CPT code 24149: Elbow resection, radical extent2026 Medicare rate & RVUs in Utah

Reports extensive radical removal of a tumor involving the elbow, rather than a limited excision or resection confined to a specific bone.

CMS RVU26DEffective Oct 1, 2026One payment locality420 Medicare services in 2024

In Utah, Medicare pays $1,052.02 for 24149 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,052.02Hospital or facility

Check a contract rate as a % of Medicare · 24149 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 24149 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 24149 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 24149 covers

An orthopedic surgeon, often working in orthopedic oncology, uses this service for extensive removal of a tumor involving the elbow. The operation removes the tumor with the surrounding involved tissue and may include affected elbow structures or bone. It is generally performed in a hospital operating room when a limited excision would not represent the planned extent of removal.

Select this code when the operative report supports radical resection at the elbow; document the tumor location and the structures removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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 Utah compares for 24149

Across 109 of 109 payment localities, the facility rate for 24149 runs from $974.41 in Arkansas to $1,336.18 in Alaska. Utah pays $1,052.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

24149 in Utah vs other payment areas
  1. Utah · this page$1,052.02
  2. Los Angeles, CA · California$1,159.60+$107.58
  3. Washington, DC area · District of Columbia$1,211.88+$159.86
  4. Miami, FL · Florida$1,271.30+$219.28
  5. Chicago, IL · Illinois$1,233.73+$181.71
  6. Manhattan, NY · New York$1,260.10+$208.08
  7. Alaska · Alaska$1,336.18+$284.16

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

Every other payment area

24149 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$987.12
ArkansasArkansas—$974.41
ArizonaArizona—$1,060.78
Bakersfield, CACalifornia—$1,102.48
Chico, CACalifornia—$1,093.67
El Centro, CACalifornia—$1,094.20
Fresno, CACalifornia—$1,093.67
Hanford, CACalifornia—$1,093.67

24149 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
24149 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 24149 in every payment locality

How the 24149 rate is calculated

Each of 24149’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 · 24149

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.81

15.81 RVUs× 1.000 GPCI

Practice expense13.65

13.65 RVUs× 1.000 GPCI

Malpractice3.18

3.18 RVUs× 1.000 GPCI

Adjusted RVUs

32.6400

Conversion factor

$33.4009

Medicare rate

$1,090.21

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,283

Code
24149
Physician work
15.81
Practice expense
13.65
Malpractice
3.18

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 24149 in Utah
ComponentRVULocality factorAdjusted
Physician work15.81× 1.00015.8100
Practice expense13.65× 0.94012.8310
Malpractice3.18× 0.8982.8556
Total RVUs31.4966
Conversion factor× 33.4009

Facility rate, Utah$1052.02

Facility: (15.81 × 1 + 13.65 × 0.94 + 3.18 × 0.898) × $33.4009 = $1052.02

Open 24149 in the RVU calculator

Payment rules and modifiers for 24149

24149 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24149

Elbow resection, radical extent

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)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 · 24149

Elbow resection, radical extent

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

24149 without 50 · national facility

$1,090.21

Elbow resection, radical extent

24149-50 · Bilateral: 150%

$1,635.32

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 24149 has changed in Utah

24149 · 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$1,052.02RVU26D
2026-07-01Not available in this setting$1,052.02RVU26C
2026-04-01Not available in this setting$1,052.02RVU26B
2026-01-01Not available in this setting$1,052.02RVU26A
2025-10-01Not available in this setting$1,123.41RVU25D
2025-07-01Not available in this setting$1,123.41RVU25C
2025-04-01Not available in this setting$1,123.41RVU25B
2025-01-01Not available in this setting$1,123.41RVU25A
2024-10-01Not available in this setting$1,147.08RVU24D
2024-07-01Not available in this setting$1,147.08RVU24C
2024-04-01Not available in this setting$1,147.08RVU24B
2024-03-09Not available in this setting$1,147.08RVU24AR
2024-01-01Not available in this setting$1,128.36RVU24A
2023-10-01Not available in this setting$1,146.98RVU23D
2023-07-01Not available in this setting$1,146.98RVU23C
2023-04-01Not available in this setting$1,146.98RVU23B
2023-01-01Not available in this setting$1,146.98RVU23A
2022-10-01Not available in this setting$1,143.43RVU22D
2022-07-01Not available in this setting$1,143.43RVU22C
2022-04-01Not available in this setting$1,143.43RVU22B
2022-01-01Not available in this setting$1,143.43RVU22A
2021-10-01Not available in this setting$1,145.87RVU21D
2021-07-01Not available in this setting$1,145.87RVU21C
2021-04-01Not available in this setting$1,145.87RVU21B
2021-01-01Not available in this setting$1,145.87RVU21A
2020-10-01Not available in this setting$1,180.03RVU20D
2020-07-01Not available in this setting$1,180.03RVU20C
2020-04-01Not available in this setting$1,180.03RVU20B
2020-01-01Not available in this setting$1,180.03RVU20A
2019-10-01Not available in this setting$1,199.78RVU19D
2019-07-01Not available in this setting$1,199.78RVU19C
2019-04-01Not available in this setting$1,199.78RVU19B
2019-01-01Not available in this setting$1,199.78RVU19A
2018-10-01Not available in this setting$1,197.63RVU18D
2018-07-01Not available in this setting$1,197.63RVU18C
2018-04-01Not available in this setting$1,197.63RVU18B
2018-01-01Not available in this setting$1,197.63RVU18AR1
2017-10-01Not available in this setting$1,191.13RVU17D
2017-07-01Not available in this setting$1,191.13RVU17C
2017-04-01Not available in this setting$1,191.13RVU17B
2017-01-01Not available in this setting$1,191.13RVU17A
2016-10-01Not available in this setting$1,187.01RVU16D
2016-07-01Not available in this setting$1,187.01RVU16C
2016-04-01Not available in this setting$1,187.01RVU16B
2016-01-01Not available in this setting$1,187.01RVU16A
2015-10-01Not available in this setting$1,190.27RVU15D
2015-07-01Not available in this setting$1,190.27RVU15C
2015-04-01Not available in this setting$1,184.35RVU15B
2015-01-01Not available in this setting$1,184.35RVU15A
2014-10-01Not available in this setting$1,169.77RVU14D
2014-07-01Not available in this setting$1,169.77RVU14C
2014-04-01Not available in this setting$1,169.77RVU14B
2014-01-01Not available in this setting$1,169.77RVU14A
2013-10-01Not available in this setting$1,147.89RVU13D
2013-07-01Not available in this setting$1,147.89RVU13C
2013-04-01Not available in this setting$1,147.89RVU13B
2013-01-01Not available in this setting$1,147.89RVU13AR

Price 24149 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

24149 billing questions

How is this different from resection of the elbow joint, 24155?

24149 describes radical removal involving the elbow, typically for an extensive tumor resection. Use 24155 when the service is resection of the elbow joint rather than a radical tumor resection.

When should 24150 or 24152 be considered instead?

Those codes describe radical tumor resections centered on the distal or shaft humerus, or the radial head and neck, respectively. Choose based on the documented anatomic focus of the resection.

What documentation supports 24149?

The operative report should identify the tumor’s elbow location, the radical extent of removal, and the involved structures removed. A limited excision or bone procedure alone does not establish this service.

How is bilateral surgery reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 24149PPRRVU2026_Oct_nonQPP.csv, line 2,283 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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