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Billing code 24130: Radial head excisionMedicare rate & RVUs

Reports surgical removal of the radial head, commonly selected for an irreparable radial head fracture or other elbow condition requiring excision.

CMS RVU26DEffective Oct 1, 2026109 payment localities181 Medicare services in 2024

Medicare pays $485.32 for 24130 nationally in a facility.

Medicare rate · 24130

Radial head excision

Swap in your local Medicare rate.

Work RVUs
6.26
Total RVUs
14.53
Global days
090

National rate · 2026

$485.32

Facility setting, before claim adjustments.

See every locality for 24130 → · 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 24130 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 24130 covers

The surgeon removes the radial head, the upper end of the radius that forms part of the elbow joint. This may be chosen for a severely comminuted radial head fracture that cannot be reconstructed or for another elbow condition in which removal is planned. Orthopedic surgeons typically perform the operation in a hospital or ambulatory surgery setting. The operative report should identify the radial head removed, the indication, and the side treated.

Report this code when the service is excision of the radial head, rather than partial bone removal, removal of a prosthetic radial head, or tumor resection. It has 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 other procedures at 50%. Modifier 50 identifies bilateral surgery and is paid at 150%. Assistant-at-surgery payment is restricted; 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.

Where 24130 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

24130 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$438.09
Alaska*Unavailable$586.70
ArizonaUnavailable$472.11
ArkansasUnavailable$432.23
AtlantaUnavailable$497.96
AustinUnavailable$494.69
BakersfieldUnavailable$495.80
Baltimore/Surr. CntysUnavailable$515.56
BeaumontUnavailable$461.24
BrazoriaUnavailable$475.83

24130 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
24130 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 24130 rate is calculated

Each of 24130’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 · 24130

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.26Practice expense 7.04Malpractice 1.23

14.5300 adjusted RVUs×$33.4009 conversion factor=$485.32

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

Payment rules and modifiers for 24130

24130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24130

Radial head 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)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 · 24130

Radial head 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

24130 without 50 · national facility

$485.32

Radial head excision

24130-50 · Bilateral: 150%

$727.98

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

24130 compared with similar codes

Compare codes

24130 vs 24145 vs 24136 vs 24152 vs 24164: national Medicare rates

Swap in your local Medicare rate.

  • 24130
    Radial head excision · 6.26 wRVU
    —
  • 24145
    Bone excision · 7.61 wRVU
    —
  • 24136
    Bone sequestrectomy · 8.19 wRVU
    —
  • 24152
    Tumor resection · 19.49 wRVU
    —
  • 24164
    Prosthesis removal · 9.75 wRVU
    —

How to choose

24145Bone excision
24130 describes excision of the radial head. Use 24145 when the documented service is partial bone excision involving the radial head or neck.
24136Bone sequestrectomy
24136 is for removal of a sequestrum from the radial head or neck. It is not the code for excision of the radial head as a whole.
24152Tumor resection
24152 describes radical resection for a tumor involving the radial head or neck. Use 24130 for radial head excision without that tumor-resection service.
24164Prosthesis removal
24164 applies when the surgeon removes a prosthetic radial head. Code 24130 describes excision of the radial head itself.

Codes related to 24130

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

Codes related to 24130
CodeHow it relatesNational office range
Used instead
24145Bone excisionFor partial excision of bone involving the radial head or neck rather than radial head excision.No office rate
24136Bone sequestrectomyFor sequestrectomy of the radial head or neck when removing a bone sequestrum.No office rate
24152Tumor resectionFor radical resection of a tumor involving the radial head or neck.No office rate
24164Prosthesis removalFor removal of a prosthetic radial head, not excision of the native radial head.No office rate

24130 billing questions

How is this different from partial excision of the radial head or neck?

Use 24130 for excision of the radial head. Code 24145 describes partial bone excision involving the radial head or neck, rather than removal of the radial head.

Can this code be used to remove a radial head prosthesis?

No. Code 24164 is for removal of a prosthetic radial head; 24130 describes excision of the radial head itself.

What documentation supports reporting 24130?

The operative report should establish that the radial head was excised, identify the treated side, and document the clinical indication, such as an irreparable fracture.

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 Medicare handle bilateral reporting and assistant surgeons?

Modifier 50 identifies bilateral surgery and is paid at 150%. Assistant-at-surgery payment is restricted for this code.

Can a co-surgeon or surgical team report this service?

Co-surgeons are paid only with supporting documentation. Team surgery is 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 24130PPRRVU2026_Oct_nonQPP.csv, line 2,276 (RVU26D)

Open CMS sourceHow we calculate rates

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