No office rate
Both describe deep tumors in the upper arm or elbow; use 24076 when the tumor is under 5 cm and this code when it is 5 cm or larger.
On this page
CMS RVU26D · Effective 2026-10-01
24073 Tumor excision Medicare reimbursement rates in Wyoming
Reports surgical removal of a soft-tissue tumor beneath the fascia in the upper arm or elbow when the tumor measures at least 5 cm. Compare 24073 office and facility rates across CMS payment localities in Wyoming.
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 24073 in Wyoming?
Wyoming 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
$633.78
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Soft tissue surgery
About 24073: Deep upper arm or elbow tumor excision
Reports surgical removal of a soft-tissue tumor beneath the fascia in the upper arm or elbow when the tumor measures at least 5 cm.
A surgeon removes a soft-tissue tumor located beneath the fascia in the upper arm or elbow, including a mass within muscle. The service covers tumors measuring 5 cm or larger. Orthopedic surgeons and surgical oncologists commonly perform this operation in an operating room, including hospital or ambulatory surgery settings.
Select the code using the tumor’s documented depth and size: it must be deep, rather than confined to the tissue above the fascia, and measure at least 5 cm. The operative report should identify the arm or elbow site, the tumor’s relationship to the fascia or muscle, and its size. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 applies to bilateral procedures, paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24073
- 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 RVU9.88 · 51%
- Practice expense (office) RVU7.43 · 38%
- Malpractice RVU2.25 · 12%
1K
Medicare services in 2024 · #2940 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.
24073 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use 24071 for a subcutaneous lesion measuring 3 cm or larger. This code requires a deep tumor measuring at least 5 cm.
$675.97
Code 24066 is for biopsy of deep upper arm or elbow soft tissue. Use this code when the service is excision of a qualifying tumor, rather than tissue sampling.
No office rate
Both address tumors at least 5 cm in the upper arm or elbow, but 24079 describes radical resection; this code describes excision.
Compare 24073 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$633.78
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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 24073 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,261
- Code
- 24073
- Physician work
- 9.88
- Practice expense
- 7.43
- Malpractice
- 2.25
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.88 | × 1.000 | 9.8800 |
| Practice expense | 7.43 | × 1.000 | 7.4300 |
| Malpractice | 2.25 | × 0.740 | 1.6650 |
| Total RVUs | 18.9750 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$633.78
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.88 | 1 |
| Practice expense | 7.43 | 1 |
| Malpractice | 2.25 | 0.74 |
(9.88 × 1 + 7.43 × 1 + 2.25 × 0.74) × $33.4009 = $633.78
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.
24073 billing questions
When should I choose this code instead of 24076?
Use this code for a deep upper arm or elbow tumor measuring 5 cm or larger. Code 24076 describes a deep tumor under 5 cm.
How does this differ from the subcutaneous excision codes?
This code is for a tumor beneath the fascia, such as an intramuscular mass. Codes 24071 and 24075 describe subcutaneous lesions.
What documentation supports the code?
The operative report should establish the upper arm or elbow location, the tumor’s deep position relative to the fascia or muscle, and its size.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported for bilateral procedures?
Yes. CMS treats this as a bilateral procedure when reported with modifier 50, with payment at 150%.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the multiple procedure rule are paid at 50%. An assistant at surgery may be paid, but 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 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.
2,25824065,,Biopsy arm/elbow soft tissue,A,,2.08,5.49,,2.09,,0.28,7.85,4.45,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25924066,,Biopsy arm/elbow soft tissue,A,,5.22,14.13,,6.03,,1.20,20.55,12.45,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26024071,,Exc arm/elbow les sc 3 cm/>,A,,5.56,4.86,NA,4.86,,1.31,11.73,11.73,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26124073,,Ex arm/elbow tum deep 5 cm/>,A,,9.88,7.43,NA,7.43,,2.25,19.56,19.56,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26224075,,Exc arm/elbow les sc < 3 cm,A,,4.13,12.02,,4.57,,0.90,17.05,9.60,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26324076,,Ex arm/elbow tum deep < 5 cm,A,,7.22,6.82,NA,6.82,,1.56,15.60,15.60,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,26424077,,Rad rescj tum tiss a/e <5cm,A,,15.33,9.82,NA,9.82,,3.53,28.68,28.68,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,