Billing code 24136: Bone sequestrectomyMedicare rate & RVUs in Kentucky
Reports surgical removal of a sequestrum from the radial head or neck, typically when devitalized bone is treated in a setting such as chronic osteomyelitis.
CMS doesn’t publish an office rate for 24136 in Kentucky.
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 24136 covers
This service removes a sequestrum, or isolated devitalized bone, from the radial head or neck near the elbow. An orthopedic surgeon typically performs the operation when dead bone requires removal, often in the setting of chronic osteomyelitis. The operative work is specific to the radial head or neck; sequestra in other elbow-region bones belong to different site-specific codes.
Select the code when the operative report supports removal of a sequestrum at this site, rather than a broader partial bone excision or removal of the radial head. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery reported with modifier 50, payment is at 150%. Assistant-at-surgery services are not 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.
24136 in Kentucky
| Payment locality | Office | Facility |
|---|---|---|
| Kentucky | Unavailable | $565.76 |
How the 24136 rate is calculated
Each of 24136’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 · 24136
RVUs × geographic indexes × conversion factor
Work8.19
8.19 RVUs× 1.000 GPCI
Practice expense8.05
8.05 RVUs× 1.000 GPCI
Malpractice1.74
1.74 RVUs× 1.000 GPCI
Adjusted RVUs
17.9800
Conversion factor
$33.4009
Medicare rate
$600.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24136
24136 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24136
Bone sequestrectomy
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 24136
Bone sequestrectomy
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
24136 without 50 · national facility
$600.55
Bone sequestrectomy
24136-50 · Bilateral: 150%
$900.83
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).
24136 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24134Bone sequestrectomy
- This code is for a sequestrum at the radial head or neck. Code 24134 identifies the shaft or distal humerus as the site.
- 24138Bone sequestrectomy
- Use this code for a sequestrum at the radial head or neck; code 24138 is for the olecranon process.
- 24145Bone excision
- Code 24145 describes partial bone excision at the radial head or neck. Choose this code when the operative work specifically removes a sequestrum.
- 24130Radial head excision
- Code 24130 is for excision of the radial head. This code is specific to sequestrum removal at the radial head or neck.
24136 billing questions
How does this differ from partial excision of the radial head or neck?
Use this code when the documented target is a sequestrum, or isolated devitalized bone. Partial excision describes a different bone-removal service and should not be selected solely because bone was removed.
When is radial head excision a better fit?
Radial head excision is the relevant comparison when the operation removes the radial head rather than specifically removing a sequestrum from the radial head or neck.
What documentation supports reporting this code?
The operative report should identify the radial head or neck as the site and describe removal of sequestrated bone. A diagnosis such as osteomyelitis may provide clinical context but does not replace documentation of the procedure performed.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% multiple-procedure reduction.
How should bilateral procedures and surgical assistance be handled?
For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
What care is included in the global period?
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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