Billing code 24930: Amputation surgeryMedicare rate & RVUs in Nebraska

Reports follow-up surgery associated with an upper-arm amputation, rather than the initial amputation that removes the limb through the humerus.

CMS RVU26DEffective Oct 1, 20261 payment locality17 Medicare services in 2024

CMS doesn’t publish an office rate for 24930 in Nebraska.

—Office (non-facility)
$652.72Hospital 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 24930 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nebraska
  2. What 24930 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 24930 covers

billing code 24930 represents follow-up surgery associated with an upper-arm amputation. It is distinct from the initial operation that removes the arm through the humerus. The service is performed in an operating room, typically by an orthopedic or other surgeon managing the amputation. The operative report should identify the prior amputation and describe the follow-up procedure actually performed; the code should not be selected solely because a patient has an amputation or receives routine postoperative care.

Report 24930 when the documented operation matches this follow-up service, not for the initial amputation or a separately described revision. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. If multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 identifies a bilateral procedure, paid at 150%. An assistant at surgery may be 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.

24930 in Nebraska

24930 office and facility rates by payment locality
Payment localityOfficeFacility
NebraskaUnavailable$652.72

How the 24930 rate is calculated

Each of 24930’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 · 24930

RVUs × geographic indexes × conversion factor

Work10.56

10.56 RVUs× 1.000 GPCI

Practice expense8.81

8.81 RVUs× 1.000 GPCI

Malpractice2.25

2.25 RVUs× 1.000 GPCI

Adjusted RVUs

21.6200

Conversion factor

$33.4009

Medicare rate

$722.13

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

Payment rules and modifiers for 24930

24930 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24930

Amputation surgery

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)2Paid.
Co-surgeons (62)0Not permitted.
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 · 24930

Amputation surgery

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

24930 without 50 · national facility

$722.13

Amputation surgery

24930-50 · Bilateral: 150%

$1,083.20

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

24930 compared with similar codes

Compare codes · National

4 codes, side by side

  • 24930

    Amputation surgery10.56 wRVU

    Not priced

  • 24900

    Upper arm amputation9.93 wRVU

    Not priced

  • 24925

    Arm amputation7.12 wRVU

    Not priced

  • 24935

    Amputation revision16.04 wRVU

    Not priced

How to choose

24900Upper arm amputation
24900 describes the initial amputation through the humerus. Use 24930 for the associated follow-up surgery, not the limb-removal operation.
24925Arm amputation
Both codes are identified as upper-arm amputation follow-up services in the CMS short descriptors. Check the specific operative service against the applicable billing code descriptor rather than choosing by the patient's history alone.
24935Amputation revision
24935 is identified as revision of an amputation. Report 24930 when the documented service is the follow-up surgery represented by that code rather than a revision.

24930 billing questions

How does 24930 differ from the initial upper-arm amputation code?

24930 is for follow-up surgery associated with an amputation, not the operation that initially removes the arm through the humerus. Use the initial amputation code when that is the service performed.

How is 24930 different from 24935?

24935 is identified as revision of an amputation. Use the code that matches the documented operation; 24930 represents follow-up surgery associated with an upper-arm amputation.

Which documentation supports reporting 24930?

The operative report should identify the prior upper-arm amputation and describe the follow-up operation. The history of an amputation alone does not establish that this surgery was performed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.

Can an assistant surgeon be reported?

An assistant at surgery may be paid for this code. Co-surgeons and team surgery are not permitted under the CMS facts provided.

How are multiple procedures or bilateral surgery handled?

For procedures performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. A bilateral procedure reported with modifier 50 is paid at 150%.

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 24930PPRRVU2026_Oct_nonQPP.csv, line 2,363 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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