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Billing code 24136: Bone sequestrectomyMedicare rate & RVUs

Reports surgical removal of a sequestrum from the radial head or neck, typically when devitalized bone is treated in a setting such as chronic osteomyelitis.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $600.55 for 24136 nationally in a facility.

Medicare rate · 24136

Bone sequestrectomy

Swap in your local Medicare rate.

Work RVUs
8.19
Total RVUs
17.98
Global days
090

National rate · 2026

$600.55

Facility setting, before claim adjustments.

See every locality for 24136 → · 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 24136 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 24136 covers

This service removes a sequestrum, or isolated devitalized bone, from the radial head or neck near the elbow. An orthopedic surgeon typically performs the operation when dead bone requires removal, often in the setting of chronic osteomyelitis. The operative work is specific to the radial head or neck; sequestra in other elbow-region bones belong to different site-specific codes.

Select the code when the operative report supports removal of a sequestrum at this site, rather than a broader partial bone excision or removal of the radial head. The 90-day global period includes 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 reported with modifier 50, payment is at 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.

Where 24136 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

24136 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$541.72
Alaska*Unavailable$728.71
ArizonaUnavailable$583.84
ArkansasUnavailable$534.45
AtlantaUnavailable$617.35
AustinUnavailable$610.06
BakersfieldUnavailable$608.83
Baltimore/Surr. CntysUnavailable$638.33
BeaumontUnavailable$572.22
BrazoriaUnavailable$587.53

24136 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
24136 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 24136 rate is calculated

Each of 24136’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 · 24136

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.19Practice expense 8.05Malpractice 1.74

17.9800 adjusted RVUs×$33.4009 conversion factor=$600.55

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

Payment rules and modifiers for 24136

24136 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24136

Bone sequestrectomy

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 · 24136

Bone sequestrectomy

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

24136 without 50 · national facility

$600.55

Bone sequestrectomy

24136-50 · Bilateral: 150%

$900.83

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

24136 compared with similar codes

Compare codes

24136 vs 24134 vs 24138 vs 24145 vs 24130: national Medicare rates

Swap in your local Medicare rate.

  • 24136
    Bone sequestrectomy · 8.19 wRVU
    —
  • 24134
    Bone sequestrectomy · 9.96 wRVU
    —
  • 24138
    Bone sequestrectomy · 8.29 wRVU
    —
  • 24145
    Bone excision · 7.61 wRVU
    —
  • 24130
    Radial head excision · 6.26 wRVU
    —

How to choose

24134Bone sequestrectomy
This code is for a sequestrum at the radial head or neck. Code 24134 identifies the shaft or distal humerus as the site.
24138Bone sequestrectomy
Use this code for a sequestrum at the radial head or neck; code 24138 is for the olecranon process.
24145Bone excision
Code 24145 describes partial bone excision at the radial head or neck. Choose this code when the operative work specifically removes a sequestrum.
24130Radial head excision
Code 24130 is for excision of the radial head. This code is specific to sequestrum removal at the radial head or neck.

Codes related to 24136

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

Codes related to 24136
CodeHow it relatesNational office range
Same family
24134Bone sequestrectomySequestrectomy at the shaft or distal humerus rather than the radial head or neck.No office rate
24138Bone sequestrectomySequestrectomy at the olecranon process rather than the radial head or neck.No office rate
Used instead
24145Bone excisionPartial bone excision at the radial head or neck when the service is not sequestrectomy.No office rate
24130Radial head excisionRadial head excision, a different procedure from removing a sequestrum.No office rate

24136 billing questions

How does this differ from partial excision of the radial head or neck?

Use this code when the documented target is a sequestrum, or isolated devitalized bone. Partial excision describes a different bone-removal service and should not be selected solely because bone was removed.

When is radial head excision a better fit?

Radial head excision is the relevant comparison when the operation removes the radial head rather than specifically removing a sequestrum from the radial head or neck.

What documentation supports reporting this code?

The operative report should identify the radial head or neck as the site and describe removal of sequestrated bone. A diagnosis such as osteomyelitis may provide clinical context but does not replace documentation of the procedure performed.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% multiple-procedure reduction.

How should bilateral procedures and surgical assistance be handled?

For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.

What care is included in the global period?

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 24136PPRRVU2026_Oct_nonQPP.csv, line 2,278 (RVU26D)

Open CMS sourceHow we calculate rates

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