No office rate
Both address a cyst or benign tumor in the humerus. The graft distinction is key: 24110 is used without graft, while 24115 includes autograft.
On this page
CMS RVU26D · Effective 2026-10-01
24115 Bone lesion curettage Medicare reimbursement rates in Rhode Island
Reports surgical removal or curettage of a benign bone lesion in the humerus when the resulting defect is filled with the patient's own bone. Compare 24115 office and facility rates across CMS payment localities in Rhode Island.
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 24115 in Rhode Island?
Rhode Island 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
$701.43
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Orthopedic surgery
About 24115: Humeral benign lesion curettage with autograft
Reports surgical removal or curettage of a benign bone lesion in the humerus when the resulting defect is filled with the patient's own bone.
An orthopedic surgeon removes or curettes a cyst or benign tumor in the humerus and fills the resulting bone defect with autogenous graft. The service is performed in an operating room, with the operative report identifying the humeral site, lesion treatment, and use of the patient's own bone. The graft may come from a separate harvest site or another autogenous source; the defining feature is that the graft is the patient's bone.
Select this code when the treated lesion is in the humerus and autograft is used; use the related code for the humerus when no graft is used or when allograft is used. Documentation should establish the site, lesion excision or curettage, and graft type. CMS assigns a 90-day global period, including 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 24115
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.87 · 48%
- Practice expense (office) RVU8.78 · 42%
- Malpractice RVU2.10 · 10%
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.
24115 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This is the humeral counterpart when allograft is used to fill the defect. Choose 24115 when the graft is the patient's own bone.
No office rate
This is the analogous autograft procedure for a cyst or benign tumor in the radius. The bone treated, not the graft type, distinguishes it from 24115.
Compare 24115 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$701.43
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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 24115 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,271
- Code
- 24115
- Physician work
- 9.87
- Practice expense
- 8.78
- Malpractice
- 2.10
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.87 | × 1.019 | 10.0575 |
| Practice expense | 8.78 | × 1.033 | 9.0697 |
| Malpractice | 2.10 | × 0.892 | 1.8732 |
| Total RVUs | 21.0005 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$701.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.87 | 1.019 |
| Practice expense | 8.78 | 1.033 |
| Malpractice | 2.1 | 0.892 |
(9.87 × 1.019 + 8.78 × 1.033 + 2.1 × 0.892) × $33.4009 = $701.43
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.
24115 billing questions
How is this code distinguished from 24110?
Both concern a cyst or benign tumor in the humerus. Use 24115 when the defect is filled with autogenous bone; 24110 is the corresponding service without graft.
When is 24116 the better choice?
Use 24116 when allograft is used for the humeral defect. This code is for autograft, meaning bone from the patient.
What documentation supports reporting 24115?
The operative report should identify the humeral lesion and describe its excision or curettage and the use of autogenous bone to fill the defect.
How does the 90-day global period affect follow-up visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral procedures and other same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. In a multiple-procedure session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is 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.
2,26824102,,Arthrt elbow w/synovectomy,A,,8.05,7.66,NA,7.66,,1.62,17.33,17.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26924105,,Excision olecranon bursa,A,,3.69,6.28,NA,6.28,,0.75,10.72,10.72,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27024110,,Exc/curtg b1 cst/b9 tum hum,A,,7.39,7.99,NA,7.99,,1.57,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27124115,,Exc/crtg b1 cst/tum hum agrf,A,,9.87,8.78,NA,8.78,,2.10,20.75,20.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27224116,,Exc/crtg b1 cst/tum hum algr,A,,11.92,9.43,NA,9.43,,2.54,23.89,23.89,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27324120,,Exc/crtg b1 cst/b9 tum rds,A,,6.65,7.20,NA,7.20,,1.34,15.19,15.19,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27424125,,Exc/crtg b1 cst/tum rds agrf,A,,7.94,8.17,NA,8.17,,1.69,17.80,17.80,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537