No office rate
Use 24150 when the radical tumor resection is centered on the distal or shaft humerus; 24149 identifies radical resection involving the elbow.
On this page
CMS RVU26D · Effective 2026-10-01
24149 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1093.67
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 24149: Radical elbow tumor resection
Reports extensive radical removal of a tumor involving the elbow, rather than a limited excision or resection confined to a specific bone.
An orthopedic surgeon, often working in orthopedic oncology, uses this service for extensive removal of a tumor involving the elbow. The operation removes the tumor with the surrounding involved tissue and may include affected elbow structures or bone. It is generally performed in a hospital operating room when a limited excision would not represent the planned extent of removal.
Select this code when the operative report supports radical resection at the elbow; document the tumor location and the structures removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one 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%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24149
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.81 · 48%
- Practice expense (office) RVU13.65 · 42%
- Malpractice RVU3.18 · 10%
420
Medicare services in 2024 · #3694 by national volume
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.
24149 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
Use 24152 for radical tumor resection centered on the radial head or neck. The operative anatomy distinguishes it from radical elbow resection.
No office rate
24155 reports resection of the elbow joint. Choose 24149 when the documented operation is a radical resection for an elbow tumor.
No office rate
24140 describes partial excision of humeral bone, not radical elbow tumor resection. The documented extent and target of surgery guide selection.
The same code, a different location
How does Chico compare?
24149 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 24149
Office
Unavailable
Facility
$1093.67
No comparable office rate is available.
Modesto
California · 24149
Office
Unavailable
Facility
$1093.67
No comparable office rate is available.
Napa
California · 24149
Office
Unavailable
Facility
$1216.20
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24149
Office
Unavailable
Facility
$1147.93
No comparable office rate is available.
Redding
California · 24149
Office
Unavailable
Facility
$1093.67
No comparable office rate is available.
Rest Of California
California · 24149
Office
Unavailable
Facility
$1093.67
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24149
Office
Unavailable
Facility
$1127.87
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24149
Office
Unavailable
Facility
$1134.25
No comparable office rate is available.
Salinas
California · 24149
Office
Unavailable
Facility
$1129.78
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24149
Office
Unavailable
Facility
$1146.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24149
Office
Unavailable
Facility
$1269.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24149
Office
Unavailable
Facility
$1266.23
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24149
Office
Unavailable
Facility
$1300.53
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24149
Office
Unavailable
Facility
$1285.76
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24149
Office
Unavailable
Facility
$1113.27
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24149
Office
Unavailable
Facility
$1150.03
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24149
Office
Unavailable
Facility
$1131.39
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24149
Office
Unavailable
Facility
$1160.71
No comparable office rate is available.
Stockton
California · 24149
Office
Unavailable
Facility
$1093.67
No comparable office rate is available.
Vallejo
California · 24149
Office
Unavailable
Facility
$1210.99
No comparable office rate is available.
Visalia
California · 24149
Office
Unavailable
Facility
$1093.67
No comparable office rate is available.
Yuba City
California · 24149
Office
Unavailable
Facility
$1093.67
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 24149
Office
Unavailable
Facility
$1211.88
No comparable office rate is available.
Miami
Florida · 24149
Office
Unavailable
Facility
$1271.30
No comparable office rate is available.
Chicago
Illinois · 24149
Office
Unavailable
Facility
$1233.73
No comparable office rate is available.
Manhattan
New York · 24149
Office
Unavailable
Facility
$1260.10
No comparable office rate is available.
Alaska*
Alaska · 24149
Office
Unavailable
Facility
$1336.18
No comparable office rate is available.
Alabama
Alabama · 24149
Office
Unavailable
Facility
$987.12
No comparable office rate is available.
Arkansas
Arkansas · 24149
Office
Unavailable
Facility
$974.41
No comparable office rate is available.
Arizona
Arizona · 24149
Office
Unavailable
Facility
$1060.78
No comparable office rate is available.
Colorado
Colorado · 24149
Office
Unavailable
Facility
$1102.46
No comparable office rate is available.
Connecticut
Connecticut · 24149
Office
Unavailable
Facility
$1158.18
No comparable office rate is available.
Delaware
Delaware · 24149
Office
Unavailable
Facility
$1076.65
No comparable office rate is available.
Fort Lauderdale
Florida · 24149
Office
Unavailable
Facility
$1181.95
No comparable office rate is available.
Rest Of Florida
Florida · 24149
Office
Unavailable
Facility
$1123.57
No comparable office rate is available.
Atlanta
Georgia · 24149
Office
Unavailable
Facility
$1120.43
No comparable office rate is available.
Rest Of Georgia
Georgia · 24149
Office
Unavailable
Facility
$1061.36
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24149
Office
Unavailable
Facility
$1107.95
No comparable office rate is available.
Iowa
Iowa · 24149
Office
Unavailable
Facility
$987.40
No comparable office rate is available.
Idaho
Idaho · 24149
Office
Unavailable
Facility
$997.76
No comparable office rate is available.
East St. Louis
Illinois · 24149
Office
Unavailable
Facility
$1161.43
No comparable office rate is available.
Rest Of Illinois
Illinois · 24149
Office
Unavailable
Facility
$1110.34
No comparable office rate is available.
Suburban Chicago
Illinois · 24149
Office
Unavailable
Facility
$1188.21
No comparable office rate is available.
Indiana
Indiana · 24149
Office
Unavailable
Facility
$1002.33
No comparable office rate is available.
Kansas
Kansas · 24149
Office
Unavailable
Facility
$993.75
No comparable office rate is available.
Kentucky
Kentucky · 24149
Office
Unavailable
Facility
$1030.57
No comparable office rate is available.
New Orleans
Louisiana · 24149
Office
Unavailable
Facility
$1077.75
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24149
Office
Unavailable
Facility
$1033.31
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24149
Office
Unavailable
Facility
$1188.62
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24149
Office
Unavailable
Facility
$1101.26
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24149
Office
Unavailable
Facility
$1157.11
No comparable office rate is available.
Rest Of Maryland
Maryland · 24149
Office
Unavailable
Facility
$1092.25
No comparable office rate is available.
Rest Of Maine
Maine · 24149
Office
Unavailable
Facility
$1013.58
No comparable office rate is available.
Southern Maine
Maine · 24149
Office
Unavailable
Facility
$1046.91
No comparable office rate is available.
Detroit
Michigan · 24149
Office
Unavailable
Facility
$1147.11
No comparable office rate is available.
Rest Of Michigan
Michigan · 24149
Office
Unavailable
Facility
$1064.24
No comparable office rate is available.
Minnesota
Minnesota · 24149
Office
Unavailable
Facility
$1028.65
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24149
Office
Unavailable
Facility
$1059.95
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24149
Office
Unavailable
Facility
$1068.53
No comparable office rate is available.
Rest Of Missouri
Missouri · 24149
Office
Unavailable
Facility
$1024.53
No comparable office rate is available.
Mississippi
Mississippi · 24149
Office
Unavailable
Facility
$999.11
No comparable office rate is available.
Montana**
Montana · 24149
Office
Unavailable
Facility
$1089.99
No comparable office rate is available.
North Carolina
North Carolina · 24149
Office
Unavailable
Facility
$1021.32
No comparable office rate is available.
North Dakota**
North Dakota · 24149
Office
Unavailable
Facility
$1027.11
No comparable office rate is available.
Nebraska
Nebraska · 24149
Office
Unavailable
Facility
$989.03
No comparable office rate is available.
New Hampshire
New Hampshire · 24149
Office
Unavailable
Facility
$1095.62
No comparable office rate is available.
Northern Nj
New Jersey · 24149
Office
Unavailable
Facility
$1203.64
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24149
Office
Unavailable
Facility
$1163.58
No comparable office rate is available.
New Mexico
New Mexico · 24149
Office
Unavailable
Facility
$1073.71
No comparable office rate is available.
Nevada**
Nevada · 24149
Office
Unavailable
Facility
$1072.92
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24149
Office
Unavailable
Facility
$1301.20
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24149
Office
Unavailable
Facility
$1179.59
No comparable office rate is available.
Queens
New York · 24149
Office
Unavailable
Facility
$1253.93
No comparable office rate is available.
Rest Of New York
New York · 24149
Office
Unavailable
Facility
$1035.86
No comparable office rate is available.
Ohio
Ohio · 24149
Office
Unavailable
Facility
$1051.39
No comparable office rate is available.
Oklahoma
Oklahoma · 24149
Office
Unavailable
Facility
$1017.74
No comparable office rate is available.
Portland
Oregon · 24149
Office
Unavailable
Facility
$1122.07
No comparable office rate is available.
Rest Of Oregon
Oregon · 24149
Office
Unavailable
Facility
$1056.84
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24149
Office
Unavailable
Facility
$1138.90
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24149
Office
Unavailable
Facility
$1046.98
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24149
Office
Unavailable
Facility
$1093.63
No comparable office rate is available.
Rhode Island
Rhode Island · 24149
Office
Unavailable
Facility
$1103.81
No comparable office rate is available.
South Carolina
South Carolina · 24149
Office
Unavailable
Facility
$1039.62
No comparable office rate is available.
South Dakota**
South Dakota · 24149
Office
Unavailable
Facility
$1019.68
No comparable office rate is available.
Tennessee
Tennessee · 24149
Office
Unavailable
Facility
$999.54
No comparable office rate is available.
Austin
Texas · 24149
Office
Unavailable
Facility
$1105.60
No comparable office rate is available.
Beaumont
Texas · 24149
Office
Unavailable
Facility
$1041.63
No comparable office rate is available.
Brazoria
Texas · 24149
Office
Unavailable
Facility
$1066.96
No comparable office rate is available.
Dallas
Texas · 24149
Office
Unavailable
Facility
$1078.05
No comparable office rate is available.
Fort Worth
Texas · 24149
Office
Unavailable
Facility
$1074.87
No comparable office rate is available.
Galveston
Texas · 24149
Office
Unavailable
Facility
$1072.97
No comparable office rate is available.
Houston
Texas · 24149
Office
Unavailable
Facility
$1131.18
No comparable office rate is available.
Rest Of Texas
Texas · 24149
Office
Unavailable
Facility
$1056.65
No comparable office rate is available.
Utah
Utah · 24149
Office
Unavailable
Facility
$1052.02
No comparable office rate is available.
Virginia
Virginia · 24149
Office
Unavailable
Facility
$1051.23
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24149
Office
Unavailable
Facility
$1093.63
No comparable office rate is available.
Vermont
Vermont · 24149
Office
Unavailable
Facility
$1033.18
No comparable office rate is available.
Rest Of Washington
Washington · 24149
Office
Unavailable
Facility
$1095.85
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24149
Office
Unavailable
Facility
$1200.67
No comparable office rate is available.
Wisconsin
Wisconsin · 24149
Office
Unavailable
Facility
$997.56
No comparable office rate is available.
West Virginia
West Virginia · 24149
Office
Unavailable
Facility
$1076.26
No comparable office rate is available.
Wyoming**
Wyoming · 24149
Office
Unavailable
Facility
$1062.59
No comparable office rate is available.
See how rates vary across the country
24149 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 24149 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1203.04
$1093.67 × 110% = $1203.04
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 24149 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,283
- Code
- 24149
- Physician work
- 15.81
- Practice expense
- 13.65
- Malpractice
- 3.18
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.81 | × 1.017 | 16.0788 |
| Practice expense | 13.65 | × 1.096 | 14.9604 |
| Malpractice | 3.18 | × 0.536 | 1.7045 |
| Total RVUs | 32.7437 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1093.67
Open 24149 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.81 | 1.017 |
| Practice expense | 13.65 | 1.096 |
| Malpractice | 3.18 | 0.536 |
(15.81 × 1.017 + 13.65 × 1.096 + 3.18 × 0.536) × $33.4009 = $1093.67
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
24149 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1093.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $1093.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $1093.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $1093.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $1179.66 | RVU25D |
| 2025-07-01 | Not available in this setting | $1179.66 | RVU25C |
| 2025-04-01 | Not available in this setting | $1179.66 | RVU25B |
| 2025-01-01 | Not available in this setting | $1179.66 | RVU25A |
24149 billing questions
How is this different from resection of the elbow joint, 24155?
24149 describes radical removal involving the elbow, typically for an extensive tumor resection. Use 24155 when the service is resection of the elbow joint rather than a radical tumor resection.
When should 24150 or 24152 be considered instead?
Those codes describe radical tumor resections centered on the distal or shaft humerus, or the radial head and neck, respectively. Choose based on the documented anatomic focus of the resection.
What documentation supports 24149?
The operative report should identify the tumor’s elbow location, the radical extent of removal, and the involved structures removed. A limited excision or bone procedure alone does not establish this service.
How is bilateral surgery reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,28024140,,Partial exc bone humerus,A,,9.31,8.42,NA,8.42,,1.91,19.64,19.64,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28124145,,Prtl exc bone radial h/n,A,,7.61,7.71,NA,7.71,,1.63,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28224147,,Prtl exc bone olecrn process,A,,7.64,8.69,NA,8.69,,1.53,17.86,17.86,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28324149,,Radical resection of elbow,A,,15.81,13.65,NA,13.65,,3.18,32.64,32.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28424150,,Rad rescj tum dstl/shft hum,A,,22.87,14.09,NA,14.09,,4.87,41.83,41.83,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28524152,,Rad resection tum radial h/n,A,,19.49,13.01,NA,13.01,,4.15,36.65,36.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28624155,,Resection of elbow joint,A,,11.79,9.39,NA,9.39,,2.51,23.69,23.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536