No office rate
This code removes olecranon bone. Code 24105 addresses excision of the olecranon bursa, the soft-tissue sac over the elbow tip.
On this page
CMS RVU26D · Effective 2026-10-01
24147 Olecranon excision Medicare reimbursement rates in Alaska
This operation removes a limited portion of the olecranon for a focal bony problem, such as a symptomatic spur or prominence. Compare 24147 office and facility rates across CMS payment localities in Alaska.
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 24147 in Alaska?
Alaska 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
$720.05
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 24147: Partial olecranon bone excision
This operation removes a limited portion of the olecranon for a focal bony problem, such as a symptomatic spur or prominence.
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.
CMS billing rules for 24147
- 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 RVU7.64 · 43%
- Practice expense (office) RVU8.69 · 49%
- Malpractice RVU1.53 · 9%
692
Medicare services in 2024 · #3274 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.
24147 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
Code 24138 is for removing a sequestrum from the olecranon. Choose 24147 for a partial bone excision that is not specifically a sequestrectomy.
No office rate
Code 24149 describes radical resection involving the elbow. It represents a more extensive resection than the limited olecranon bone removal reported with 24147.
Compare 24147 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$720.05
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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 24147 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
2,282
- Code
- 24147
- Physician work
- 7.64
- Practice expense
- 8.69
- Malpractice
- 1.53
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.64 | × 1.500 | 11.4600 |
| Practice expense | 8.69 | × 1.065 | 9.2548 |
| Malpractice | 1.53 | × 0.551 | 0.8430 |
| Total RVUs | 21.5579 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$720.05
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.64 | 1.5 |
| Practice expense | 8.69 | 1.065 |
| Malpractice | 1.53 | 0.551 |
(7.64 × 1.5 + 8.69 × 1.065 + 1.53 × 0.551) × $33.4009 = $720.05
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.
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 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.
2,27924138,,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
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,,,,,,
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609