CPT code 24147: Olecranon excision, partial bone removal2026 Medicare rate & RVUs in North Carolina

This operation removes a limited portion of the olecranon for a focal bony problem, such as a symptomatic spur or prominence.

CMS RVU26DEffective Oct 1, 2026One payment locality692 Medicare services in 2024

In North Carolina, Medicare pays $558.64 for 24147 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$558.64Hospital or facility

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.

We’ll open 24147 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 24147 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 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 North Carolina 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. North Carolina pays $558.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

24147 in North Carolina vs other payment areas
  1. North Carolina · this page$558.64
  2. Los Angeles, CA · California$642.95+$84.31
  3. Washington, DC area · District of Columbia$667.76+$109.12
  4. Miami, FL · Florida$686.58+$127.94
  5. Chicago, IL · Illinois$665.96+$107.32
  6. Manhattan, NY · New York$689.84+$131.20
  7. Alaska · Alaska$720.05+$161.41

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

Every other payment area

24147 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$538.08
ArkansasArkansas—$530.83
ArizonaArizona—$580.18
Bakersfield, CACalifornia—$609.27
Chico, CACalifornia—$605.03
El Centro, CACalifornia—$605.29
Fresno, CACalifornia—$605.03
Hanford, CACalifornia—$605.03

24147 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
24147 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 24147 in every payment locality

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

Office or facility?

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 North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 24147 in North Carolina
ComponentRVULocality factorAdjusted
Physician work7.64× 1.0007.6400
Practice expense8.69× 0.9338.1078
Malpractice1.53× 0.6390.9777
Total RVUs16.7254
Conversion factor× 33.4009

Facility rate, North Carolina$558.64

Facility: (7.64 × 1 + 8.69 × 0.933 + 1.53 × 0.639) × $33.4009 = $558.64

Open 24147 in the RVU calculator

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

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 · 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.

  • 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

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).

When to use modifier 50

How 24147 has changed in North Carolina

24147 · 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$558.64RVU26D
2026-07-01Not available in this setting$558.64RVU26C
2026-04-01Not available in this setting$558.64RVU26B
2026-01-01Not available in this setting$558.64RVU26A
2025-10-01Not available in this setting$586.64RVU25D
2025-07-01Not available in this setting$586.64RVU25C
2025-04-01Not available in this setting$586.64RVU25B
2025-01-01Not available in this setting$586.64RVU25A
2024-10-01Not available in this setting$597.54RVU24D
2024-07-01Not available in this setting$597.54RVU24C
2024-04-01Not available in this setting$597.54RVU24B
2024-03-09Not available in this setting$597.54RVU24AR
2024-01-01Not available in this setting$587.78RVU24A
2023-10-01Not available in this setting$607.98RVU23D
2023-07-01Not available in this setting$607.98RVU23C
2023-04-01Not available in this setting$607.98RVU23B
2023-01-01Not available in this setting$607.98RVU23A
2022-10-01Not available in this setting$616.19RVU22D
2022-07-01Not available in this setting$616.19RVU22C
2022-04-01Not available in this setting$616.19RVU22B
2022-01-01Not available in this setting$616.19RVU22A
2021-10-01Not available in this setting$616.56RVU21D
2021-07-01Not available in this setting$616.56RVU21C
2021-04-01Not available in this setting$616.56RVU21B
2021-01-01Not available in this setting$616.56RVU21A
2020-10-01Not available in this setting$614.37RVU20D
2020-07-01Not available in this setting$614.37RVU20C
2020-04-01Not available in this setting$614.37RVU20B
2020-01-01Not available in this setting$614.37RVU20A
2019-10-01Not available in this setting$608.33RVU19D
2019-07-01Not available in this setting$608.33RVU19C
2019-04-01Not available in this setting$608.33RVU19B
2019-01-01Not available in this setting$608.33RVU19A
2018-10-01Not available in this setting$606.57RVU18D
2018-07-01Not available in this setting$606.57RVU18C
2018-04-01Not available in this setting$606.57RVU18B
2018-01-01Not available in this setting$606.57RVU18AR1
2017-10-01Not available in this setting$605.02RVU17D
2017-07-01Not available in this setting$605.02RVU17C
2017-04-01Not available in this setting$605.02RVU17B
2017-01-01Not available in this setting$605.02RVU17A
2016-10-01Not available in this setting$603.91RVU16D
2016-07-01Not available in this setting$603.91RVU16C
2016-04-01Not available in this setting$603.91RVU16B
2016-01-01Not available in this setting$603.91RVU16A
2015-10-01Not available in this setting$608.98RVU15D
2015-07-01Not available in this setting$608.98RVU15C
2015-04-01Not available in this setting$605.95RVU15B
2015-01-01Not available in this setting$605.95RVU15A
2014-10-01Not available in this setting$597.82RVU14D
2014-07-01Not available in this setting$597.82RVU14C
2014-04-01Not available in this setting$597.82RVU14B
2014-01-01Not available in this setting$597.82RVU14A
2013-10-01Not available in this setting$591.03RVU13D
2013-07-01Not available in this setting$591.03RVU13C
2013-04-01Not available in this setting$591.03RVU13B
2013-01-01Not available in this setting$591.03RVU13AR

Price 24147 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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
RVUs for 24147PPRRVU2026_Oct_nonQPP.csv, line 2,282 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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