$524.73
Both describe subcutaneous masses in the upper arm or elbow area. The size threshold is the distinction: 24071 is for 3 cm or larger, while 24075 is for under 3 cm.
On this page
CMS RVU26D · Effective 2026-10-01
24071 Soft-tissue excision Medicare reimbursement rates in Indiana
Reports excision of a subcutaneous soft-tissue mass in the upper arm or elbow area when the mass measures at least 3 cm. Compare 24071 office and facility rates across CMS payment localities in Indiana.
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 24071 in Indiana?
Indiana 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
$357.45
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Musculoskeletal surgery
About 24071: Subcutaneous arm or elbow mass excision
Reports excision of a subcutaneous soft-tissue mass in the upper arm or elbow area when the mass measures at least 3 cm.
A surgeon removes a soft-tissue mass located beneath the skin in the upper arm or elbow area. A typical example is excision of a subcutaneous lipoma; the service involves removing the mass itself, rather than taking a sample for diagnosis. The procedure may be performed in an operating room or another setting appropriate to the patient and mass. The code is specific to the upper arm or elbow region and the subcutaneous depth.
Choose this code when documentation supports a mass at least 3 cm in size and located in subcutaneous tissue. A smaller subcutaneous mass belongs to the sibling code for lesions under 3 cm; a mass beneath the fascia is coded by its deep location and applicable size threshold. The operative report should identify the site, size, depth, and whether the mass was excised or only biopsied. CMS assigns a 90-day global period, including the day before surgery and 90 days of related postoperative care. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures are reduced. Bilateral reporting with modifier 50 is paid at 150%; assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted.
CMS billing rules for 24071
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.56 · 47%
- Practice expense (office) RVU4.86 · 41%
- Malpractice RVU1.31 · 11%
3K
Medicare services in 2024 · #2169 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.
24071 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
24073 is for a deep soft-tissue mass measuring 5 cm or larger. Choose 24071 for a subcutaneous mass measuring at least 3 cm.
No office rate
24076 describes a deep mass under 5 cm. A subcutaneous mass at least 3 cm is reported with 24071 instead.
$244.00
24065 is for superficial soft-tissue biopsy, where tissue is sampled rather than the mass excised. Use 24071 for excision of a qualifying subcutaneous mass.
Compare 24071 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
Indiana →
Office / nonfacility
Unavailable
Facility
$357.45
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 24071 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,260
- Code
- 24071
- Physician work
- 5.56
- Practice expense
- 4.86
- Malpractice
- 1.31
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.56 | × 1.000 | 5.5600 |
| Practice expense | 4.86 | × 0.927 | 4.5052 |
| Malpractice | 1.31 | × 0.486 | 0.6367 |
| Total RVUs | 10.7019 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$357.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.56 | 1 |
| Practice expense | 4.86 | 0.927 |
| Malpractice | 1.31 | 0.486 |
(5.56 × 1 + 4.86 × 0.927 + 1.31 × 0.486) × $33.4009 = $357.45
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.
24071 billing questions
When is 24071 used instead of 24075?
Use 24071 for a subcutaneous upper-arm or elbow mass measuring 3 cm or larger. Code 24075 is the sibling for a subcutaneous mass under 3 cm.
How does this differ from 24073 or 24076?
Those codes describe a mass beneath the fascia, such as an intramuscular mass. Use 24071 when the mass is subcutaneous, even if the incision is deep.
Can 24071 be reported for a biopsy?
No. It represents excision of the mass, not sampling for diagnosis. The arm or elbow soft-tissue biopsy codes are 24065 for superficial tissue and 24066 for deep tissue.
What should the operative note document?
Document the upper-arm or elbow site, the mass's size and subcutaneous location, and that the mass was excised. These details distinguish this code from smaller-mass, deep-mass, and biopsy codes.
What global and multiple-procedure rules apply?
The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are reduced.
How is bilateral excision reported?
For a bilateral procedure reported with modifier 50, CMS pays 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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.
2,25724006,,Arthrt elbw capsl exc rls,A,,9.50,8.46,NA,8.46,,1.93,19.89,19.89,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25824065,,Biopsy arm/elbow soft tissue,A,,2.08,5.49,,2.09,,0.28,7.85,4.45,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25924066,,Biopsy arm/elbow soft tissue,A,,5.22,14.13,,6.03,,1.20,20.55,12.45,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26024071,,Exc arm/elbow les sc 3 cm/>,A,,5.56,4.86,NA,4.86,,1.31,11.73,11.73,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26124073,,Ex arm/elbow tum deep 5 cm/>,A,,9.88,7.43,NA,7.43,,2.25,19.56,19.56,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26224075,,Exc arm/elbow les sc < 3 cm,A,,4.13,12.02,,4.57,,0.90,17.05,9.60,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26324076,,Ex arm/elbow tum deep < 5 cm,A,,7.22,6.82,NA,6.82,,1.56,15.60,15.60,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915