No office rate
Both address a humeral bone cyst or benign tumor, but 24115 specifies use of an autograft. This code describes the procedure without that grafting.
On this page
CMS RVU26D · Effective 2026-10-01
24110 Bone lesion excision Medicare reimbursement rates in Vermont
Reports excision or curettage of a bone cyst or benign tumor in the humerus when the procedure does not include bone grafting. Compare 24110 office and facility rates across CMS payment localities in Vermont.
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 24110 in Vermont?
Vermont 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
$537.57
1 of 1 localities have a supported rate.
Payment area: Vermont
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 24110: Humeral bone cyst or benign tumor curettage
Reports excision or curettage of a bone cyst or benign tumor in the humerus when the procedure does not include bone grafting.
An orthopedic surgeon removes or curettes a cystic or benign bone lesion in the humerus, the upper-arm bone. The procedure is performed in an operating-room setting and may involve opening the affected bone to remove lesion tissue. This code distinguishes the humeral site and the procedure without the grafting specified by related codes.
Choose the code from the operative report’s documented site and treatment: the lesion must be in the humerus, and the work must be excision or curettage of a bone cyst or benign tumor. Record the lesion and the procedure performed, including whether grafting was part of the service. This major surgery has 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24110
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.39 · 44%
- Practice expense (office) RVU7.99 · 47%
- Malpractice RVU1.57 · 9%
67
Medicare services in 2024 · #5169 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.
24110 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Both address a humeral bone cyst or benign tumor, but 24116 specifies use of an allograft. This code describes the procedure without that grafting.
No office rate
24120 describes excision or curettage of a bone cyst or benign tumor in the radius. This code is for the humerus.
Compare 24110 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
Vermont →
Office / nonfacility
Unavailable
Facility
$537.57
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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 24110 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,270
- Code
- 24110
- Physician work
- 7.39
- Practice expense
- 7.99
- Malpractice
- 1.57
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.39 | × 1.000 | 7.3900 |
| Practice expense | 7.99 | × 0.990 | 7.9101 |
| Malpractice | 1.57 | × 0.506 | 0.7944 |
| Total RVUs | 16.0945 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$537.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.39 | 1 |
| Practice expense | 7.99 | 0.99 |
| Malpractice | 1.57 | 0.506 |
(7.39 × 1 + 7.99 × 0.99 + 1.57 × 0.506) × $33.4009 = $537.57
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.
24110 billing questions
How does this code differ from 24115 or 24116?
This code describes humeral cyst or benign tumor excision or curettage without the grafting specified by those codes. Use the operative documentation to identify whether grafting was performed and which type.
Can this code be used for a lesion in the radius?
No. The site for this code is the humerus; 24120 is the related code for a bone cyst or benign tumor in the radius without grafting.
What documentation supports reporting this service?
The operative report should identify the humerus as the treated bone and describe excision or curettage of a cyst or benign tumor. It should also make clear whether bone grafting was performed.
How are bilateral services and other same-session procedures paid?
CMS pays bilateral reporting with modifier 50 at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. Co-surgeons are paid only with supporting documentation; team surgery 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.
2,26724101,,Arthrt elbw jt expl bx rmvl,A,,6.14,7.06,NA,7.06,,1.25,14.45,14.45,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26824102,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817