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CPT 24147: Olecranon excisionMedicare rate & RVUs

This operation removes a limited portion of the olecranon for a focal bony problem, such as a symptomatic spur or prominence.

CMS RVU26DEffective Oct 1, 2026109 payment localities692 Medicare services in 2024

Medicare pays $596.54 for 24147 nationally in a facility.

Medicare rate · 24147

Olecranon excision

Swap in your local Medicare rate.

Work RVUs
7.64
Total RVUs
17.86
Global days
090

National rate · 2026

$596.54

Facility setting, before claim adjustments.

See every locality for 24147 →

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 24147 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 24147 covers

The surgeon removes a limited amount of bone from the olecranon, the bony tip of the ulna at the elbow. This may address a painful prominence or osteophyte that causes symptoms or interferes with elbow motion. Orthopedic surgeons most often perform the operation in a hospital or ambulatory surgery setting, sometimes alongside other elbow work when each procedure is separately indicated.

Report the code when the operative record supports partial removal of olecranon bone, rather than treatment of the overlying bursa alone or removal of a bone sequestrum. Document the treated site, the bone removed, and the clinical reason for excision. 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%. Bilateral reporting with modifier 50 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 24147 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

24147 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$538.08
Alaska*Unavailable$720.05
ArizonaUnavailable$580.18
ArkansasUnavailable$530.83
AtlantaUnavailable$612.22
AustinUnavailable$608.06
BakersfieldUnavailable$609.27
Baltimore/Surr. CntysUnavailable$633.92
BeaumontUnavailable$566.79
BrazoriaUnavailable$584.73

24147 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
24147 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 24147 rate is calculated

Each of 24147’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 · 24147

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.64Practice expense 8.69Malpractice 1.53

17.8600 adjusted RVUs×$33.4009 conversion factor=$596.54

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

Payment rules and modifiers for 24147

24147 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24147

Olecranon 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 · 24147

Olecranon 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

24147 without 50 · national facility

$596.54

Olecranon excision

24147-50 · Bilateral: 150%

$894.81

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

24147 compared with similar codes

Compare codes

24147 vs 24105 vs 24138 vs 24149: national Medicare rates

Swap in your local Medicare rate.

  • 24147
    Olecranon excision · 7.64 wRVU
    —
  • 24105
    Bursa excision · 3.69 wRVU
    —
  • 24138
    Bone sequestrectomy · 8.29 wRVU
    —
  • 24149
    Elbow resection · 15.81 wRVU
    —

How to choose

24105Bursa excision
This code removes olecranon bone. Code 24105 addresses excision of the olecranon bursa, the soft-tissue sac over the elbow tip.
24138Bone sequestrectomy
Code 24138 is for removing a sequestrum from the olecranon. Choose 24147 for a partial bone excision that is not specifically a sequestrectomy.
24149Elbow resection
Code 24149 describes radical resection involving the elbow. It represents a more extensive resection than the limited olecranon bone removal reported with 24147.

Codes related to 24147

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

Codes related to 24147
CodeHow it relatesNational office range
Often billed with
24105Bursa excisionMay accompany bone excision when separately indicated olecranon bursal disease is also treated.No office rate
Used instead
24138Bone sequestrectomyUsed for removal of an olecranon sequestrum rather than a limited bone excision.No office rate
Same family
24140Bone excisionPartial bone excision at the humerus rather than at the olecranon.No office rate
24145Bone excisionPartial bone excision at the radial head or neck rather than at the olecranon.No office rate

24147 billing questions

How is this different from olecranon bursa excision?

This code represents removal of olecranon bone. Bursa excision treats the sac over the elbow tip; a separately indicated bursa procedure may be reported when performed.

When would a sequestrectomy code be more appropriate?

Use the olecranon sequestrectomy code when the surgeon removes a sequestrum of devitalized bone, rather than performing a partial excision for a focal bony problem.

What documentation supports reporting this code?

Document the olecranon as the operative site, the bone removed, the reason for removal, and the work performed. The record should distinguish bone excision from bursa treatment alone.

How does Medicare handle bilateral reporting?

For bilateral procedures reported with modifier 50, CMS pays at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted for this code. Co-surgeons are paid only when supporting documentation is provided; 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 24147PPRRVU2026_Oct_nonQPP.csv, line 2,282 (RVU26D)

Open CMS sourceHow we calculate rates

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