Billing code 24076: Tumor excisionMedicare rate & RVUs in Virginia
Reports excision of a deep soft-tissue tumor in the upper arm or elbow area when the tumor measures less than 5 cm.
CMS doesn’t publish an office rate for 24076 in Virginia.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24076 covers
This operation removes a soft-tissue tumor beneath the deep fascia in the upper arm or elbow region, including an intramuscular mass measuring less than 5 cm. An orthopedic surgeon or other surgeon treating soft-tissue masses typically performs it in an operating room, using dissection through the overlying tissues to reach and remove the tumor. It is distinct from a superficial mass excision and from a radical resection.
Select the code based on the tumor’s location, depth, and size; a deep tumor measuring 5 cm or more is reported with 24073. The operative report should support the arm or elbow site, subfascial depth, tumor measurement, and excision performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, 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 services are not paid; 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.
Where 24076 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $580.51 |
| Virginia | Unavailable | $501.86 |
How the 24076 rate is calculated
Each of 24076’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 · 24076
RVUs × geographic indexes × conversion factor
Work7.22
7.22 RVUs× 1.000 GPCI
Practice expense6.82
6.82 RVUs× 1.000 GPCI
Malpractice1.56
1.56 RVUs× 1.000 GPCI
Adjusted RVUs
15.6000
Conversion factor
$33.4009
Medicare rate
$521.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 24076
24076 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24076
Tumor excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24076
Tumor 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24076 without 50 · national facility
$521.05
Tumor excision
24076-50 · Bilateral: 150%
$781.58
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).
24076 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 24073Tumor excision
- Use 24073 for a deep arm or elbow soft-tissue tumor measuring 5 cm or more; 24076 is for tumors under 5 cm.
- 24077Tumor resection
- 24077 is for radical resection of a tumor under 5 cm. This code describes deep tumor excision, so the documented extent of the operation distinguishes them.
- 24071Soft-tissue excision
- 24071 applies to superficial lesions measuring 3 cm or more. This code is for tumors beneath the deep fascia and under 5 cm.
- 24066Soft-tissue biopsy
- 24066 is for obtaining a biopsy of deep arm or elbow soft tissue; 24076 represents excision of the tumor.
24076 billing questions
How does this differ from 24073?
Both cover deep soft-tissue tumor excision in the arm or elbow area. Use 24076 for a tumor under 5 cm and 24073 for one measuring 5 cm or more.
When is 24077 a better fit?
24077 describes radical resection of a soft-tissue tumor under 5 cm in this region. Choose based on the operative service documented, rather than size alone.
Can the pathologist bill separately?
The surgeon’s code represents removal of the tumor, not microscopic examination of the specimen. A pathologist may report the examination when performed as a separate service.
What documentation supports the deep-tumor code?
Document the upper arm or elbow site, the tumor’s relationship to the deep fascia or muscle, its measured size, and the excision performed.
How is bilateral excision reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays this code at 150% under the stated bilateral rule.
Is an assistant or co-surgeon payable?
CMS 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
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