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Billing code 24105: Bursa excisionMedicare rate & RVUs

Removal of the inflamed bursa over the elbow tip is reported for operative treatment of persistent or recurrent olecranon bursitis.

CMS RVU26DEffective Oct 1, 2026109 payment localities4K Medicare services in 2024

Medicare pays $358.06 for 24105 nationally in a facility.

Medicare rate · 24105

Bursa excision

Swap in your local Medicare rate.

Work RVUs
3.69
Total RVUs
10.72
Global days
090

National rate · 2026

$358.06

Facility setting, before claim adjustments.

See every locality for 24105 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 24105 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 24105 covers

This service removes the bursa over the posterior tip of the ulna, commonly for persistent or recurrent olecranon bursitis that has not resolved with conservative care. An orthopedic surgeon typically performs the open procedure in an operating room or ambulatory surgery setting. The operative target is the bursal sac, not the elbow joint lining or the olecranon bone itself.

Report the code when the operative note supports excision of the olecranon bursa and identifies the affected side and clinical indication. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same 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%. Medicare does not pay an assistant at surgery; 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.

Where 24105 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

24105 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$320.97
Alaska*Unavailable$422.07
ArizonaUnavailable$347.95
ArkansasUnavailable$316.33
AtlantaUnavailable$366.82
AustinUnavailable$367.61
BakersfieldUnavailable$370.74
Baltimore/Surr. CntysUnavailable$381.28
BeaumontUnavailable$337.40
BrazoriaUnavailable$351.64

24105 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
24105 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

How the 24105 rate is calculated

Each of 24105’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 · 24105

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 3.69Practice expense 6.28Malpractice 0.75

10.7200 adjusted RVUs×$33.4009 conversion factor=$358.06

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 24105

24105 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24105

Bursa excision

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 · 24105

Bursa excision

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

24105 without 50 · national facility

$358.06

Bursa excision

24105-50 · Bilateral: 150%

$537.09

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

24105 compared with similar codes

Compare codes

24105 vs 24102 vs 24100 vs 24101 vs 24147: national Medicare rates

Swap in your local Medicare rate.

  • 24105
    Bursa excision · 3.69 wRVU
    —
  • 24102
    Elbow synovectomy · 8.05 wRVU
    —
  • 24100
    Elbow biopsy · 4.94 wRVU
    —
  • 24101
    Elbow arthrotomy · 6.14 wRVU
    —
  • 24147
    Olecranon excision · 7.64 wRVU
    —

How to choose

24102Elbow synovectomy
This code concerns removal of the olecranon bursa. Choose 24102 when the operative work is synovectomy of the elbow joint lining.
24100Elbow biopsy
This code treats bursal disease by excising the bursa. Code 24100 is for obtaining a synovial biopsy from the elbow joint.
24101Elbow arthrotomy
Choose this code for bursa excision. Code 24101 describes an elbow joint exploration with biopsy or removal, rather than removal of the bursal sac.
24147Olecranon excision
This code removes the olecranon bursa; 24147 addresses partial excision of olecranon bone. Select based on the documented operative target.

Codes related to 24105

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

Codes related to 24105
CodeHow it relatesNational office range
Used instead
24102Elbow synovectomyFor operative synovectomy of the elbow joint lining rather than excision of the olecranon bursa.No office rate
24100Elbow biopsyFor an elbow joint synovial biopsy when tissue diagnosis, rather than bursa removal, is the objective.No office rate
24101Elbow arthrotomyFor elbow joint exploration with biopsy or removal, not excision of the superficial olecranon bursa.No office rate
24147Olecranon excisionFor partial excision of olecranon bone when bone, rather than the bursa, is the operative target.No office rate

24105 billing questions

When should this code be chosen instead of an elbow synovectomy code?

Use this code when the operation removes the bursa over the olecranon. A synovectomy code is for work on the joint lining, not the superficial bursal sac.

Does this code describe removal of olecranon bone?

No. The target is the bursa. If the operation removes olecranon bone, assess the bone procedure separately based on the documented work.

What documentation supports reporting the service?

Document the side, the bursal condition prompting surgery, and the operative findings and work showing that the olecranon bursa was excised.

How is bilateral surgery reported under the CMS facts?

Report bilateral surgery with modifier 50; Medicare pays it at 150%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

Are related postoperative visits separately included?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

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 24105PPRRVU2026_Oct_nonQPP.csv, line 2,269 (RVU26D)

Open CMS sourceHow we calculate rates

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