No office rate
Both address a cyst or benign tumor in the radius; choose 24125 when autograft is used and 24120 when no graft is used.
On this page
CMS RVU26D · Effective 2026-10-01
24125 Bone lesion surgery Medicare reimbursement rates in Delaware
Reports curettage or excision of a benign cyst or tumor in the radius when the resulting bone defect is filled with the patient's own graft. Compare 24125 office and facility rates across CMS payment localities in Delaware.
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 24125 in Delaware?
Delaware 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
$586.89
1 of 1 localities have a supported rate.
Payment area: Delaware
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 24125: Radius bone lesion curettage with autograft
Reports curettage or excision of a benign cyst or tumor in the radius when the resulting bone defect is filled with the patient's own graft.
An orthopedic surgeon removes or curettes a benign cyst or tumor in the radius and fills the resulting defect with autologous bone graft. The procedure is generally performed in an operating room when a lesion requires surgical treatment, such as for symptoms or structural concern. The code distinguishes this service from treatment of a similar lesion without graft or with donor allograft.
Report the code when the treated site is the radius and the surgeon uses the patient's own bone graft; documentation should identify the lesion, its location, the curettage or excision performed, and the graft used. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24125
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.94 · 45%
- Practice expense (office) RVU8.17 · 46%
- Malpractice RVU1.69 · 9%
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.
24125 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
The site and lesion treatment are comparable, but 24126 specifies allograft rather than the patient's own bone.
No office rate
This is the analogous autograft procedure for a humeral lesion. Use 24125 when the treated bone is the radius.
Compare 24125 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
Delaware →
Office / nonfacility
Unavailable
Facility
$586.89
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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 24125 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,274
- Code
- 24125
- Physician work
- 7.94
- Practice expense
- 8.17
- Malpractice
- 1.69
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.94 | × 1.005 | 7.9797 |
| Practice expense | 8.17 | × 0.988 | 8.0720 |
| Malpractice | 1.69 | × 0.899 | 1.5193 |
| Total RVUs | 17.5710 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$586.89
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.94 | 1.005 |
| Practice expense | 8.17 | 0.988 |
| Malpractice | 1.69 | 0.899 |
(7.94 × 1.005 + 8.17 × 0.988 + 1.69 × 0.899) × $33.4009 = $586.89
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.
24125 billing questions
When should this code be chosen over 24120?
Use 24125 when the radius lesion is treated with the patient's own bone graft. Code 24120 describes the corresponding radius procedure without a graft.
How does this differ from 24126?
The graft source distinguishes the codes: 24125 involves the patient's own bone, while 24126 involves allograft.
What should the operative note document?
Document the lesion and its location in the radius, the excision or curettage performed, and that autologous bone graft was used.
Can this be reported bilaterally?
For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The 90-day global period includes related postoperative care.
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.
2,27124115,,Exc/crtg b1 cst/tum hum agrf,A,,9.87,8.78,NA,8.78,,2.10,20.75,20.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27224116,,Exc/crtg b1 cst/tum hum algr,A,,11.92,9.43,NA,9.43,,2.54,23.89,23.89,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27324120,,Exc/crtg b1 cst/b9 tum rds,A,,6.65,7.20,NA,7.20,,1.34,15.19,15.19,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27424125,,Exc/crtg b1 cst/tum rds agrf,A,,7.94,8.17,NA,8.17,,1.69,17.80,17.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27524126,,Exc/crtg b1 cst/tum rds algr,A,,8.40,8.31,NA,8.31,,1.78,18.49,18.49,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27624130,,Excision radial head,A,,6.26,7.04,NA,7.04,,1.23,14.53,14.53,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27724134,,Sequestrectomy shft/dstl hum,A,,9.96,8.97,NA,8.97,,2.12,21.05,21.05,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503