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Billing code 24126: Bone lesion surgeryMedicare rate & RVUs

Reports removal or curettage of a benign cyst or tumor in the radius when the resulting bone defect is filled with allograft.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $617.58 for 24126 nationally in a facility.

Medicare rate · 24126

Bone lesion surgery

Swap in your local Medicare rate.

Work RVUs
8.4
Total RVUs
18.49
Global days
090

National rate · 2026

$617.58

Facility setting, before claim adjustments.

See every locality for 24126 → · 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 24126 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 24126 covers

An orthopedic surgeon removes or curettes a bone cyst or benign tumor in the radius and fills the resulting defect with donor bone allograft. The service is performed in an operative setting; the operative report should identify the radius, describe the lesion and its removal, and document use of allograft. This code describes treatment of a benign lesion, not a radical resection for a malignant tumor.

Select this code when the treated bone is the radius and allograft is used. The no-graft and autograft options are distinct codes in the same procedure family. CMS assigns a 90-day major-surgery 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 others at 50%. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be 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.

Where 24126 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

24126 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$557.08
Alaska*Unavailable$749.21
ArizonaUnavailable$600.42
ArkansasUnavailable$549.61
AtlantaUnavailable$634.82
AustinUnavailable$627.46
BakersfieldUnavailable$626.31
Baltimore/Surr. CntysUnavailable$656.42
BeaumontUnavailable$588.38
BrazoriaUnavailable$604.25

24126 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
24126 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 24126 rate is calculated

Each of 24126’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 · 24126

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.40Practice expense 8.31Malpractice 1.78

18.4900 adjusted RVUs×$33.4009 conversion factor=$617.58

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

Payment rules and modifiers for 24126

24126 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24126

Bone lesion surgery

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)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 · 24126

Bone lesion surgery

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

24126 without 50 · national facility

$617.58

Bone lesion surgery

24126-50 · Bilateral: 150%

$926.37

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

24126 compared with similar codes

Compare codes

24126 vs 24120 vs 24125 vs 24116: national Medicare rates

Swap in your local Medicare rate.

  • 24126
    Bone lesion surgery · 8.4 wRVU
    —
  • 24120
    Bone lesion removal · 6.65 wRVU
    —
  • 24125
    Bone lesion surgery · 7.94 wRVU
    —
  • 24116
    Bone lesion surgery · 11.92 wRVU
    —

How to choose

24120Bone lesion removal
Both apply to a cyst or benign tumor in the radius. Choose 24126 when allograft is used; 24120 describes the procedure without graft.
24125Bone lesion surgery
This is the radius grafting counterpart using autograft. Choose 24126 when the graft is allograft.
24116Bone lesion surgery
This describes the comparable allograft procedure on the humerus. Choose 24126 when the treated bone is the radius.

Codes related to 24126

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

Codes related to 24126
CodeHow it relatesNational office range
Same family
24120Bone lesion removalRadius cyst or benign tumor treatment without graft.No office rate
24125Bone lesion surgeryRadius lesion treatment with autograft rather than allograft.No office rate
Used instead
24116Bone lesion surgerySimilar allograft procedure for a humeral bone cyst or benign tumor.No office rate
24110Bone lesion excisionSimilar humeral lesion procedure without graft.No office rate

24126 billing questions

When should 24126 be selected over 24120?

Use 24126 when the radius lesion is treated with allograft. Code 24120 is the corresponding radius procedure without graft.

How does 24126 differ from 24125?

Both describe treatment of a bone cyst or benign tumor in the radius with grafting. Use 24126 for allograft and 24125 for autograft.

Is the allograft part of the coded procedure?

Yes. Allograft use is part of the service represented by 24126; 24120 is not the right choice when allograft is used.

How is bilateral surgery reported?

For treatment of both radii, report modifier 50; CMS pays the bilateral procedure at 150%.

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 24126PPRRVU2026_Oct_nonQPP.csv, line 2,275 (RVU26D)

Open CMS sourceHow we calculate rates

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