Billing code 24149: Elbow resectionMedicare rate & RVUs in Florida
Reports extensive radical removal of a tumor involving the elbow, rather than a limited excision or resection confined to a specific bone.
CMS doesn’t publish an office rate for 24149 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24149 covers
An orthopedic surgeon, often working in orthopedic oncology, uses this service for extensive removal of a tumor involving the elbow. The operation removes the tumor with the surrounding involved tissue and may include affected elbow structures or bone. It is generally performed in a hospital operating room when a limited excision would not represent the planned extent of removal.
Select this code when the operative report supports radical resection at the elbow; document the tumor location and the structures removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 24149 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,181.95 |
| Miami | Unavailable | $1,271.30 |
| Rest Of Florida | Unavailable | $1,123.57 |
How the 24149 rate is calculated
Each of 24149’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24149
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.81Practice expense 13.65Malpractice 3.18
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24149
24149 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24149
Elbow resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24149
Elbow resection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24149 without 50 · national facility
$1,090.21
Elbow resection
24149-50 · Bilateral: 150%
$1,635.32
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24149 compared with similar codes
Compare codes
24149 vs 24150 vs 24152 vs 24155 vs 24140: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24150Bone tumor resection
- Use 24150 when the radical tumor resection is centered on the distal or shaft humerus; 24149 identifies radical resection involving the elbow.
- 24152Tumor resection
- Use 24152 for radical tumor resection centered on the radial head or neck. The operative anatomy distinguishes it from radical elbow resection.
- 24155Elbow resection
- 24155 reports resection of the elbow joint. Choose 24149 when the documented operation is a radical resection for an elbow tumor.
- 24140Bone excision
- 24140 describes partial excision of humeral bone, not radical elbow tumor resection. The documented extent and target of surgery guide selection.
24149 billing questions
How is this different from resection of the elbow joint, 24155?
24149 describes radical removal involving the elbow, typically for an extensive tumor resection. Use 24155 when the service is resection of the elbow joint rather than a radical tumor resection.
When should 24150 or 24152 be considered instead?
Those codes describe radical tumor resections centered on the distal or shaft humerus, or the radial head and neck, respectively. Choose based on the documented anatomic focus of the resection.
What documentation supports 24149?
The operative report should identify the tumor’s elbow location, the radical extent of removal, and the involved structures removed. A limited excision or bone procedure alone does not establish this service.
How is bilateral surgery reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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