No office rate
Both codes concern tumors under 5 cm in the upper arm or elbow area. Choose 24077 for radical resection; 24076 describes excision of a deep tumor.
On this page
CMS RVU26D · Effective 2026-10-01
24077 Tumor resection Medicare reimbursement rates in California
Reports radical removal of a soft-tissue tumor in the upper arm or elbow area when the tumor is less than 5 cm. Compare 24077 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 24077 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
No supported rate
Facility setting
$943.42–$1104.53
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $161.11 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 24077 pays more and less in California
Musculoskeletal surgery
About 24077: Radical soft-tissue tumor resection, arm or elbow
Reports radical removal of a soft-tissue tumor in the upper arm or elbow area when the tumor is less than 5 cm.
This code describes radical resection of a soft-tissue tumor in the upper arm or elbow area, with a tumor size under 5 cm. The surgeon removes the tumor with surrounding tissue as needed for an oncologic resection, rather than simply shelling out or locally excising a mass. Orthopedic oncologists and other surgeons treating soft-tissue tumors may perform the procedure in a hospital operating room or an appropriately equipped outpatient surgical setting.
Choose the code based on the operative work, anatomic area, and tumor size: the documentation should establish a radical resection and support the under-5-cm category. Include the tumor’s location and size and describe the extent of tissue removed. The service 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 the others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24077
- 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 RVU15.33 · 53%
- Practice expense (office) RVU9.82 · 34%
- Malpractice RVU3.53 · 12%
137
Medicare services in 2024 · #4619 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.
24077 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
This is the corresponding radical resection code for tumors 5 cm or larger; 24077 is for tumors under 5 cm.
No office rate
24073 describes excision of a deep tumor 5 cm or larger. Use 24077 for radical resection when the tumor is under 5 cm.
$596.42–$748.16
24075 is for excision of a subcutaneous lesion under 3 cm, not radical resection of a soft-tissue tumor.
Compare 24077 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 Unavailable | Facility $953.05 |
| Chico | Office Unavailable | Facility $943.42 |
| El Centro | Office Unavailable | Facility $944.01 |
| Fresno | Office Unavailable | Facility $943.42 |
| Hanford-Corcoran | Office Unavailable | Facility $943.42 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $999.34 |
| Madera | Office Unavailable | Facility $943.42 |
| Merced | Office Unavailable | Facility $943.42 |
| Modesto | Office Unavailable | Facility $943.42 |
| Napa | Office Unavailable | Facility $1036.49 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $987.52 |
| Redding | Office Unavailable | Facility $943.42 |
| Rest Of California | Office Unavailable | Facility $943.42 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $981.31 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $975.13 |
| Salinas | Office Unavailable | Facility $971.25 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $983.59 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1077.27 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1073.26 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1104.53 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1088.14 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $957.53 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $984.50 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $972.01 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $993.37 |
| Stockton | Office Unavailable | Facility $943.42 |
| Vallejo | Office Unavailable | Facility $1030.71 |
| Visalia | Office Unavailable | Facility $943.42 |
| Yuba City | Office Unavailable | Facility $943.42 |
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24077 billing questions
How is this different from 24076?
24077 is for radical resection of a tumor under 5 cm. Use 24076 for a deep soft-tissue tumor under 5 cm when the operative service is an excision rather than a radical resection.
When should 24079 be reported instead?
Use 24079 when the radical resection is in the upper arm or elbow area and the tumor is 5 cm or larger. This code is for tumors under 5 cm.
What documentation supports the radical resection?
Document the tumor’s arm or elbow location, size, and the operative extent of removal. The operative report should support radical resection rather than routine excision of a mass.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral cases and multiple procedures handled?
A bilateral procedure reported with modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted. 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.
2,26124073,,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
2,26624100,,Arthrt elbw synovial bx only,A,,4.94,6.30,NA,6.30,,1.07,12.31,12.31,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26724101,,Arthrt elbw jt expl bx rmvl,A,,6.14,7.06,NA,7.06,,1.25,14.45,14.45,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00