Billing code 24125: Bone lesion surgeryMedicare rate & RVUs in Utah

Reports curettage or excision of a benign cyst or tumor in the radius when the resulting bone defect is filled with the patient's own graft.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 24125 in Utah.

—Office (non-facility)
$572.41Hospital 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 24125 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 24125 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 24125 covers

An orthopedic surgeon removes or curettes a benign cyst or tumor in the radius and fills the resulting defect with autologous bone graft. The procedure is generally performed in an operating room when a lesion requires surgical treatment, such as for symptoms or structural concern. The code distinguishes this service from treatment of a similar lesion without graft or with donor allograft.

Report the code when the treated site is the radius and the surgeon uses the patient's own bone graft; documentation should identify the lesion, its location, the curettage or excision performed, and the graft used. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others 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 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.

24125 in Utah

24125 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$572.41

How the 24125 rate is calculated

Each of 24125’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 · 24125

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.94Practice expense 8.17Malpractice 1.69

17.8000 adjusted RVUs×$33.4009 conversion factor=$594.54

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

Payment rules and modifiers for 24125

24125 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24125

Bone lesion surgery

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 24125

Bone lesion surgery

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

24125 without 50 · national facility

$594.54

Bone lesion surgery

24125-50 · Bilateral: 150%

$891.81

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

24125 compared with similar codes

Compare codes

24125 vs 24120 vs 24126 vs 24115: national Medicare rates

Swap in your local Medicare rate.

  • 24125
    Bone lesion surgery · 7.94 wRVU
    —
  • 24120
    Bone lesion removal · 6.65 wRVU
    —
  • 24126
    Bone lesion surgery · 8.4 wRVU
    —
  • 24115
    Bone lesion curettage · 9.87 wRVU
    —

How to choose

24120Bone lesion removal
Both address a cyst or benign tumor in the radius; choose 24125 when autograft is used and 24120 when no graft is used.
24126Bone lesion surgery
The site and lesion treatment are comparable, but 24126 specifies allograft rather than the patient's own bone.
24115Bone lesion curettage
This is the analogous autograft procedure for a humeral lesion. Use 24125 when the treated bone is the radius.

24125 billing questions

When should this code be chosen over 24120?

Use 24125 when the radius lesion is treated with the patient's own bone graft. Code 24120 describes the corresponding radius procedure without a graft.

How does this differ from 24126?

The graft source distinguishes the codes: 24125 involves the patient's own bone, while 24126 involves allograft.

What should the operative note document?

Document the lesion and its location in the radius, the excision or curettage performed, and that autologous bone graft was used.

Can this be reported bilaterally?

For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The 90-day global period includes related postoperative care.

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 24125PPRRVU2026_Oct_nonQPP.csv, line 2,274 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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