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CMS RVU26D · Effective 2026-10-01

24145 Bone excision Medicare reimbursement rates in New Mexico

Reports surgical removal of part of the radial head or neck for localized bone disease, when the procedure does not remove the entire radial head. Compare 24145 office and facility rates across CMS payment localities in New Mexico.

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 24145 in New Mexico?

New Mexico 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

$555.71

1 of 1 localities have a supported rate.

Payment area: New Mexico

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.

Find 24145 in your payment locality →

Orthopedic surgery

About 24145: Partial radial head or neck bone excision

Reports surgical removal of part of the radial head or neck for localized bone disease, when the procedure does not remove the entire radial head.

An orthopedic surgeon removes a portion of the radius at the elbow, such as by shaping or excising a localized area of abnormal bone while retaining the remaining radial head or neck. The procedure is generally performed in an operating room for a focal bone problem requiring more than simple biopsy or curettage. The operative report should identify the radial head or neck and describe the portion removed and the reason for the excision.

Select this code for partial bone removal, not complete radial head excision, targeted removal of a sequestrum, or radical tumor resection. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 24145

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.61 · 45%
  • Practice expense (office) RVU7.71 · 45%
  • Malpractice RVU1.63 · 10%

27

Medicare services in 2024 · #5728 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.

24145 compared with similar codes

Office rates for New Mexico, from the same CMS release.

24130

Radial head excision

Removal of radial head

No office rate

Choose 24145 when only part of the radial head or neck is removed. Choose 24130 when the radial head itself is excised.

24136

Bone sequestrectomy

Radial head or neck

No office rate

Code 24136 is specific to removing a sequestrum from the radial head or neck; 24145 describes partial bone excision more broadly.

24152

Tumor resection

Radial head and neck

No office rate

Code 24152 describes radical resection of a tumor at the radial head or neck. Code 24145 is for partial excision, not radical tumor resection.

Compare 24145 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

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

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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 24145 in New Mexico.

PPRRVU2026_Oct_nonQPP.csv

2,281

Code
24145
Physician work
7.61
Practice expense
7.71
Malpractice
1.63

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 24145 in New Mexico
ComponentRVULocality factorAdjusted
Physician work7.61× 1.0007.6100
Practice expense7.71× 0.9177.0701
Malpractice1.63× 1.2011.9576
Total RVUs16.6377
Conversion factor× 33.4009

Facility rate, New Mexico$555.71

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.611
Practice expense7.710.917
Malpractice1.631.201

(7.61 × 1 + 7.71 × 0.917 + 1.63 × 1.201) × $33.4009 = $555.71

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.

24145 billing questions

How is this different from radial head excision, code 24130?

Code 24145 describes removal of only part of the radial head or neck. Code 24130 is for excision of the radial head rather than a partial bone removal.

When should a sequestrectomy code be considered instead?

Use code 24136 when the procedure specifically removes a sequestrum from the radial head or neck. Code 24145 describes partial excision of bone rather than the targeted removal of a sequestrum.

What documentation supports reporting this code?

The operative report should identify the radial head or neck, describe the extent and location of bone removed, and explain the underlying bone problem. It should establish that the removal was partial rather than complete or radical.

Is postoperative care included?

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

How does CMS handle bilateral procedures and other procedures in the same session?

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

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 24145PPRRVU2026_Oct_nonQPP.csv, line 2,281 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)