Billing code 24105: Bursa excisionMedicare rate & RVUs in Ohio
Removal of the inflamed bursa over the elbow tip is reported for operative treatment of persistent or recurrent olecranon bursitis.
CMS doesn’t publish an office rate for 24105 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24105 covers
This service removes the bursa over the posterior tip of the ulna, commonly for persistent or recurrent olecranon bursitis that has not resolved with conservative care. An orthopedic surgeon typically performs the open procedure in an operating room or ambulatory surgery setting. The operative target is the bursal sac, not the elbow joint lining or the olecranon bone itself.
Report the code when the operative note supports excision of the olecranon bursa and identifies the affected side and clinical indication. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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.
24105 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $340.01 |
How the 24105 rate is calculated
Each of 24105’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 · 24105
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.69Practice expense 6.28Malpractice 0.75
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24105
24105 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24105
Bursa excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24105
Bursa excision
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24105 without 50 · national facility
$358.06
Bursa excision
24105-50 · Bilateral: 150%
$537.09
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).
24105 compared with similar codes
Compare codes
24105 vs 24102 vs 24100 vs 24101 vs 24147: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24102Elbow synovectomy
- This code concerns removal of the olecranon bursa. Choose 24102 when the operative work is synovectomy of the elbow joint lining.
- 24100Elbow biopsy
- This code treats bursal disease by excising the bursa. Code 24100 is for obtaining a synovial biopsy from the elbow joint.
- 24101Elbow arthrotomy
- Choose this code for bursa excision. Code 24101 describes an elbow joint exploration with biopsy or removal, rather than removal of the bursal sac.
- 24147Olecranon excision
- This code removes the olecranon bursa; 24147 addresses partial excision of olecranon bone. Select based on the documented operative target.
24105 billing questions
When should this code be chosen instead of an elbow synovectomy code?
Use this code when the operation removes the bursa over the olecranon. A synovectomy code is for work on the joint lining, not the superficial bursal sac.
Does this code describe removal of olecranon bone?
No. The target is the bursa. If the operation removes olecranon bone, assess the bone procedure separately based on the documented work.
What documentation supports reporting the service?
Document the side, the bursal condition prompting surgery, and the operative findings and work showing that the olecranon bursa was excised.
How is bilateral surgery reported under the CMS facts?
Report bilateral surgery with modifier 50; Medicare pays it at 150%.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Are related postoperative visits separately included?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
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
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