CPT code 24077: Tumor resection2026 Medicare rate & RVUs in Nebraska

Reports radical removal of a soft-tissue tumor in the upper arm or elbow area when the tumor is less than 5 cm.

CMS RVU26DEffective Oct 1, 20261 payment locality137 Medicare services in 2024

CMS doesn’t publish an office rate for 24077 in Nebraska.

—Office (non-facility)
$859.35Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 24077 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nebraska
  2. What 24077 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 24077 covers

This code describes radical resection of a soft-tissue tumor in the upper arm or elbow area, with a tumor size under 5 cm. The surgeon removes the tumor with surrounding tissue as needed for an oncologic resection, rather than simply shelling out or locally excising a mass. Orthopedic oncologists and other surgeons treating soft-tissue tumors may perform the procedure in a hospital operating room or an appropriately equipped outpatient surgical setting.

Choose the code based on the operative work, anatomic area, and tumor size: the documentation should establish a radical resection and support the under-5-cm category. Include the tumor’s location and size and describe the extent of tissue removed. The service has 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 the others at 50%. Modifier 50 for bilateral surgery is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is 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.

24077 in Nebraska

24077 office and facility rates by payment locality
Payment localityOfficeFacility
NebraskaUnavailable$859.35

How the 24077 rate is calculated

Each of 24077’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 · 24077

RVUs × geographic indexes × conversion factor

Work15.33

15.33 RVUs× 1.000 GPCI

Practice expense9.82

9.82 RVUs× 1.000 GPCI

Malpractice3.53

3.53 RVUs× 1.000 GPCI

Adjusted RVUs

28.6800

Conversion factor

$33.4009

Medicare rate

$957.94

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 24077

24077 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24077

Tumor resection

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 24077

Tumor resection

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

24077 without 50 · national facility

$957.94

Tumor resection

24077-50 · Bilateral: 150%

$1,436.91

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).

When to use modifier 50

24077 compared with similar codes

Compare codes · National

5 codes, side by side

  • 24077

    Tumor resection15.33 wRVU

    Not priced

  • 24076

    Tumor excision7.22 wRVU

    Not priced

  • 24079

    Tumor resection20.09 wRVU

    Not priced

  • 24073

    Tumor excision9.88 wRVU

    Not priced

  • 24075

    Soft-tissue excision4.13 wRVU

    $569.49

How to choose

24076Tumor excision
Both codes concern tumors under 5 cm in the upper arm or elbow area. Choose 24077 for radical resection; 24076 describes excision of a deep tumor.
24079Tumor resection
This is the corresponding radical resection code for tumors 5 cm or larger; 24077 is for tumors under 5 cm.
24073Tumor excision
24073 describes excision of a deep tumor 5 cm or larger. Use 24077 for radical resection when the tumor is under 5 cm.
24075Soft-tissue excision
24075 is for excision of a subcutaneous lesion under 3 cm, not radical resection of a soft-tissue tumor.

24077 billing questions

How is this different from 24076?

24077 is for radical resection of a tumor under 5 cm. Use 24076 for a deep soft-tissue tumor under 5 cm when the operative service is an excision rather than a radical resection.

When should 24079 be reported instead?

Use 24079 when the radical resection is in the upper arm or elbow area and the tumor is 5 cm or larger. This code is for tumors under 5 cm.

What documentation supports the radical resection?

Document the tumor’s arm or elbow location, size, and the operative extent of removal. The operative report should support radical resection rather than routine excision of a mass.

Are related postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral cases and multiple procedures handled?

A bilateral procedure reported with modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted. Co-surgeons are paid only with supporting documentation; team surgery is 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 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
RVUs for 24077PPRRVU2026_Oct_nonQPP.csv, line 2,264 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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