No office rate
24134 is specifically for sequestrectomy of the shaft or distal humerus. Choose 24140 for partial humeral excision when that narrower site-specific service does not describe the operation.
On this page
CMS RVU26D · Effective 2026-10-01
24140 Bone excision Medicare reimbursement rates in Wyoming
Reports operative removal or contouring of a limited portion of the humerus, including debridement of localized nonviable bone when partial excision is performed. Compare 24140 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 24140 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
$639.41
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.
Orthopedic surgery
About 24140: Partial humeral bone excision
Reports operative removal or contouring of a limited portion of the humerus, including debridement of localized nonviable bone when partial excision is performed.
The surgeon removes or reshapes a limited area of humeral bone, such as by creating or enlarging a cavity or removing a localized sequestrum. This may be performed for a focal bone problem, including devitalized bone associated with chronic infection. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery setting, with the approach and extent guided by the affected humeral site and operative findings.
Select this code when the documented work is partial excision of the humerus, rather than a separately described procedure for a specific cyst or benign tumor, or a more extensive tumor resection. The operative report should identify the humeral site, the reason for excision, and the bone removed or reshaped. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24140
- 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 RVU9.31 · 47%
- Practice expense (office) RVU8.42 · 43%
- Malpractice RVU1.91 · 10%
261
Medicare services in 2024 · #4102 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.
24140 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
24110 identifies excision or curettage of a humeral bone cyst or benign tumor. 24140 describes partial bone excision without that lesion-specific service.
No office rate
24150 describes radical resection of a tumor in the humeral shaft or distal humerus. 24140 is for a more limited partial excision.
No office rate
24145 covers partial excision of the radius or ulna; 24140 applies when the bone partially excised is the humerus.
Compare 24140 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
$639.41
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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 24140 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,280
- Code
- 24140
- Physician work
- 9.31
- Practice expense
- 8.42
- Malpractice
- 1.91
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.31 | × 1.000 | 9.3100 |
| Practice expense | 8.42 | × 1.000 | 8.4200 |
| Malpractice | 1.91 | × 0.740 | 1.4134 |
| Total RVUs | 19.1434 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$639.41
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.31 | 1 |
| Practice expense | 8.42 | 1 |
| Malpractice | 1.91 | 0.74 |
(9.31 × 1 + 8.42 × 1 + 1.91 × 0.74) × $33.4009 = $639.41
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.
24140 billing questions
How is this different from 24134?
24134 is for sequestrectomy at the shaft or distal humerus. Use 24140 when the documented service is a partial excision of the humerus and the more specific site-and-service description for 24134 does not fit.
When is 24110 a better fit?
Use 24110 for excision or curettage of a humeral bone cyst or benign tumor. This code describes partial humeral bone excision rather than that lesion-specific service.
What documentation supports reporting 24140?
The operative report should state the humeral site, the clinical reason for surgery, and the portion of bone removed or reshaped. Document whether the work involved localized removal of nonviable bone or another partial excision.
What postoperative care is included?
Medicare assigns a 90-day global period. It includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does Medicare pay when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. For bilateral reporting with modifier 50, this code is paid at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
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.
2,27724134,,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
2,27924138,,Sequestrectomy olecrn proces,A,,8.29,9.74,NA,9.74,,1.76,19.79,19.79,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28024140,,Partial exc bone humerus,A,,9.31,8.42,NA,8.42,,1.91,19.64,19.64,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28124145,,Prtl exc bone radial h/n,A,,7.61,7.71,NA,7.71,,1.63,16.95,16.95,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28224147,,Prtl exc bone olecrn process,A,,7.64,8.69,NA,8.69,,1.53,17.86,17.86,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,28324149,,Radical resection of elbow,A,,15.81,13.65,NA,13.65,,3.18,32.64,32.64,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,