$626.06–$696.22
Both codes cover the upper arm or elbow region; choose 24200 for a subcutaneous foreign body and 24201 for a deep one.
On this page
CMS RVU26D · Effective 2026-10-01
24200 Foreign body removal Medicare reimbursement rates in Pennsylvania
Removal of a subcutaneous foreign body from the upper arm or elbow, typically when an incision is needed to expose and extract the material. Compare 24200 office and facility rates across CMS payment localities in Pennsylvania.
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 24200 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$228.36–$253.60
2 of 2 localities have a supported rate.
Facility setting
$136.69–$149.64
2 of 2 localities have a supported rate.
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.
Minor surgery
About 24200: Subcutaneous foreign body removal, upper arm or elbow
Removal of a subcutaneous foreign body from the upper arm or elbow, typically when an incision is needed to expose and extract the material.
This procedure removes material embedded in the subcutaneous tissue of the upper arm or elbow. A clinician makes an incision, locates and extracts the foreign body, and closes or dresses the wound as appropriate. Common situations include removal of a retained fragment after an injury, such as glass or metal in the arm or near the elbow. The service may be performed in an office, procedure room, or operating room, depending on the foreign body's location and the circumstances of removal.
Select this code when the site is the upper arm or elbow and the foreign body is subcutaneous; document the location, tissue depth, and removal performed. A deeper foreign body in this region points to 24201 instead. Medicare assigns a 10-day global period, including related postoperative visits during that period. When bilateral services are reported with modifier 50, CMS pays at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 24200
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.76 · 24%
- Practice expense (office) RVU5.16 · 71%
- Malpractice RVU0.36 · 5%
206
Medicare services in 2024 · #4298 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.
24200 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$147.80–$163.56
10120 describes simple incision and removal of a subcutaneous foreign body generally. Use 24200 when the documented site is the upper arm or elbow.
$260.31–$286.39
10121 describes complicated incision and removal of a subcutaneous foreign body generally. 24200 is specific to the upper arm or elbow and the subcutaneous depth.
$306.84–$342.40
23330 is for subcutaneous foreign body removal at the shoulder; 24200 applies to the upper arm or elbow.
Compare 24200 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$253.60
Facility
$149.64
Rest Of Pennsylvania →
Office / nonfacility
$228.36
Facility
$136.69
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24200 billing questions
When should 24201 be used instead?
Use 24201 when the foreign body is deep in the upper arm or elbow region. For 24200, documentation should support a subcutaneous location.
How does 24200 differ from 10120?
24200 identifies removal from the upper arm or elbow. Code 10120 describes simple incision and removal of a subcutaneous foreign body more generally; select the code that fits the documented site and service.
Are related postoperative visits separately included?
Related postoperative visits during the 10-day global period are included in 24200.
How is bilateral removal reported?
For bilateral services, report modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be paid for this procedure?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are 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 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.
2,28624155,,Resection of elbow joint,A,,11.79,9.39,NA,9.39,,2.51,23.69,23.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28724160,,Rmvl prosthhumrl&ulnar cmpnt,A,,18.16,12.34,NA,12.34,,3.88,34.38,34.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28824164,,Removal prosth radial head,A,,9.75,8.60,NA,8.60,,2.08,20.43,20.43,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28924200,,Rmvl fb upper arm/elbw subq,A,,1.76,5.16,,2.17,,0.36,7.28,4.29,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29024201,,Rmvl fb upper arm/elbw deep,A,,4.58,14.41,,6.18,,0.99,19.98,11.75,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29124220,,Injection px for elbow arthg,A,,1.28,4.17,,0.27,,0.13,5.58,1.68,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29224300,,Mnpj elbow under anes,A,,3.94,8.66,NA,8.66,,0.76,13.36,13.36,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00