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CMS RVU26D · Effective 2026-10-01

24201 in Madera

Office / nonfacility

$700.81

Base rate per service

Facility setting

$399.53

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 24201: Deep foreign body removal, upper arm or elbow

Removal of a deeply embedded foreign body in the upper arm or elbow area when surgical exposure and dissection are needed.

This service covers surgical removal of a foreign object located deep in the upper arm or elbow area, rather than just beneath the skin. A surgeon exposes and dissects to the object, such as a retained fragment embedded in deeper tissue. It may be performed in an outpatient operating room or, when appropriate, another procedural setting. The operative report should identify the site, depth, and work required to locate and remove the object.

Report 24201 when the foreign body is deep in the specified anatomic area; use the subcutaneous-level code for an object confined to tissue just under the skin. 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%. For bilateral procedures reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 24201

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.58 · 23%
  • Practice expense (office) RVU14.41 · 72%
  • Malpractice RVU0.99 · 5%

89

Medicare services in 2024 · #4968 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.

24201 compared with similar codes

Office rates for Madera, from the same CMS release.

24200

Foreign body removal

Upper arm or elbow, subcutaneous

$255.12

Choose 24200 for a foreign body in the upper arm or elbow area that is limited to subcutaneous tissue; 24201 describes deeper removal.

20525

Foreign body removal

Deep or complicated

$523.27

Use 20525 when the documented site is muscle or a tendon sheath and the removal is deep or complicated. Code 24201 identifies the upper arm or elbow area.

20520

Foreign body removal

Muscle or tendon, simple

$241.93

20520 describes simple removal from muscle or a tendon sheath. 24201 is for a deep foreign body in the upper arm or elbow area.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 24201 is $703.53—$2.72 higher than the $700.81 rate in Madera. Both use the same code, release and participation basis.

24201 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $700.81

  2. Bakersfield

    $703.53

    $2.72 higher than Madera

  3. Chico

    $700.81

    The same base rate than Madera

  4. El Centro

    $700.98

    $0.17 higher than Madera

  5. Fresno

    $700.81

    The same base rate than Madera

  6. Hanford-Corcoran

    $700.81

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $750.59

    $49.78 higher than Madera

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 24201 ranges from $583.45 in Arkansas to $881.57 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 24201

    Office

    $700.81

    Facility

    $399.53

    The same base rate than Madera for the office setting.

  • Modesto

    California · 24201

    Office

    $700.81

    Facility

    $399.53

    The same base rate than Madera for the office setting.

  • Napa

    California · 24201

    Office

    $813.77

    Facility

    $451.47

    $112.96 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 24201

    Office

    $746.76

    Facility

    $421.85

    $45.95 higher than Madera for the office setting.

  • Redding

    California · 24201

    Office

    $700.81

    Facility

    $399.53

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 24201

    Office

    $700.81

    Facility

    $399.53

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 24201

    Office

    $711.45

    Facility

    $410.17

    $10.64 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 24201

    Office

    $735.97

    Facility

    $416.27

    $35.16 higher than Madera for the office setting.

  • Salinas

    California · 24201

    Office

    $733.28

    Facility

    $414.68

    $32.47 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 24201

    Office

    $751.13

    Facility

    $422.36

    $50.32 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 24201

    Office

    $861.33

    Facility

    $473.74

    $160.52 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 24201

    Office

    $860.21

    Facility

    $472.61

    $159.40 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 24201

    Office

    $881.57

    Facility

    $485.18

    $180.76 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 24201

    Office

    $876.98

    Facility

    $480.59

    $176.17 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 24201

    Office

    $721.51

    Facility

    $408.41

    $20.70 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 24201

    Office

    $758.70

    Facility

    $424.71

    $57.89 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 24201

    Office

    $736.19

    Facility

    $415.67

    $35.38 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 24201

    Office

    $766.33

    Facility

    $428.77

    $65.52 higher than Madera for the office setting.

  • Stockton

    California · 24201

    Office

    $700.81

    Facility

    $399.53

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 24201

    Office

    $812.15

    Facility

    $449.85

    $111.34 higher than Madera for the office setting.

  • Visalia

    California · 24201

    Office

    $700.81

    Facility

    $399.53

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 24201

    Office

    $700.81

    Facility

    $399.53

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 24201

    Office

    $765.02

    Facility

    $441.20

    $64.21 higher than Madera for the office setting.

  • Miami

    Florida · 24201

    Office

    $737.64

    Facility

    $451.48

    $36.83 higher than Madera for the office setting.

  • Chicago

    Illinois · 24201

    Office

    $713.65

    Facility

    $437.39

    $12.84 higher than Madera for the office setting.

  • Manhattan

    New York · 24201

    Office

    $774.49

    Facility

    $455.07

    $73.68 higher than Madera for the office setting.

  • Alaska*

    Alaska · 24201

    Office

    $760.28

    Facility

    $467.52

    $59.47 higher than Madera for the office setting.

  • Alabama

    Alabama · 24201

    Office

    $592.84

    Facility

    $352.31

    $107.97 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 24201

    Office

    $583.45

    Facility

    $347.32

    $117.36 lower than Madera for the office setting.

  • Arizona

    Arizona · 24201

    Office

    $647.67

    Facility

    $381.30

    $53.14 lower than Madera for the office setting.

  • Colorado

    Colorado · 24201

    Office

    $692.75

    Facility

    $400.27

    $8.06 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 24201

    Office

    $714.41

    Facility

    $418.36

    $13.60 higher than Madera for the office setting.

  • Delaware

    Delaware · 24201

    Office

    $659.00

    Facility

    $387.41

    $41.81 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 24201

    Office

    $700.33

    Facility

    $421.86

    $0.48 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 24201

    Office

    $662.81

    Facility

    $400.01

    $38.00 lower than Madera for the office setting.

  • Atlanta

    Georgia · 24201

    Office

    $682.16

    Facility

    $402.87

    $18.65 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 24201

    Office

    $621.72

    Facility

    $376.52

    $79.09 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 24201

    Office

    $719.37

    Facility

    $406.82

    $18.56 higher than Madera for the office setting.

  • Iowa

    Iowa · 24201

    Office

    $606.50

    Facility

    $354.98

    $94.31 lower than Madera for the office setting.

  • Idaho

    Idaho · 24201

    Office

    $611.42

    Facility

    $358.52

    $89.39 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 24201

    Office

    $662.38

    Facility

    $409.48

    $38.43 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 24201

    Office

    $644.09

    Facility

    $393.12

    $56.72 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 24201

    Office

    $706.94

    Facility

    $424.63

    $6.13 higher than Madera for the office setting.

  • Indiana

    Indiana · 24201

    Office

    $615.22

    Facility

    $360.40

    $85.59 lower than Madera for the office setting.

  • Kansas

    Kansas · 24201

    Office

    $604.74

    Facility

    $356.24

    $96.07 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 24201

    Office

    $611.11

    Facility

    $366.74

    $89.70 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 24201

    Office

    $643.45

    Facility

    $384.78

    $57.36 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 24201

    Office

    $610.61

    Facility

    $367.33

    $90.20 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 24201

    Office

    $763.36

    Facility

    $435.14

    $62.55 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 24201

    Office

    $688.59

    Facility

    $399.14

    $12.22 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 24201

    Office

    $712.77

    Facility

    $417.81

    $11.96 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 24201

    Office

    $671.94

    Facility

    $393.76

    $28.87 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 24201

    Office

    $616.35

    Facility

    $363.45

    $84.46 lower than Madera for the office setting.

  • Southern Maine

    Maine · 24201

    Office

    $650.82

    Facility

    $378.40

    $49.99 lower than Madera for the office setting.

  • Detroit

    Michigan · 24201

    Office

    $673.19

    Facility

    $407.92

    $27.62 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 24201

    Office

    $629.74

    Facility

    $378.77

    $71.07 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 24201

    Office

    $658.03

    Facility

    $375.17

    $42.78 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 24201

    Office

    $637.23

    Facility

    $379.11

    $63.58 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 24201

    Office

    $644.31

    Facility

    $382.62

    $56.50 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 24201

    Office

    $600.07

    Facility

    $363.12

    $100.74 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 24201

    Office

    $591.82

    Facility

    $355.14

    $108.99 lower than Madera for the office setting.

  • Montana**

    Montana · 24201

    Office

    $667.28

    Facility

    $392.39

    $33.53 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 24201

    Office

    $623.17

    Facility

    $366.69

    $77.64 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 24201

    Office

    $647.71

    Facility

    $372.82

    $53.10 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 24201

    Office

    $609.72

    Facility

    $356.00

    $91.09 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 24201

    Office

    $682.95

    Facility

    $396.79

    $17.86 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 24201

    Office

    $756.25

    Facility

    $437.37

    $55.44 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 24201

    Office

    $720.96

    Facility

    $420.78

    $20.15 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 24201

    Office

    $634.05

    Facility

    $381.97

    $66.76 lower than Madera for the office setting.

  • Nevada**

    Nevada · 24201

    Office

    $662.31

    Facility

    $387.14

    $38.50 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 24201

    Office

    $796.45

    Facility

    $469.60

    $95.64 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 24201

    Office

    $726.90

    Facility

    $425.90

    $26.09 higher than Madera for the office setting.

  • Queens

    New York · 24201

    Office

    $779.35

    Facility

    $454.43

    $78.54 higher than Madera for the office setting.

  • Rest Of New York

    New York · 24201

    Office

    $633.46

    Facility

    $372.32

    $67.35 lower than Madera for the office setting.

  • Ohio

    Ohio · 24201

    Office

    $625.74

    Facility

    $374.77

    $75.07 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 24201

    Office

    $608.48

    Facility

    $363.00

    $92.33 lower than Madera for the office setting.

  • Portland

    Oregon · 24201

    Office

    $714.76

    Facility

    $409.36

    $13.95 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 24201

    Office

    $655.60

    Facility

    $381.81

    $45.21 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 24201

    Office

    $696.22

    Facility

    $410.06

    $4.59 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 24201

    Office

    $626.06

    Facility

    $373.72

    $74.75 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 24201

    Office

    $672.15

    Facility

    $394.24

    $28.66 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 24201

    Office

    $682.57

    Facility

    $398.61

    $18.24 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 24201

    Office

    $625.81

    Facility

    $371.81

    $75.00 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 24201

    Office

    $645.39

    Facility

    $370.50

    $55.42 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 24201

    Office

    $608.24

    Facility

    $358.37

    $92.57 lower than Madera for the office setting.

  • Austin

    Texas · 24201

    Office

    $691.80

    Facility

    $400.97

    $9.01 lower than Madera for the office setting.

  • Beaumont

    Texas · 24201

    Office

    $621.68

    Facility

    $371.54

    $79.13 lower than Madera for the office setting.

  • Brazoria

    Texas · 24201

    Office

    $656.97

    Facility

    $384.55

    $43.84 lower than Madera for the office setting.

  • Dallas

    Texas · 24201

    Office

    $662.11

    Facility

    $388.32

    $38.70 lower than Madera for the office setting.

  • Fort Worth

    Texas · 24201

    Office

    $657.72

    Facility

    $386.68

    $43.09 lower than Madera for the office setting.

  • Galveston

    Texas · 24201

    Office

    $659.52

    Facility

    $386.55

    $41.29 lower than Madera for the office setting.

  • Houston

    Texas · 24201

    Office

    $677.64

    Facility

    $404.67

    $23.17 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 24201

    Office

    $639.60

    Facility

    $378.73

    $61.21 lower than Madera for the office setting.

  • Utah

    Utah · 24201

    Office

    $635.10

    Facility

    $376.70

    $65.71 lower than Madera for the office setting.

  • Virginia

    Virginia · 24201

    Office

    $649.45

    Facility

    $379.23

    $51.36 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 24201

    Office

    $672.15

    Facility

    $394.24

    $28.66 lower than Madera for the office setting.

  • Vermont

    Vermont · 24201

    Office

    $646.20

    Facility

    $374.06

    $54.61 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 24201

    Office

    $686.94

    Facility

    $397.49

    $13.87 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 24201

    Office

    $778.20

    Facility

    $440.91

    $77.39 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 24201

    Office

    $624.25

    Facility

    $360.91

    $76.56 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 24201

    Office

    $618.55

    Facility

    $379.67

    $82.26 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 24201

    Office

    $658.75

    Facility

    $383.86

    $42.06 lower than Madera for the office setting.

See how rates vary across the country

24201 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$583.45

$791.19

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$760.281
AL$592.841
AR$583.451
AZ$647.671
CA$700.81–$881.5729
CO$692.751
CT$714.411
DC$765.021
DE$659.001
FL$662.81–$737.643
GA$621.72–$682.162
GU$719.371
HI$719.371
IA$606.501
ID$611.421
IL$644.09–$713.654
IN$615.221
KS$604.741
KY$611.111
LA$610.61–$643.452
MA$688.59–$763.362
MD$671.94–$765.023
ME$616.35–$650.822
MI$629.74–$673.192
MN$658.031
MO$600.07–$644.313
MS$591.821
MT$667.281
NC$623.171
ND$647.711
NE$609.721
NH$682.951
NJ$720.96–$756.252
NM$634.051
NV$662.311
NY$633.46–$796.455
OH$625.741
OK$608.481
OR$655.60–$714.762
PA$626.06–$696.222
PR$672.151
RI$682.571
SC$625.811
SD$645.391
TN$608.241
TX$621.68–$691.808
UT$635.101
VA$649.45–$765.022
VI$672.151
VT$646.201
WA$686.94–$778.202
WI$624.251
WV$618.551
WY$658.751

Explore 24201 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 24201 in Madera, the physician’s office rate is $700.81 and the facility-setting rate is $399.53: a difference of $301.28.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 24201 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$770.89

$700.81 × 110% = $770.89

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.

Compare your contract offer →

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 24201 in Madera.

PPRRVU2026_Oct_nonQPP.csv

2,290

Code
24201
Physician work
4.58
Practice expense
14.41
Malpractice
0.99

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 24201 in Madera
ComponentRVULocality factorAdjusted
Physician work4.58× 1.0174.6579
Practice expense14.41× 1.09615.7934
Malpractice0.99× 0.5360.5306
Total RVUs20.9819
Conversion factor× 33.4009

Office / nonfacility rate, Madera$700.81

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 24201 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.581.017
Practice expense14.411.096
Malpractice0.990.536

(4.58 × 1.017 + 14.41 × 1.096 + 0.99 × 0.536) × $33.4009 = $700.81

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.581.017
Practice expense6.181.096
Malpractice0.990.536

(4.58 × 1.017 + 6.18 × 1.096 + 0.99 × 0.536) × $33.4009 = $399.53

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

24201 · Office / nonfacility

$700.81

Effective 2026-10-01

The base rate is $71.24 higher than on 2025-10-01, moving from $629.57 to $700.81 (11.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $629.57changed to$700.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.70 changed to 4.58
    • Practice expense RVU 12.95 changed to 14.41
    • Malpractice RVU 0.97 changed to 0.99
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $629.57

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$700.81$399.53RVU26D
2026-07-01$700.81$399.53RVU26C
2026-04-01$700.81$399.53RVU26B
2026-01-01$700.81$399.53RVU26A
2025-10-01$629.57$409.66RVU25D
2025-07-01$629.57$409.66RVU25C
2025-04-01$629.57$409.66RVU25B
2025-01-01$629.57$409.66RVU25A

24201 billing questions

How does 24201 differ from 24200?

24201 is for a foreign body deep in the upper arm or elbow area. Use 24200 when it is confined to the subcutaneous tissue.

What documentation supports reporting 24201?

Document the upper arm or elbow location, the object's depth, and the operative work used to expose and remove it. The record should make clear why the object was not merely subcutaneous.

How is a bilateral procedure reported?

Report modifier 50 for a bilateral procedure; CMS pays it at 150%.

Can an assistant surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code, and co-surgeons are not permitted. Team surgery is also 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.

How does the multiple-procedure reduction work?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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.

RVUs for 24201PPRRVU2026_Oct_nonQPP.csv, line 2,290 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet