Billing code 24075: Soft-tissue excisionMedicare rate & RVUs in Utah

Report this service when a surgeon removes a subcutaneous soft-tissue mass from the upper arm or elbow area and it measures less than 3 cm.

CMS RVU26DEffective Oct 1, 20261 payment locality3.1K Medicare services in 2024

Medicare pays $542.33 for 24075 in the office in Utah (Utah). Which amount applies depends on the service address.

$542.33Office (non-facility)
$308.42Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 24075 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 24075 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 24075 covers

This service removes a small soft-tissue mass located beneath the skin in the upper arm or elbow area. Typical examples include a subcutaneous lipoma or other discrete mass requiring excision rather than tissue sampling alone. Orthopedic, hand, or general surgeons may perform the procedure in an office, ambulatory surgery center, or hospital operating room. The code is for a subcutaneous mass, not a mass situated in deeper tissue planes or a skin-only lesion.

Report it when the operative documentation supports the arm or elbow site, subcutaneous depth, and lesion size under 3 cm, and describes removal rather than biopsy alone. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same 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%. Medicare does not pay an assistant at surgery for this service; 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.

24075 in Utah

24075 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$542.33$308.42

How the 24075 rate is calculated

Each of 24075’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 · 24075

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 4.13Practice expense 12.02Malpractice 0.90

17.0500 adjusted RVUs×$33.4009 conversion factor=$569.49

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 24075

24075 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24075

Soft-tissue excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 24075

Soft-tissue 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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

24075 without 50 · national office

$569.49

Soft-tissue excision

24075-50 · Bilateral: 150%

$854.24

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).

When to use modifier 50

24075 compared with similar codes

Compare codes

24075 vs 24071 vs 24076 vs 24065 vs 24066: national Medicare rates

Swap in your local Medicare rate.

  • 24075
    Soft-tissue excision · 4.13 wRVU
    $569.49
  • 24071
    Soft-tissue excision · 5.56 wRVU
    —
  • 24076
    Tumor excision · 7.22 wRVU
    —
  • 24065
    Soft-tissue biopsy · 2.08 wRVU
    $262.20−$307.29
  • 24066
    Soft-tissue biopsy · 5.22 wRVU
    $686.39+$116.90

How to choose

24071Soft-tissue excision
Use 24071 for a subcutaneous arm or elbow mass measuring 3 cm or more. This code applies when the mass is under 3 cm.
24076Tumor excision
Use 24076 for a deep mass under 5 cm. This code describes a subcutaneous mass under 3 cm.
24065Soft-tissue biopsy
24065 is for biopsy of superficial soft tissue in the arm or elbow. Use this code when the subcutaneous mass is excised rather than sampled.
24066Soft-tissue biopsy
24066 is for biopsy of deep soft tissue in the arm or elbow. This code is for excision of a subcutaneous mass under 3 cm.

24075 billing questions

How is this different from 24071?

Both describe excision of a subcutaneous arm or elbow mass. Use 24075 when the mass is under 3 cm; 24071 is for a mass measuring 3 cm or more.

When should 24076 be considered instead?

24076 describes excision of a deep arm or elbow soft-tissue tumor under 5 cm. Choose based on the documented tissue depth, not simply the skin incision or mass size.

Can this code be used for a biopsy?

No. It represents removal of the mass, not sampling for diagnosis. Soft-tissue biopsy codes 24065 and 24066 distinguish superficial from deep tissue sampling.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care, such as routine follow-up for the excision.

How is bilateral excision reported?

When the procedure is performed bilaterally and reported with modifier 50, CMS pays 150% under the listed bilateral rule.

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.

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
RVUs for 24075PPRRVU2026_Oct_nonQPP.csv, line 2,262 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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