No office rate
Use 24150 when the radical tumor resection is centered on the distal or shaft humerus; 24149 identifies radical resection involving the elbow.
On this page
CMS RVU26D · Effective 2026-10-01
24149 Elbow resection Medicare reimbursement rates in Iowa
Reports extensive radical removal of a tumor involving the elbow, rather than a limited excision or resection confined to a specific bone. Compare 24149 office and facility rates across CMS payment localities in Iowa.
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 24149 in Iowa?
Iowa 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
$987.40
1 of 1 localities have a supported rate.
Payment area: Iowa
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 24149: Radical elbow tumor resection
Reports extensive radical removal of a tumor involving the elbow, rather than a limited excision or resection confined to a specific bone.
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.
CMS billing rules for 24149
- 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 RVU15.81 · 48%
- Practice expense (office) RVU13.65 · 42%
- Malpractice RVU3.18 · 10%
420
Medicare services in 2024 · #3694 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.
24149 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Use 24152 for radical tumor resection centered on the radial head or neck. The operative anatomy distinguishes it from radical elbow resection.
No office rate
24155 reports resection of the elbow joint. Choose 24149 when the documented operation is a radical resection for an elbow tumor.
No office rate
24140 describes partial excision of humeral bone, not radical elbow tumor resection. The documented extent and target of surgery guide selection.
Compare 24149 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
Iowa →
Office / nonfacility
Unavailable
Facility
$987.40
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 24149 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,283
- Code
- 24149
- Physician work
- 15.81
- Practice expense
- 13.65
- Malpractice
- 3.18
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.81 | × 1.000 | 15.8100 |
| Practice expense | 13.65 | × 0.915 | 12.4898 |
| Malpractice | 3.18 | × 0.397 | 1.2625 |
| Total RVUs | 29.5622 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$987.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.81 | 1 |
| Practice expense | 13.65 | 0.915 |
| Malpractice | 3.18 | 0.397 |
(15.81 × 1 + 13.65 × 0.915 + 3.18 × 0.397) × $33.4009 = $987.40
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.
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 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.
2,28024140,,Partial exc bone humerus,A,,9.31,8.42,NA,8.42,,1.91,19.64,19.64,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28124145,,Prtl exc bone radial h/n,A,,7.61,7.71,NA,7.71,,1.63,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28224147,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136