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CMS RVU26D · Effective 2026-10-01

24120 Bone lesion removal Medicare reimbursement rates in Maine

Reports curettage or excision of a bone cyst or benign tumor in the radius or ulna when the procedure does not include bone grafting. Compare 24120 office and facility rates across CMS payment localities in Maine.

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 24120 in Maine?

Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$471.20–$488.68

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $17.48 per service.

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.

Find 24120 in your payment locality →

Orthopedic surgery

About 24120: Radius or ulna bone lesion curettage

Reports curettage or excision of a bone cyst or benign tumor in the radius or ulna when the procedure does not include bone grafting.

An orthopedic surgeon removes or curettes a bone cyst or benign tumor in the radius or ulna. The procedure is generally performed in an operating room, with the operative approach and extent guided by the lesion’s location and the bone involved. The removed tissue may be submitted for examination, but the defining service is treatment of the bone lesion rather than joint biopsy or removal of the radial head.

Choose this code when the operative report identifies a cyst or benign tumor in the radius or ulna and describes excision or curettage without grafting. Use the graft-specific sibling when autograft or allograft is placed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

CMS billing rules for 24120

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU6.65 · 44%
  • Practice expense (office) RVU7.20 · 47%
  • Malpractice RVU1.34 · 9%

395

Medicare services in 2024 · #3746 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.

24120 compared with similar codes

Office rates for Maine, from the same CMS release.

24110

Bone lesion excision

Humerus, without graft

No office rate

Use 24110 for the comparable cyst or benign-tumor procedure on the humerus; use 24120 for the radius or ulna.

24125

Bone lesion surgery

Radius, with autograft

No office rate

24125 includes autograft with radius or ulna lesion treatment. Choose 24120 when no graft is used.

24126

Bone lesion surgery

Radius, with allograft

No office rate

24126 identifies radius or ulna lesion treatment with allograft. Choose 24120 when the procedure does not include grafting.

Compare 24120 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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24120 billing questions

When should this code be chosen instead of 24125 or 24126?

Use 24120 for radius or ulna cyst or benign-tumor curettage or excision without grafting. The sibling codes distinguish procedures that include autograft or allograft.

How does this differ from code 24110?

The lesion procedure is similar, but 24110 is for the humerus. Code 24120 applies to the radius or ulna.

What documentation supports reporting this code?

The operative report should identify the radius or ulna, characterize the treated lesion as a cyst or benign tumor, describe excision or curettage, and clarify whether grafting was performed.

How is the 90-day global period handled?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can this procedure be reported bilaterally?

When the procedure is performed bilaterally, modifier 50 is associated with payment at 150% under the CMS rule supplied for this code.

When is an assistant at surgery payable?

CMS payment for an assistant at surgery requires documentation of medical necessity. 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.

RVUs for 24120PPRRVU2026_Oct_nonQPP.csv, line 2,273 (RVU26D)