No office rate
Choose 24145 when only part of the radial head or neck is removed. Choose 24130 when the radial head itself is excised.
On this page
CMS RVU26D · Effective 2026-10-01
24145 Bone excision Medicare reimbursement rates in California
Reports surgical removal of part of the radial head or neck for localized bone disease, when the procedure does not remove the entire radial head. Compare 24145 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 24145 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
$569.93–$682.67
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $112.74 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 24145 pays more and less in California
Orthopedic surgery
About 24145: Partial radial head or neck bone excision
Reports surgical removal of part of the radial head or neck for localized bone disease, when the procedure does not remove the entire radial head.
An orthopedic surgeon removes a portion of the radius at the elbow, such as by shaping or excising a localized area of abnormal bone while retaining the remaining radial head or neck. The procedure is generally performed in an operating room for a focal bone problem requiring more than simple biopsy or curettage. The operative report should identify the radial head or neck and describe the portion removed and the reason for the excision.
Select this code for partial bone removal, not complete radial head excision, targeted removal of a sequestrum, or radical tumor resection. The 90-day global period includes 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24145
- 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 RVU7.61 · 45%
- Practice expense (office) RVU7.71 · 45%
- Malpractice RVU1.63 · 10%
27
Medicare services in 2024 · #5728 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.
24145 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Code 24136 is specific to removing a sequestrum from the radial head or neck; 24145 describes partial bone excision more broadly.
No office rate
Code 24152 describes radical resection of a tumor at the radial head or neck. Code 24145 is for partial excision, not radical tumor resection.
Compare 24145 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 $574.41 |
| Chico | Office Unavailable | Facility $569.93 |
| El Centro | Office Unavailable | Facility $570.20 |
| Fresno | Office Unavailable | Facility $569.93 |
| Hanford-Corcoran | Office Unavailable | Facility $569.93 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $605.40 |
| Madera | Office Unavailable | Facility $569.93 |
| Merced | Office Unavailable | Facility $569.93 |
| Modesto | Office Unavailable | Facility $569.93 |
| Napa | Office Unavailable | Facility $637.26 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $599.61 |
| Redding | Office Unavailable | Facility $569.93 |
| Rest Of California | Office Unavailable | Facility $569.93 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $587.44 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $592.01 |
| Salinas | Office Unavailable | Facility $589.71 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $599.31 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $666.42 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $664.57 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $682.67 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $675.10 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $581.00 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $601.59 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $590.75 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $607.22 |
| Stockton | Office Unavailable | Facility $569.93 |
| Vallejo | Office Unavailable | Facility $634.60 |
| Visalia | Office Unavailable | Facility $569.93 |
| Yuba City | Office Unavailable | Facility $569.93 |
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24145 billing questions
How is this different from radial head excision, code 24130?
Code 24145 describes removal of only part of the radial head or neck. Code 24130 is for excision of the radial head rather than a partial bone removal.
When should a sequestrectomy code be considered instead?
Use code 24136 when the procedure specifically removes a sequestrum from the radial head or neck. Code 24145 describes partial excision of bone rather than the targeted removal of a sequestrum.
What documentation supports reporting this code?
The operative report should identify the radial head or neck, describe the extent and location of bone removed, and explain the underlying bone problem. It should establish that the removal was partial rather than complete or radical.
Is postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle bilateral procedures and other procedures in the same session?
A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.
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.
2,27824136,,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
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