No office rate
This code is for sequestrum removal from the humeral shaft or distal humerus; 24136 identifies the radial head or neck.
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CMS RVU26D · Effective 2026-10-01
24134 Bone sequestrectomy Medicare reimbursement rates in Minnesota
Removal of devitalized bone from the humeral shaft or distal humerus, typically to treat a sequestrum associated with chronic bone infection. Compare 24134 office and facility rates across CMS payment localities in Minnesota.
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 24134 in Minnesota?
Minnesota 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
$661.93
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 24134: Humeral shaft or distal sequestrectomy
Removal of devitalized bone from the humeral shaft or distal humerus, typically to treat a sequestrum associated with chronic bone infection.
An orthopedic surgeon performs this operation to remove a sequestrum, a piece of devitalized bone, from the shaft or distal portion of the humerus. It is typically used when chronic osteomyelitis has left nonviable bone that requires surgical removal. The procedure is generally performed in a facility setting, where the surgeon exposes the involved bone and removes the sequestrum.
Report the code when the operative record supports removal of a sequestrum from the specified humeral region; documentation should identify the site, indication, and bone removed. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24134
- 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 RVU9.96 · 47%
- Practice expense (office) RVU8.97 · 43%
- Malpractice RVU2.12 · 10%
27
Medicare services in 2024 · #5727 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.
24134 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
This code identifies a humeral site. Code 24138 is for sequestrum removal from the olecranon process.
No office rate
Choose 24134 for removal of a humeral sequestrum. Code 24140 describes partial excision of humeral bone, not a site-specific sequestrectomy.
No office rate
Code 24110 is for curettage or excision of a humeral bone cyst or benign tumor; 24134 is for removal of devitalized bone.
Compare 24134 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$661.93
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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 24134 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,277
- Code
- 24134
- Physician work
- 9.96
- Practice expense
- 8.97
- Malpractice
- 2.12
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.96 | × 1.000 | 9.9600 |
| Practice expense | 8.97 | × 1.029 | 9.2301 |
| Malpractice | 2.12 | × 0.296 | 0.6275 |
| Total RVUs | 19.8177 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$661.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.96 | 1 |
| Practice expense | 8.97 | 1.029 |
| Malpractice | 2.12 | 0.296 |
(9.96 × 1 + 8.97 × 1.029 + 2.12 × 0.296) × $33.4009 = $661.93
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.
24134 billing questions
How is this code different from partial excision of the humerus?
Use this code when the operation removes a sequestrum from the humeral shaft or distal humerus. Partial excision is a different service when the procedure is not specifically removal of a sequestrum.
What documentation supports reporting this code?
The operative report should identify the humeral shaft or distal humerus as the site and describe removal of devitalized bone or a sequestrum, along with the clinical indication.
What is included in the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can modifier 50 or an assistant-at-surgery service be reported?
For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services 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.
2,27424125,,Exc/crtg b1 cst/tum rds agrf,A,,7.94,8.17,NA,8.17,,1.69,17.80,17.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27524126,,Exc/crtg b1 cst/tum rds algr,A,,8.40,8.31,NA,8.31,,1.78,18.49,18.49,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27624130,,Excision radial head,A,,6.26,7.04,NA,7.04,,1.23,14.53,14.53,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27724134,,Sequestrectomy shft/dstl hum,A,,9.96,8.97,NA,8.97,,2.12,21.05,21.05,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27824136,,Sequestrectomy radial h/n,A,,8.19,8.05,NA,8.05,,1.74,17.98,17.98,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27924138,,Sequestrectomy olecrn proces,A,,8.29,9.74,NA,9.74,,1.76,19.79,19.79,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28024140,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002