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CPT code 24200: Foreign body removal, upper arm or elbow, subcutaneous2026 Medicare rate & RVUs in Washington, DC area

Removal of a subcutaneous foreign body from the upper arm or elbow, typically when an incision is needed to expose and extract the material.

CMS RVU26DEffective Oct 1, 2026One payment locality206 Medicare services in 2024

In Washington, DC area, Medicare pays $278.37 for 24200 in the office and $160.72 when it’s performed in a hospital or facility.

$278.37Office (non-facility)
$160.72Hospital or facility
+14.5%vs the national office rate ($243.16)

Check a contract rate as a % of Medicare · 24200 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 24200 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 24200 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 24200 covers

This procedure removes material embedded in the subcutaneous tissue of the upper arm or elbow. A clinician makes an incision, locates and extracts the foreign body, and closes or dresses the wound as appropriate. Common situations include removal of a retained fragment after an injury, such as glass or metal in the arm or near the elbow. The service may be performed in an office, procedure room, or operating room, depending on the foreign body's location and the circumstances of removal.

Select this code when the site is the upper arm or elbow and the foreign body is subcutaneous; document the location, tissue depth, and removal performed. A deeper foreign body in this region points to 24201 instead. Medicare assigns a 10-day global period, including related postoperative visits during that period. When bilateral services are reported with modifier 50, CMS pays at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 Washington, DC area compares for 24200

Across 109 of 109 payment localities, the office rate for 24200 runs from $213.03 in Arkansas to $320.22 in San Benito County, CA. Washington, DC area pays $278.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

24200 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$278.37
  2. Los Angeles, CA · California$273.07−$5.30
  3. Miami, FL · Florida$268.61−$9.76
  4. Chicago, IL · Illinois$260.00−$18.37
  5. Manhattan, NY · New York$281.89+$3.52
  6. Alaska · Alaska$278.36−$0.01
  7. Alabama · Alabama$216.40−$61.97

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

24200 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$213.03$127.24
ArizonaArizona$236.08$139.31
Bakersfield, CACalifornia$256.12$146.66
Chico, CACalifornia$255.12$145.67
El Centro, CACalifornia$255.18$145.73
Fresno, CACalifornia$255.12$145.67
Hanford, CACalifornia$255.12$145.67
Madera, CACalifornia$255.12$145.67

24200 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$213.03

$287.67

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
24200 office rate range by state
State / territoryOffice rate rangeLocalities
AK$278.361
AL$216.401
AR$213.031
AZ$236.081
CA$255.12–$320.2229
CO$252.261
CT$260.131
DC$278.371
DE$240.171
FL$241.62–$268.613
GA$226.85–$248.512
GU$261.711
HI$261.711
IA$221.261
ID$223.031
IL$234.93–$260.004
IN$224.401
KS$220.651
KY$223.011
LA$222.83–$234.632
MA$250.79–$277.682
MD$244.83–$278.373
ME$224.83–$237.172
MI$229.72–$245.382
MN$239.691
MO$219.06–$234.913
MS$216.061
MT$243.131
NC$227.271
ND$236.021
NE$222.411
NH$248.721
NJ$262.53–$275.262
NM$231.271
NV$241.321
NY$230.97–$289.805
OH$228.261
OK$222.041
OR$238.90–$260.152
PA$228.36–$253.602
PR$244.871
RI$248.661
SC$228.261
SD$235.171
TN$221.911
TX$226.79–$251.908
UT$231.591
VA$236.69–$278.372
VI$244.871
VT$235.501
WA$250.18–$283.022
WI$227.601
WV$225.761
WY$240.031

See 24200 in every payment locality

How the 24200 rate is calculated

Each of 24200’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 · 24200

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.76

1.76 RVUs× 1.000 GPCI

Practice expense5.16

5.16 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

7.2800

Conversion factor

$33.4009

Medicare rate

$243.16

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,289

Code
24200
Physician work
1.76
Practice expense
5.16
Malpractice
0.36

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 24200 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0541.8550
Practice expense5.16× 1.1786.0785
Malpractice0.36× 1.1130.4007
Total RVUs8.3342
Conversion factor× 33.4009

Office rate, Washington, DC area$278.37

Office: (1.76 × 1.054 + 5.16 × 1.178 + 0.36 × 1.113) × $33.4009 = $278.37

Facility: (1.76 × 1.054 + 2.17 × 1.178 + 0.36 × 1.113) × $33.4009 = $160.72

Open 24200 in the RVU calculator

Payment rules and modifiers for 24200

24200 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24200

Foreign body removal, upper arm or elbow, subcutaneous

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 24200

Foreign body removal, upper arm or elbow, subcutaneous

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

24200 without 50 · national office

$243.16

Foreign body removal, upper arm or elbow, subcutaneous

24200-50 · Bilateral: 150%

$364.74

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

Codes related to 24200

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 24200
CodeHow it relatesOffice range, Washington, DC area
Same family
24201Foreign body removal, deep upper arm or elbowDeep foreign body removal in the same upper arm or elbow region.$765.02
Used instead
10120Foreign body removal, simple subcutaneous extractionGeneral code for simple incision and removal of a subcutaneous foreign body.$180.09
10121Foreign body removal, complicated subcutaneousGeneral code for complicated incision and removal of a subcutaneous foreign body.$312.33
23330Foreign-body removal, shoulder, subcutaneousSubcutaneous foreign body removal when the site is the shoulder.$378.24

How 24200 has changed in Washington, DC area

24200 · Office / nonfacility

$278.37

Effective 2026-10-01

The base rate is $27.43 higher than on 2025-10-01, moving from $250.94 to $278.37 (10.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $250.94changed to$278.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.81 changed to 1.76
    • Practice expense RVU 4.58 changed to 5.16
    • Malpractice RVU 0.33 changed to 0.36
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $255.47changed to$250.94

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.51 changed to 4.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $251.30changed to$255.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $258.30changed to$251.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.39 changed to 4.51
    • Malpractice RVU 0.31 changed to 0.33
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $271.12changed to$258.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.46 changed to 4.39
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $272.05changed to$271.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.44 changed to 4.46
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $262.60changed to$272.05

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.08 changed to 4.44
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $251.54changed to$262.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.94 changed to 4.08
    • Malpractice RVU 0.27 changed to 0.31
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $247.79changed to$251.54

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.86 changed to 3.94

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $245.21changed to$247.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.79 changed to 3.86
    • Malpractice RVU 0.29 changed to 0.27
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $245.38changed to$245.21

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.30 changed to 0.29
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $246.72changed to$245.38

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.31 changed to 0.30

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $245.49changed to$246.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $239.92changed to$245.49

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.69 changed to 3.79
    • Malpractice RVU 0.30 changed to 0.31
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $242.41changed to$239.92

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.07 changed to 3.69
    • Malpractice RVU 0.31 changed to 0.30
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $242.41

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$278.37$160.72RVU26D
2026-07-01$278.37$160.72RVU26C
2026-04-01$278.37$160.72RVU26B
2026-01-01$278.37$160.72RVU26A
2025-10-01$250.94$161.11RVU25D
2025-07-01$250.94$161.11RVU25C
2025-04-01$250.94$161.11RVU25B
2025-01-01$250.94$161.11RVU25A
2024-10-01$255.47$162.22RVU24D
2024-07-01$255.47$162.22RVU24C
2024-04-01$255.47$162.22RVU24B
2024-03-09$255.47$162.22RVU24AR
2024-01-01$251.30$159.57RVU24A
2023-10-01$258.30$162.86RVU23D
2023-07-01$258.30$162.86RVU23C
2023-04-01$258.30$162.86RVU23B
2023-01-01$258.30$162.86RVU23A
2022-10-01$271.12$168.89RVU22D
2022-07-01$271.12$168.89RVU22C
2022-04-01$271.12$168.89RVU22B
2022-01-01$271.12$168.89RVU22A
2021-10-01$272.05$168.54RVU21D
2021-07-01$272.05$168.54RVU21C
2021-04-01$272.05$168.54RVU21B
2021-01-01$272.05$168.54RVU21A
2020-10-01$262.60$167.86RVU20D
2020-07-01$262.60$167.86RVU20C
2020-04-01$262.60$167.86RVU20B
2020-01-01$262.60$167.86RVU20A
2019-10-01$251.54$163.38RVU19D
2019-07-01$251.54$163.38RVU19C
2019-04-01$251.54$163.38RVU19B
2019-01-01$251.54$163.38RVU19A
2018-10-01$247.79$163.64RVU18D
2018-07-01$247.79$163.64RVU18C
2018-04-01$247.79$163.64RVU18B
2018-01-01$247.79$163.64RVU18AR1
2017-10-01$245.21$163.47RVU17D
2017-07-01$245.21$163.47RVU17C
2017-04-01$245.21$163.47RVU17B
2017-01-01$245.21$163.47RVU17A
2016-10-01$245.38$163.83RVU16D
2016-07-01$245.38$163.83RVU16C
2016-04-01$245.38$163.83RVU16B
2016-01-01$245.38$163.83RVU16A
2015-10-01$246.72$165.32RVU15D
2015-07-01$246.72$165.32RVU15C
2015-04-01$245.49$164.50RVU15B
2015-01-01$245.49$164.50RVU15A
2014-10-01$239.92$160.69RVU14D
2014-07-01$239.92$160.69RVU14C
2014-04-01$239.92$160.69RVU14B
2014-01-01$239.92$160.69RVU14A
2013-10-01$242.41$160.07RVU13D
2013-07-01$242.41$160.07RVU13C
2013-04-01$242.41$160.07RVU13B
2013-01-01$242.41$160.07RVU13AR

Price 24200 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

24200 billing questions

When should 24201 be used instead?

Use 24201 when the foreign body is deep in the upper arm or elbow region. For 24200, documentation should support a subcutaneous location.

How does 24200 differ from 10120?

24200 identifies removal from the upper arm or elbow. Code 10120 describes simple incision and removal of a subcutaneous foreign body more generally; select the code that fits the documented site and service.

Are related postoperative visits separately included?

Related postoperative visits during the 10-day global period are included in 24200.

How is bilateral removal reported?

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

Can an assistant surgeon be paid for this procedure?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are 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 24200PPRRVU2026_Oct_nonQPP.csv, line 2,289 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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