CPT code 23440: Biceps tenodesis, with tendon transfer2026 Medicare rate & RVUs in Alabama

In Alabama, Medicare pays $634.64 for 23440 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23440 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 23440 covers

This operation addresses disease or instability involving the long head of the biceps tendon at the shoulder. The surgeon releases the tendon from its usual attachment and relocates or secures it as part of a tendon transfer. Orthopedic surgeons commonly perform the procedure in a hospital outpatient department or ambulatory surgery center, often during surgery for associated shoulder pathology. The operative report should establish the tendon treated and describe the transfer and fixation performed.

Report this service when the documented work supports a tendon transfer, rather than a routine biceps tenodesis alone. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.

How Alabama compares for 23440

Across 109 of 109 payment localities, the facility rate for 23440 runs from $626.42 in Arkansas to $860.43 in Alaska. Alabama pays $634.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23440 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 23440 in every payment locality

How the 23440 rate is calculated

Each of 23440’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.

Payment rules and modifiers for 23440

23440 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 23440

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 23440 has changed in Alabama

Price 23440 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

• Abanda
• Abbeville
• Adamsville
• Addison
• Akron
• Alabaster
• Albertville
• Alexander City

Browse all communities in Alabama

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

Open CMS sourceHow we calculate rates