Billing code 24145: Bone excisionMedicare rate & RVUs in Oregon
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.
CMS doesn’t publish an office rate for 24145 in Oregon.
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 24145 covers
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.
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.
Where 24145 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $584.86 |
| Rest Of Oregon | Unavailable | $548.95 |
How the 24145 rate is calculated
Each of 24145’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 · 24145
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.61Practice expense 7.71Malpractice 1.63
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24145
24145 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24145
Bone 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) | 1 | Permitted with supporting documentation. |
| 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 · 24145
Bone 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
24145 without 50 · national facility
$566.15
Bone excision
24145-50 · Bilateral: 150%
$849.23
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).
24145 compared with similar codes
Compare codes
24145 vs 24130 vs 24136 vs 24152: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24130Radial head excision
- Choose 24145 when only part of the radial head or neck is removed. Choose 24130 when the radial head itself is excised.
- 24136Bone sequestrectomy
- Code 24136 is specific to removing a sequestrum from the radial head or neck; 24145 describes partial bone excision more broadly.
- 24152Tumor resection
- Code 24152 describes radical resection of a tumor at the radial head or neck. Code 24145 is for partial excision, not radical tumor resection.
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 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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