No office rate
Use 24071 for a subcutaneous arm or elbow mass measuring 3 cm or more. This code applies when the mass is under 3 cm.
On this page
CMS RVU26D · Effective 2026-10-01
24075 Soft-tissue excision Medicare reimbursement rates in California
Report this service when a surgeon removes a subcutaneous soft-tissue mass from the upper arm or elbow area and it measures less than 3 cm. Compare 24075 office and facility rates across CMS payment localities in California.
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 24075 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$596.42–$748.16
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $151.74 per service.
Facility setting
$323.70–$389.34
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $65.64 per service.
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.
Where 24075 pays more and less in California
29 payment localities
$596.42 to $748.16
Musculoskeletal surgery
About 24075: Superficial arm or elbow mass excision
Report this service when a surgeon removes a subcutaneous soft-tissue mass from the upper arm or elbow area and it measures less than 3 cm.
This service removes a small soft-tissue mass located beneath the skin in the upper arm or elbow area. Typical examples include a subcutaneous lipoma or other discrete mass requiring excision rather than tissue sampling alone. Orthopedic, hand, or general surgeons may perform the procedure in an office, ambulatory surgery center, or hospital operating room. The code is for a subcutaneous mass, not a mass situated in deeper tissue planes or a skin-only lesion.
Report it when the operative documentation supports the arm or elbow site, subcutaneous depth, and lesion size under 3 cm, and describes removal rather than biopsy alone. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 24075
- 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 RVU4.13 · 24%
- Practice expense (office) RVU12.02 · 70%
- Malpractice RVU0.90 · 5%
3.1K
Medicare services in 2024 · #2159 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.
24075 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Use 24076 for a deep mass under 5 cm. This code describes a subcutaneous mass under 3 cm.
$276.64–$346.55
24065 is for biopsy of superficial soft tissue in the arm or elbow. Use this code when the subcutaneous mass is excised rather than sampled.
$716.06–$895.57
24066 is for biopsy of deep soft tissue in the arm or elbow. This code is for excision of a subcutaneous mass under 3 cm.
Compare 24075 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $598.89 | Facility $326.17 |
| Chico | Office $596.42 | Facility $323.70 |
| El Centro | Office $596.57 | Facility $323.85 |
| Fresno | Office $596.42 | Facility $323.70 |
| Hanford-Corcoran | Office $596.42 | Facility $323.70 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $638.51 | Facility $344.14 |
| Madera | Office $596.42 | Facility $323.70 |
| Merced | Office $596.42 | Facility $323.70 |
| Modesto | Office $596.42 | Facility $323.70 |
| Napa | Office $691.06 | Facility $363.09 |
| Oxnard-Thousand Oaks-Ventura | Office $635.08 | Facility $340.96 |
| Redding | Office $596.42 | Facility $323.70 |
| Rest Of California | Office $596.42 | Facility $323.70 |
| Riverside-San Bernardino-Ontario | Office $606.09 | Facility $333.37 |
| Sacramento-Roseville-Folsom | Office $625.94 | Facility $336.55 |
| Salinas | Office $623.65 | Facility $335.25 |
| San Diego-Chula Vista-Carlsbad | Office $638.55 | Facility $340.94 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $730.93 | Facility $380.07 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $729.91 | Facility $379.05 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $748.16 | Facility $389.34 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $743.99 | Facility $385.16 |
| San Luis Obispo-Paso Robles | Office $613.69 | Facility $330.26 |
| Santa Cruz-Watsonville | Office $644.75 | Facility $342.42 |
| Santa Maria-Santa Barbara | Office $626.05 | Facility $335.90 |
| Santa Rosa-Petaluma | Office $651.21 | Facility $345.64 |
| Stockton | Office $596.42 | Facility $323.70 |
| Vallejo | Office $689.58 | Facility $361.62 |
| Visalia | Office $596.42 | Facility $323.70 |
| Yuba City | Office $596.42 | Facility $323.70 |
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24075 billing questions
How is this different from 24071?
Both describe excision of a subcutaneous arm or elbow mass. Use 24075 when the mass is under 3 cm; 24071 is for a mass measuring 3 cm or more.
When should 24076 be considered instead?
24076 describes excision of a deep arm or elbow soft-tissue tumor under 5 cm. Choose based on the documented tissue depth, not simply the skin incision or mass size.
Can this code be used for a biopsy?
No. It represents removal of the mass, not sampling for diagnosis. Soft-tissue biopsy codes 24065 and 24066 distinguish superficial from deep tissue sampling.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care, such as routine follow-up for the excision.
How is bilateral excision reported?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays 150% under the listed bilateral rule.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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.
2,25924066,,Biopsy arm/elbow soft tissue,A,,5.22,14.13,,6.03,,1.20,20.55,12.45,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26024071,,Exc arm/elbow les sc 3 cm/>,A,,5.56,4.86,NA,4.86,,1.31,11.73,11.73,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26124073,,Ex arm/elbow tum deep 5 cm/>,A,,9.88,7.43,NA,7.43,,2.25,19.56,19.56,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26224075,,Exc arm/elbow les sc < 3 cm,A,,4.13,12.02,,4.57,,0.90,17.05,9.60,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26324076,,Ex arm/elbow tum deep < 5 cm,A,,7.22,6.82,NA,6.82,,1.56,15.60,15.60,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26424077,,Rad rescj tum tiss a/e <5cm,A,,15.33,9.82,NA,9.82,,3.53,28.68,28.68,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26524079,,Rad rescj tum tiss a/e 5 cm+,A,,20.09,12.00,NA,12.00,,4.62,36.71,36.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00