CPT code 24201: Foreign body removal, deep upper arm or elbow2026 Medicare rate & RVUs in Vermont

Removal of a deeply embedded foreign body in the upper arm or elbow area when surgical exposure and dissection are needed.

CMS RVU26DEffective Oct 1, 2026One payment locality89 Medicare services in 2024

In Vermont, Medicare pays $646.20 for 24201 in the office and $374.06 when it’s performed in a hospital or facility.

$646.20Office (non-facility)
$374.06Hospital or facility
−3.2%vs the national office rate ($667.35)

Check a contract rate as a % of Medicare · 24201 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 24201 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 24201 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 24201 covers

This service covers surgical removal of a foreign object located deep in the upper arm or elbow area, rather than just beneath the skin. A surgeon exposes and dissects to the object, such as a retained fragment embedded in deeper tissue. It may be performed in an outpatient operating room or, when appropriate, another procedural setting. The operative report should identify the site, depth, and work required to locate and remove the object.

Report 24201 when the foreign body is deep in the specified anatomic area; use the subcutaneous-level code for an object confined to tissue just under the skin. 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%. For bilateral procedures reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid; 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 Vermont compares for 24201

Across 109 of 109 payment localities, the office rate for 24201 runs from $583.45 in Arkansas to $881.57 in San Benito County, CA. Vermont pays $646.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

24201 in Vermont vs other payment areas
  1. Vermont · this page$646.20
  2. Los Angeles, CA · California$750.59+$104.39
  3. Washington, DC area · District of Columbia$765.02+$118.82
  4. Miami, FL · Florida$737.64+$91.44
  5. Chicago, IL · Illinois$713.65+$67.45
  6. Manhattan, NY · New York$774.49+$128.29
  7. Alaska · Alaska$760.28+$114.08

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

Every other payment area

24201 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$592.84$352.31
ArkansasArkansas$583.45$347.32
ArizonaArizona$647.67$381.30
Bakersfield, CACalifornia$703.53$402.25
Chico, CACalifornia$700.81$399.53
El Centro, CACalifornia$700.98$399.70
Fresno, CACalifornia$700.81$399.53
Hanford, CACalifornia$700.81$399.53

24201 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.

$583.45

$791.19

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

View every state and territory as a table
24201 office rate range by state
State / territoryOffice rate rangeLocalities
AK$760.281
AL$592.841
AR$583.451
AZ$647.671
CA$700.81–$881.5729
CO$692.751
CT$714.411
DC$765.021
DE$659.001
FL$662.81–$737.643
GA$621.72–$682.162
GU$719.371
HI$719.371
IA$606.501
ID$611.421
IL$644.09–$713.654
IN$615.221
KS$604.741
KY$611.111
LA$610.61–$643.452
MA$688.59–$763.362
MD$671.94–$765.023
ME$616.35–$650.822
MI$629.74–$673.192
MN$658.031
MO$600.07–$644.313
MS$591.821
MT$667.281
NC$623.171
ND$647.711
NE$609.721
NH$682.951
NJ$720.96–$756.252
NM$634.051
NV$662.311
NY$633.46–$796.455
OH$625.741
OK$608.481
OR$655.60–$714.762
PA$626.06–$696.222
PR$672.151
RI$682.571
SC$625.811
SD$645.391
TN$608.241
TX$621.68–$691.808
UT$635.101
VA$649.45–$765.022
VI$672.151
VT$646.201
WA$686.94–$778.202
WI$624.251
WV$618.551
WY$658.751

See 24201 in every payment locality

How the 24201 rate is calculated

Each of 24201’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 · 24201

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.58

4.58 RVUs× 1.000 GPCI

Practice expense14.41

14.41 RVUs× 1.000 GPCI

Malpractice0.99

0.99 RVUs× 1.000 GPCI

Adjusted RVUs

19.9800

Conversion factor

$33.4009

Medicare rate

$667.35

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

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,290

Code
24201
Physician work
4.58
Practice expense
14.41
Malpractice
0.99

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 24201 in Vermont
ComponentRVULocality factorAdjusted
Physician work4.58× 1.0004.5800
Practice expense14.41× 0.99014.2659
Malpractice0.99× 0.5060.5009
Total RVUs19.3468
Conversion factor× 33.4009

Office rate, Vermont$646.20

Office: (4.58 × 1 + 14.41 × 0.99 + 0.99 × 0.506) × $33.4009 = $646.20

Facility: (4.58 × 1 + 6.18 × 0.99 + 0.99 × 0.506) × $33.4009 = $374.06

Open 24201 in the RVU calculator

Payment rules and modifiers for 24201

24201 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24201

Foreign body removal, deep upper arm or elbow

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)0Not permitted.
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 · 24201

Foreign body removal, deep upper arm or elbow

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

24201 without 50 · national office

$667.35

Foreign body removal, deep upper arm or elbow

24201-50 · Bilateral: 150%

$1,001.03

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 24201 has changed in Vermont

24201 · Office / nonfacility

$646.20

Effective 2026-10-01

The base rate is $61.96 higher than on 2025-10-01, moving from $584.24 to $646.20 (10.6%).

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

    $584.24changed to$646.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.70 changed to 4.58
    • Practice expense RVU 12.95 changed to 14.41
    • Malpractice RVU 0.97 changed to 0.99
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $602.89changed to$584.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.00 changed to 12.95

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $593.05changed to$602.89

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $546.06changed to$593.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.92 changed to 13.00
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518
  5. January 1, 2023

    RVU23A

    $555.47changed to$546.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.76 changed to 10.92
    • Malpractice RVU 1.02 changed to 0.97
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $561.42changed to$555.47

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.81 changed to 10.76
    • Malpractice RVU 1.00 changed to 1.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $556.23changed to$561.42

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.05 changed to 10.81
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $561.16changed to$556.23

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.13 changed to 10.05
    • Malpractice RVU 0.99 changed to 1.00
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $559.97changed to$561.16

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.12 changed to 10.13
    • Malpractice RVU 0.98 changed to 0.99

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $551.81changed to$559.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.95 changed to 10.12
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $547.62changed to$551.81

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.88 changed to 9.95
    • Malpractice RVU 0.99 changed to 0.98
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $563.30changed to$547.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.26 changed to 9.88

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $560.50changed to$563.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $556.38changed to$560.50

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.22 changed to 10.26
    • Malpractice RVU 0.89 changed to 0.99
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$556.38

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$646.20$374.06RVU26D
2026-07-01$646.20$374.06RVU26C
2026-04-01$646.20$374.06RVU26B
2026-01-01$646.20$374.06RVU26A
2025-10-01$584.24$384.45RVU25D
2025-07-01$584.24$384.45RVU25C
2025-04-01$584.24$384.45RVU25B
2025-01-01$584.24$384.45RVU25A
2024-10-01$602.89$391.34RVU24D
2024-07-01$602.89$391.34RVU24C
2024-04-01$602.89$391.34RVU24B
2024-03-09$602.89$391.34RVU24AR
2024-01-01$593.05$384.95RVU24A
2023-10-01$546.06$360.24RVU23D
2023-07-01$546.06$360.24RVU23C
2023-04-01$546.06$360.24RVU23B
2023-01-01$546.06$360.24RVU23A
2022-10-01$555.47$362.87RVU22D
2022-07-01$555.47$362.87RVU22C
2022-04-01$555.47$362.87RVU22B
2022-01-01$555.47$362.87RVU22A
2021-10-01$561.42$360.94RVU21D
2021-07-01$561.42$360.94RVU21C
2021-04-01$561.42$360.94RVU21B
2021-01-01$561.42$360.94RVU21A
2020-10-01$556.23$363.42RVU20D
2020-07-01$556.23$363.42RVU20C
2020-04-01$556.23$363.42RVU20B
2020-01-01$556.23$363.42RVU20A
2019-10-01$561.16$365.46RVU19D
2019-07-01$561.16$365.46RVU19C
2019-04-01$561.16$365.46RVU19B
2019-01-01$561.16$365.46RVU19A
2018-10-01$559.97$364.48RVU18D
2018-07-01$559.97$364.48RVU18C
2018-04-01$559.97$364.48RVU18B
2018-01-01$559.97$364.48RVU18AR1
2017-10-01$551.81$362.24RVU17D
2017-07-01$551.81$362.24RVU17C
2017-04-01$551.81$362.24RVU17B
2017-01-01$551.81$362.24RVU17A
2016-10-01$547.62$360.69RVU16D
2016-07-01$547.62$360.69RVU16C
2016-04-01$547.62$360.69RVU16B
2016-01-01$547.62$360.69RVU16A
2015-10-01$563.30$367.76RVU15D
2015-07-01$563.30$367.76RVU15C
2015-04-01$560.50$365.93RVU15B
2015-01-01$560.50$365.93RVU15A
2014-10-01$556.38$364.29RVU14D
2014-07-01$556.38$364.29RVU14C
2014-04-01$556.38$364.29RVU14B
2014-01-01$556.38$364.29RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 24201 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

24201 billing questions

How does 24201 differ from 24200?

24201 is for a foreign body deep in the upper arm or elbow area. Use 24200 when it is confined to the subcutaneous tissue.

What documentation supports reporting 24201?

Document the upper arm or elbow location, the object's depth, and the operative work used to expose and remove it. The record should make clear why the object was not merely subcutaneous.

How is a bilateral procedure reported?

Report modifier 50 for a bilateral procedure; CMS pays it at 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code, and co-surgeons are not permitted. Team surgery is also 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.

How does the multiple-procedure reduction work?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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 24201PPRRVU2026_Oct_nonQPP.csv, line 2,290 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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