No office rate
Both apply to a cyst or benign tumor in the radius. Choose 24126 when allograft is used; 24120 describes the procedure without graft.
On this page
CMS RVU26D · Effective 2026-10-01
24126 Bone lesion surgery Medicare reimbursement rates in Vermont
Reports removal or curettage of a benign cyst or tumor in the radius when the resulting bone defect is filled with allograft. Compare 24126 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 24126 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
$585.44
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 24126: Radius bone lesion curettage with allograft
Reports removal or curettage of a benign cyst or tumor in the radius when the resulting bone defect is filled with allograft.
An orthopedic surgeon removes or curettes a bone cyst or benign tumor in the radius and fills the resulting defect with donor bone allograft. The service is performed in an operative setting; the operative report should identify the radius, describe the lesion and its removal, and document use of allograft. This code describes treatment of a benign lesion, not a radical resection for a malignant tumor.
Select this code when the treated bone is the radius and allograft is used. The no-graft and autograft options are distinct codes in the same procedure family. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24126
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.40 · 45%
- Practice expense (office) RVU8.31 · 45%
- Malpractice RVU1.78 · 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.
24126 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This is the radius grafting counterpart using autograft. Choose 24126 when the graft is allograft.
No office rate
This describes the comparable allograft procedure on the humerus. Choose 24126 when the treated bone is the radius.
Compare 24126 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
$585.44
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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 24126 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,275
- Code
- 24126
- Physician work
- 8.40
- Practice expense
- 8.31
- Malpractice
- 1.78
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.40 | × 1.000 | 8.4000 |
| Practice expense | 8.31 | × 0.990 | 8.2269 |
| Malpractice | 1.78 | × 0.506 | 0.9007 |
| Total RVUs | 17.5276 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$585.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.4 | 1 |
| Practice expense | 8.31 | 0.99 |
| Malpractice | 1.78 | 0.506 |
(8.4 × 1 + 8.31 × 0.99 + 1.78 × 0.506) × $33.4009 = $585.44
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.
24126 billing questions
When should 24126 be selected over 24120?
Use 24126 when the radius lesion is treated with allograft. Code 24120 is the corresponding radius procedure without graft.
How does 24126 differ from 24125?
Both describe treatment of a bone cyst or benign tumor in the radius with grafting. Use 24126 for allograft and 24125 for autograft.
Is the allograft part of the coded procedure?
Yes. Allograft use is part of the service represented by 24126; 24120 is not the right choice when allograft is used.
How is bilateral surgery reported?
For treatment of both radii, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of 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 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.
2,27224116,,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
2,27524126,,Exc/crtg b1 cst/tum rds algr,A,,8.40,8.31,NA,8.31,,1.78,18.49,18.49,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27624130,,Excision radial head,A,,6.26,7.04,NA,7.04,,1.23,14.53,14.53,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27724134,,Sequestrectomy shft/dstl hum,A,,9.96,8.97,NA,8.97,,2.12,21.05,21.05,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,27824136,,Sequestrectomy radial h/n,A,,8.19,8.05,NA,8.05,,1.74,17.98,17.98,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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