FeeBase
Log inGet started
Menu

CPT code 24345: Ligament repair2026 Medicare rate & RVUs

Open repair of the elbow’s medial collateral ligament using local tissue, reported when the surgeon repairs the ligament rather than reconstructing it with a graft.

CMS RVU26DEffective Oct 1, 2026109 payment localities216 Medicare services in 2024

Medicare pays $674.70 for 24345 nationally in a facility.

Medicare rate · 24345

Ligament repair

Office or facility?

Work RVUs
8.93
Total RVUs
20.20
Global days
090

National rate · 2026

$674.70

Facility setting, before claim adjustments.

See every locality for 24345 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 24345 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 24345 covers

This operation repairs the medial collateral ligament on the inner side of the elbow using local tissue. It is commonly performed by an orthopedic surgeon for a repairable ligament injury, including some ulnar collateral ligament injuries in throwing athletes. The surgeon exposes the injured ligament and uses available local tissue to restore its attachment or support. The code is specific to the medial ligament; the clinical diagnosis alone does not establish that this repair method was performed.

Report 24345 when the operative record supports repair with local tissue, rather than graft reconstruction. Document the ligament and side treated, the injury and operative findings, and the repair technique. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral surgery, 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.

Where 24345 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

24345 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$608.86
AlaskaUnavailable$817.06
ArizonaUnavailable$656.16
ArkansasUnavailable$600.71
Atlanta, GAUnavailable$692.86
Austin, TXUnavailable$686.67
Bakersfield, CAUnavailable$686.90
Baltimore area, MDUnavailable$716.92
Beaumont, TXUnavailable$641.97
Brazoria, TXUnavailable$660.87

24345 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
24345 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 24345 rate is calculated

Each of 24345’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 · 24345

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.93

8.93 RVUs× 1.000 GPCI

Practice expense9.45

9.45 RVUs× 1.000 GPCI

Malpractice1.82

1.82 RVUs× 1.000 GPCI

Adjusted RVUs

20.2000

Conversion factor

$33.4009

Medicare rate

$674.70

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 24345

24345 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 24345

Ligament repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 24345

Ligament repair

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

24345 without 50 · national facility

$674.70

Ligament repair

24345-50 · Bilateral: 150%

$1,012.05

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).

When to use modifier 50

24345 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 24345

    Ligament repair8.93 wRVU

    Not priced

  • 24346

    Elbow ligament reconstruction14.83 wRVU

    Not priced

  • 24343

    Elbow ligament repair8.93 wRVU

    Not priced

  • 24344

    Elbow ligament surgery14.83 wRVU

    Not priced

  • 24341

    Tendon/muscle repair9.25 wRVU

    Not priced

How to choose

24346Elbow ligament reconstruction
Choose 24345 for local-tissue repair of the medial ligament; choose 24346 when the surgeon reconstructs it with a tendon graft.
24343Elbow ligament repair
Both describe local-tissue ligament repair, but 24343 addresses the lateral elbow ligament and 24345 the medial ligament.
24344Elbow ligament surgery
24344 is reconstruction of the lateral elbow ligament; 24345 is repair of the medial ligament using local tissue.
24341Tendon/muscle repair
24341 concerns repair of an upper-extremity tendon or muscle-tendon unit, not repair of the medial elbow ligament.

Codes related to 24345

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

Codes related to 24345
CodeHow it relatesNational office range
Used instead
24346Elbow ligament reconstructionMedial elbow ligament reconstruction using a tendon graft rather than local-tissue repair.No office rate
Same family
24343Elbow ligament repairLocal-tissue repair of the lateral elbow collateral ligament.No office rate
24344Elbow ligament surgeryReconstruction of the lateral elbow collateral ligament.No office rate

24345 billing questions

How is 24345 different from 24346?

24345 describes repair of the medial elbow ligament using local tissue. Use 24346 when the surgeon reconstructs the medial ligament with a tendon graft.

What documentation supports reporting 24345?

The operative report should identify the medial elbow ligament, the side, the injury and findings, and the use of local tissue to repair it.

Can modifier 50 be used for bilateral repair?

Yes. CMS treats this as a bilateral procedure, with modifier 50 paid at 150% when both sides are treated.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Does 24345 describe a tendon repair?

No. It describes medial elbow ligament repair with local tissue. A tendon repair code applies when the operative work repairs a tendon rather than this ligament.

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
RVUs for 24345PPRRVU2026_Oct_nonQPP.csv, line 2,305 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 24345 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 24345 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →