No office rate
Use 24152 for radical tumor resection involving the radial head and neck. Code 24150 describes radical tumor resection in the distal or shaft region of the humerus.
On this page
CMS RVU26D · Effective 2026-10-01
24152 Tumor resection Medicare reimbursement rates in Hawaii
Reports radical removal of a tumor involving the radial head and neck, rather than a limited excision or curettage of proximal-radius bone. Compare 24152 office and facility rates across CMS payment localities in Hawaii.
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 24152 in Hawaii?
Hawaii 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
$1225.32
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 oncology
About 24152: Radical radial head and neck tumor resection
Reports radical removal of a tumor involving the radial head and neck, rather than a limited excision or curettage of proximal-radius bone.
An orthopedic surgeon, often an orthopedic oncologist, performs this operation to remove a tumor involving the radial head and neck of the radius. The surgeon removes the tumor-bearing bone as a radical resection; the code is not for a routine radial head excision or limited removal of a bone lesion. The service is generally performed in an operating room when the tumor’s location and extent call for definitive surgical removal.
Select the code from the operative report’s documented site and extent of tumor resection. Documentation should identify the radial head and neck and describe the tumor-directed radical removal, distinguishing it from partial bone excision, curettage, or resection of the elbow joint. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24152
- 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 RVU19.49 · 53%
- Practice expense (office) RVU13.01 · 35%
- Malpractice RVU4.15 · 11%
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.
24152 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
24149 describes radical resection of the elbow. Choose 24152 when the documented radical tumor resection is specifically at the radial head and neck.
No office rate
24145 is for partial bone excision at the radial head or neck. It does not represent the radical tumor resection reported with 24152.
No office rate
24130 describes excision of the radial head, not radical removal of a tumor involving the radial head and neck.
Compare 24152 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$1225.32
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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 24152 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,285
- Code
- 24152
- Physician work
- 19.49
- Practice expense
- 13.01
- Malpractice
- 4.15
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.49 | × 1.000 | 19.4900 |
| Practice expense | 13.01 | × 1.137 | 14.7924 |
| Malpractice | 4.15 | × 0.579 | 2.4028 |
| Total RVUs | 36.6852 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1225.32
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.49 | 1 |
| Practice expense | 13.01 | 1.137 |
| Malpractice | 4.15 | 0.579 |
(19.49 × 1 + 13.01 × 1.137 + 4.15 × 0.579) × $33.4009 = $1225.32
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.
24152 billing questions
How is this different from radial head excision?
This code is for radical tumor resection involving the radial head and neck. A routine radial head excision is a different service and does not describe a tumor-directed radical resection.
When would a partial radial bone excision be more appropriate?
Use a partial-excision code when the documented work is limited bone removal rather than radical resection of a tumor involving the radial head and neck.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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% when performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What should the operative report establish?
It should identify the radial head and neck as the tumor site and describe the extent of the radical tumor resection, rather than only a limited excision or curettage.
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.
2,28224147,,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
2,28524152,,Rad resection tum radial h/n,A,,19.49,13.01,NA,13.01,,4.15,36.65,36.65,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28624155,,Resection of elbow joint,A,,11.79,9.39,NA,9.39,,2.51,23.69,23.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28724160,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014