Billing code 24140: Bone excisionMedicare rate & RVUs in Guam
Reports operative removal or contouring of a limited portion of the humerus, including debridement of localized nonviable bone when partial excision is performed.
CMS doesn’t publish an office rate for 24140 in Guam.
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 24140 covers
The surgeon removes or reshapes a limited area of humeral bone, such as by creating or enlarging a cavity or removing a localized sequestrum. This may be performed for a focal bone problem, including devitalized bone associated with chronic infection. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery setting, with the approach and extent guided by the affected humeral site and operative findings.
Select this code when the documented work is partial excision of the humerus, rather than a separately described procedure for a specific cyst or benign tumor, or a more extensive tumor resection. The operative report should identify the humeral site, the reason for excision, and the bone removed or reshaped. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons and team surgery are 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.
24140 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $667.66 |
How the 24140 rate is calculated
Each of 24140’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 · 24140
RVUs × geographic indexes × conversion factor
Work9.31
9.31 RVUs× 1.000 GPCI
Practice expense8.42
8.42 RVUs× 1.000 GPCI
Malpractice1.91
1.91 RVUs× 1.000 GPCI
Adjusted RVUs
19.6400
Conversion factor
$33.4009
Medicare rate
$655.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24140
24140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24140
Bone excision
| 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) | 0 | Not permitted. |
| 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 · 24140
Bone excision
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
24140 without 50 · national facility
$655.99
Bone excision
24140-50 · Bilateral: 150%
$983.99
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).
24140 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24134Bone sequestrectomy
- 24134 is specifically for sequestrectomy of the shaft or distal humerus. Choose 24140 for partial humeral excision when that narrower site-specific service does not describe the operation.
- 24110Bone lesion excision
- 24110 identifies excision or curettage of a humeral bone cyst or benign tumor. 24140 describes partial bone excision without that lesion-specific service.
- 24150Bone tumor resection
- 24150 describes radical resection of a tumor in the humeral shaft or distal humerus. 24140 is for a more limited partial excision.
- 24145Bone excision
- 24145 covers partial excision of the radius or ulna; 24140 applies when the bone partially excised is the humerus.
24140 billing questions
How is this different from 24134?
24134 is for sequestrectomy at the shaft or distal humerus. Use 24140 when the documented service is a partial excision of the humerus and the more specific site-and-service description for 24134 does not fit.
When is 24110 a better fit?
Use 24110 for excision or curettage of a humeral bone cyst or benign tumor. This code describes partial humeral bone excision rather than that lesion-specific service.
What documentation supports reporting 24140?
The operative report should state the humeral site, the clinical reason for surgery, and the portion of bone removed or reshaped. Document whether the work involved localized removal of nonviable bone or another partial excision.
What postoperative care is included?
Medicare assigns a 90-day global period. It includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does Medicare pay when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. For bilateral reporting with modifier 50, this code is paid at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
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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