$260.13
Choose 24200 for a foreign body in the upper arm or elbow area that is limited to subcutaneous tissue; 24201 describes deeper removal.
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CMS RVU26D · Effective 2026-10-01
24201 Foreign body removal Medicare reimbursement rates in Connecticut
Removal of a deeply embedded foreign body in the upper arm or elbow area when surgical exposure and dissection are needed. Compare 24201 office and facility rates across CMS payment localities in Connecticut.
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 24201 in Connecticut?
Connecticut 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
$714.41
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$418.36
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 24201: Deep foreign body removal, upper arm or elbow
Removal of a deeply embedded foreign body in the upper arm or elbow area when surgical exposure and dissection are needed.
This service covers surgical removal of a foreign object located deep in the upper arm or elbow area, rather than just beneath the skin. A surgeon exposes and dissects to the object, such as a retained fragment embedded in deeper tissue. It may be performed in an outpatient operating room or, when appropriate, another procedural setting. The operative report should identify the site, depth, and work required to locate and remove the object.
Report 24201 when the foreign body is deep in the specified anatomic area; use the subcutaneous-level code for an object confined to tissue just under the skin. 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%. For bilateral procedures reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24201
- 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 RVU4.58 · 23%
- Practice expense (office) RVU14.41 · 72%
- Malpractice RVU0.99 · 5%
89
Medicare services in 2024 · #4968 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.
24201 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$531.64
Use 20525 when the documented site is muscle or a tendon sheath and the removal is deep or complicated. Code 24201 identifies the upper arm or elbow area.
$245.17
20520 describes simple removal from muscle or a tendon sheath. 24201 is for a deep foreign body in the upper arm or elbow area.
Compare 24201 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
Connecticut →
Office / nonfacility
$714.41
Facility
$418.36
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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 24201 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,290
- Code
- 24201
- Physician work
- 4.58
- Practice expense
- 14.41
- Malpractice
- 0.99
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.58 | × 1.020 | 4.6716 |
| Practice expense | 14.41 | × 1.077 | 15.5196 |
| Malpractice | 0.99 | × 1.210 | 1.1979 |
| Total RVUs | 21.3891 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$714.41
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.58 | 1.02 |
| Practice expense | 14.41 | 1.077 |
| Malpractice | 0.99 | 1.21 |
(4.58 × 1.02 + 14.41 × 1.077 + 0.99 × 1.21) × $33.4009 = $714.41
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.58 | 1.02 |
| Practice expense | 6.18 | 1.077 |
| Malpractice | 0.99 | 1.21 |
(4.58 × 1.02 + 6.18 × 1.077 + 0.99 × 1.21) × $33.4009 = $418.36
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.
24201 billing questions
How does 24201 differ from 24200?
24201 is for a foreign body deep in the upper arm or elbow area. Use 24200 when it is confined to the subcutaneous tissue.
What documentation supports reporting 24201?
Document the upper arm or elbow location, the object's depth, and the operative work used to expose and remove it. The record should make clear why the object was not merely subcutaneous.
How is a bilateral procedure reported?
Report modifier 50 for a bilateral procedure; CMS pays it at 150%.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code, and co-surgeons are not permitted. Team surgery is also not permitted.
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 the multiple-procedure reduction work?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
2,28724160,,Rmvl prosthhumrl&ulnar cmpnt,A,,18.16,12.34,NA,12.34,,3.88,34.38,34.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28824164,,Removal prosth radial head,A,,9.75,8.60,NA,8.60,,2.08,20.43,20.43,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28924200,,Rmvl fb upper arm/elbw subq,A,,1.76,5.16,,2.17,,0.36,7.28,4.29,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29024201,,Rmvl fb upper arm/elbw deep,A,,4.58,14.41,,6.18,,0.99,19.98,11.75,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29124220,,Injection px for elbow arthg,A,,1.28,4.17,,0.27,,0.13,5.58,1.68,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29224300,,Mnpj elbow under anes,A,,3.94,8.66,NA,8.66,,0.76,13.36,13.36,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29324301,,Musc/tdn transfer upr a/e 1,A,,10.12,8.75,NA,8.75,,2.11,20.98,20.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808