islands | — | $598.97 |
| VermontVermont | — | $568.39 |
| Rest of WashingtonWashington | — | $603.03 |
| King County, WAWashington | — | $665.83 |
| WisconsinWisconsin | — | $548.99 |
| West VirginiaWest Virginia | — | $580.54 |
| WyomingWyoming | — | $583.25 |
24147 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 24147 rate is calculated
Each of 24147’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 · 24147
RVUs × geographic indexes × conversion factor
Work7.64
7.64 RVUs× 1.000 GPCI
Practice expense8.69
8.69 RVUs× 1.000 GPCI
Malpractice1.53
1.53 RVUs× 1.000 GPCI
Adjusted RVUs
17.8600
Conversion factor
$33.4009
Medicare rate
$596.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,282
- Code
- 24147
- Physician work
- 7.64
- Practice expense
- 8.69
- Malpractice
- 1.53
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.64 | × 1.000 | 7.6400 |
| Practice expense | 8.69 | × 0.859 | 7.4647 |
| Malpractice | 1.53 | × 0.515 | 0.7880 |
| Total RVUs | 15.8927 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$530.83
Facility: (7.64 × 1 + 8.69 × 0.859 + 1.53 × 0.515) × $33.4009 = $530.83
Payment rules and modifiers for 24147
24147 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24147
Olecranon excision, partial bone removal
| 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 · 24147
Olecranon excision, partial bone removal
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
24147 without 50 · national facility
$596.54
Olecranon excision, partial bone removal
24147-50 · Bilateral: 150%
$894.81
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 24147 has changed in Arkansas
24147 · 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 | $530.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $530.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $530.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $530.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $557.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $557.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $557.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $557.97 | RVU25A |
| 2024-10-01 | Not available in this setting | $568.48 | RVU24D |
| 2024-07-01 | Not available in this setting | $568.48 | RVU24C |
| 2024-04-01 | Not available in this setting | $568.48 | RVU24B |
| 2024-03-09 | Not available in this setting | $568.48 | RVU24AR |
| 2024-01-01 | Not available in this setting | $559.20 | RVU24A |
| 2023-10-01 | Not available in this setting | $570.83 | RVU23D |
| 2023-07-01 | Not available in this setting | $570.83 | RVU23C |
| 2023-04-01 | Not available in this setting | $570.83 | RVU23B |
| 2023-01-01 | Not available in this setting | $570.83 | RVU23A |
| 2022-10-01 | Not available in this setting | $571.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $571.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $571.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $571.04 | RVU22A |
| 2021-10-01 | Not available in this setting | $571.74 | RVU21D |
| 2021-07-01 | Not available in this setting | $571.74 | RVU21C |
| 2021-04-01 | Not available in this setting | $571.74 | RVU21B |
| 2021-01-01 | Not available in this setting | $571.74 | RVU21A |
| 2020-10-01 | Not available in this setting | $579.55 | RVU20D |
| 2020-07-01 | Not available in this setting | $579.55 | RVU20C |
| 2020-04-01 | Not available in this setting | $579.55 | RVU20B |
| 2020-01-01 | Not available in this setting | $579.55 | RVU20A |
| 2019-10-01 | Not available in this setting | $583.52 | RVU19D |
| 2019-07-01 | Not available in this setting | $583.52 | RVU19C |
| 2019-04-01 | Not available in this setting | $583.52 | RVU19B |
| 2019-01-01 | Not available in this setting | $583.52 | RVU19A |
| 2018-10-01 | Not available in this setting | $581.83 | RVU18D |
| 2018-07-01 | Not available in this setting | $581.83 | RVU18C |
| 2018-04-01 | Not available in this setting | $581.83 | RVU18B |
| 2018-01-01 | Not available in this setting | $581.83 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $576.59 | RVU17D |
| 2017-07-01 | Not available in this setting | $576.59 | RVU17C |
| 2017-04-01 | Not available in this setting | $576.59 | RVU17B |
| 2017-01-01 | Not available in this setting | $576.59 | RVU17A |
| 2016-10-01 | Not available in this setting | $571.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $571.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $571.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $571.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $576.42 | RVU15D |
| 2015-07-01 | Not available in this setting | $576.42 | RVU15C |
| 2015-04-01 | Not available in this setting | $573.55 | RVU15B |
| 2015-01-01 | Not available in this setting | $573.55 | RVU15A |
| 2014-10-01 | Not available in this setting | $566.51 | RVU14D |
| 2014-07-01 | Not available in this setting | $566.51 | RVU14C |
| 2014-04-01 | Not available in this setting | $566.51 | RVU14B |
| 2014-01-01 | Not available in this setting | $566.51 | RVU14A |
| 2013-10-01 | Not available in this setting | $559.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $559.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $559.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $559.14 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
24147 billing questions
How is this different from olecranon bursa excision?
This code represents removal of olecranon bone. Bursa excision treats the sac over the elbow tip; a separately indicated bursa procedure may be reported when performed.
When would a sequestrectomy code be more appropriate?
Use the olecranon sequestrectomy code when the surgeon removes a sequestrum of devitalized bone, rather than performing a partial excision for a focal bony problem.
What documentation supports reporting this code?
Document the olecranon as the operative site, the bone removed, the reason for removal, and the work performed. The record should distinguish bone excision from bursa treatment alone.
How does Medicare handle bilateral reporting?
For bilateral procedures reported with modifier 50, CMS pays at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons are paid only when supporting documentation is provided; 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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