No office rate
24130 describes excision of the radial head. Use 24145 when the documented service is partial bone excision involving the radial head or neck.
On this page
CMS RVU26D · Effective 2026-10-01
24130 Radial head excision Medicare reimbursement rates in Alabama
Reports surgical removal of the radial head, commonly selected for an irreparable radial head fracture or other elbow condition requiring excision. Compare 24130 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 24130 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$438.09
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 24130: Radial head excision
Reports surgical removal of the radial head, commonly selected for an irreparable radial head fracture or other elbow condition requiring excision.
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.
CMS billing rules for 24130
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.26 · 43%
- Practice expense (office) RVU7.04 · 48%
- Malpractice RVU1.23 · 8%
181
Medicare services in 2024 · #4416 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.
24130 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
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.
No office rate
24152 describes radical resection for a tumor involving the radial head or neck. Use 24130 for radial head excision without that tumor-resection service.
No office rate
24164 applies when the surgeon removes a prosthetic radial head. Code 24130 describes excision of the radial head itself.
Compare 24130 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$438.09
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 24130 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
2,276
- Code
- 24130
- Physician work
- 6.26
- Practice expense
- 7.04
- Malpractice
- 1.23
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.26 | × 1.000 | 6.2600 |
| Practice expense | 7.04 | × 0.875 | 6.1600 |
| Malpractice | 1.23 | × 0.566 | 0.6962 |
| Total RVUs | 13.1162 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$438.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.26 | 1 |
| Practice expense | 7.04 | 0.875 |
| Malpractice | 1.23 | 0.566 |
(6.26 × 1 + 7.04 × 0.875 + 1.23 × 0.566) × $33.4009 = $438.09
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.
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 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.
2,27324120,,Exc/crtg b1 cst/b9 tum rds,A,,6.65,7.20,NA,7.20,,1.34,15.19,15.19,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27424125,,Exc/crtg b1 cst/tum rds agrf,A,,7.94,8.17,NA,8.17,,1.69,17.80,17.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27524126,,Exc/crtg b1 cst/tum rds algr,A,,8.40,8.31,NA,8.31,,1.78,18.49,18.49,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27624130,,Excision radial head,A,,6.26,7.04,NA,7.04,,1.23,14.53,14.53,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27724134,,Sequestrectomy shft/dstl hum,A,,9.96,8.97,NA,8.97,,2.12,21.05,21.05,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27824136,,Sequestrectomy radial h/n,A,,8.19,8.05,NA,8.05,,1.74,17.98,17.98,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27924138,,Sequestrectomy olecrn proces,A,,8.29,9.74,NA,9.74,,1.76,19.79,19.79,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515