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CMS RVU26D · Effective 2026-10-01

24342 in Chico

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$717.45

Base rate per service

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.

Orthopedic surgery

About 24342: Distal biceps or triceps tendon repair

Reports operative repair of a ruptured distal biceps or triceps tendon at the elbow, including primary or secondary repair and graft use when performed.

This procedure repairs a ruptured distal biceps or triceps tendon near the elbow, typically by an orthopedic surgeon in an operating room. The surgeon restores tendon continuity and attachment; a graft may be used when needed. Common situations include a distal biceps rupture after lifting or a triceps rupture after an injury, when operative repair is selected.

Report the code for repair of the ruptured distal biceps or triceps tendon, whether the repair is primary or secondary; document the tendon, side, rupture, operative work, and any graft used. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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.

CMS billing rules for 24342

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 paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU10.59 · 49%
  • Practice expense (office) RVU8.74 · 41%
  • Malpractice RVU2.11 · 10%

5.1K

Medicare services in 2024 · #1854 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.

24342 compared with similar codes

Office rates for Chico, from the same CMS release.

24341

Tendon/muscle repair

Upper arm or elbow, each structure

No office rate

Choose 24342 for a ruptured distal biceps or triceps tendon. Use 24341 for repair of another tendon or muscle in the upper arm or elbow.

24340

Biceps tenodesis

At the elbow

No office rate

24340 describes biceps tendon tenodesis at the elbow. 24342 is for repair of a ruptured distal biceps or triceps tendon.

24343

Elbow ligament repair

Lateral ligament, local tissue

No office rate

24343 addresses repair of the lateral elbow ligament with tissue; 24342 repairs a distal biceps or triceps tendon.

The same code, a different location

How does Chico compare?

24342 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    Unavailable

  2. Bakersfield

    Unavailable

    No comparable rate is available in this setting.

  3. El Centro

    Unavailable

    No comparable rate is available in this setting.

  4. Fresno

    Unavailable

    No comparable rate is available in this setting.

  5. Hanford-Corcoran

    Unavailable

    No comparable rate is available in this setting.

  6. No comparable rate is available in this setting.

  7. Madera

    Unavailable

    No comparable rate is available in this setting.

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Merced

    California · 24342

    Office

    Unavailable

    Facility

    $717.45

    No comparable office rate is available.

  • Modesto

    California · 24342

    Office

    Unavailable

    Facility

    $717.45

    No comparable office rate is available.

  • Napa

    California · 24342

    Office

    Unavailable

    Facility

    $796.56

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 24342

    Office

    Unavailable

    Facility

    $752.58

    No comparable office rate is available.

  • Redding

    California · 24342

    Office

    Unavailable

    Facility

    $717.45

    No comparable office rate is available.

  • Rest Of California

    California · 24342

    Office

    Unavailable

    Facility

    $717.45

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 24342

    Office

    Unavailable

    Facility

    $740.15

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 24342

    Office

    Unavailable

    Facility

    $743.73

    No comparable office rate is available.

  • Salinas

    California · 24342

    Office

    Unavailable

    Facility

    $740.80

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 24342

    Office

    Unavailable

    Facility

    $751.67

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 24342

    Office

    Unavailable

    Facility

    $831.28

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 24342

    Office

    Unavailable

    Facility

    $828.88

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 24342

    Office

    Unavailable

    Facility

    $851.35

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 24342

    Office

    Unavailable

    Facility

    $841.56

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 24342

    Office

    Unavailable

    Facility

    $730.01

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 24342

    Office

    Unavailable

    Facility

    $753.61

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 24342

    Office

    Unavailable

    Facility

    $741.78

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 24342

    Office

    Unavailable

    Facility

    $760.58

    No comparable office rate is available.

  • Stockton

    California · 24342

    Office

    Unavailable

    Facility

    $717.45

    No comparable office rate is available.

  • Vallejo

    California · 24342

    Office

    Unavailable

    Facility

    $793.10

    No comparable office rate is available.

  • Visalia

    California · 24342

    Office

    Unavailable

    Facility

    $717.45

    No comparable office rate is available.

  • Yuba City

    California · 24342

    Office

    Unavailable

    Facility

    $717.45

    No comparable office rate is available.

  • Dc + Md/Va Suburbs

    District of Columbia · 24342

    Office

    Unavailable

    Facility

    $795.14

    No comparable office rate is available.

  • Miami

    Florida · 24342

    Office

    Unavailable

    Facility

    $835.84

    No comparable office rate is available.

  • Chicago

    Illinois · 24342

    Office

    Unavailable

    Facility

    $811.32

    No comparable office rate is available.

  • Manhattan

    New York · 24342

    Office

    Unavailable

    Facility

    $827.34

    No comparable office rate is available.

  • Alaska*

    Alaska · 24342

    Office

    Unavailable

    Facility

    $880.30

    No comparable office rate is available.

  • Alabama

    Alabama · 24342

    Office

    Unavailable

    Facility

    $649.04

    No comparable office rate is available.

  • Arkansas

    Arkansas · 24342

    Office

    Unavailable

    Facility

    $640.77

    No comparable office rate is available.

  • Arizona

    Arizona · 24342

    Office

    Unavailable

    Facility

    $696.92

    No comparable office rate is available.

  • Colorado

    Colorado · 24342

    Office

    Unavailable

    Facility

    $723.61

    No comparable office rate is available.

  • Connecticut

    Connecticut · 24342

    Office

    Unavailable

    Facility

    $760.47

    No comparable office rate is available.

  • Delaware

    Delaware · 24342

    Office

    Unavailable

    Facility

    $707.26

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 24342

    Office

    Unavailable

    Facility

    $776.85

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 24342

    Office

    Unavailable

    Facility

    $738.72

    No comparable office rate is available.

  • Atlanta

    Georgia · 24342

    Office

    Unavailable

    Facility

    $736.01

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 24342

    Office

    Unavailable

    Facility

    $698.12

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 24342

    Office

    Unavailable

    Facility

    $726.44

    No comparable office rate is available.

  • Iowa

    Iowa · 24342

    Office

    Unavailable

    Facility

    $648.80

    No comparable office rate is available.

  • Idaho

    Idaho · 24342

    Office

    Unavailable

    Facility

    $655.62

    No comparable office rate is available.

  • East St. Louis

    Illinois · 24342

    Office

    Unavailable

    Facility

    $764.22

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 24342

    Office

    Unavailable

    Facility

    $730.40

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 24342

    Office

    Unavailable

    Facility

    $780.88

    No comparable office rate is available.

  • Indiana

    Indiana · 24342

    Office

    Unavailable

    Facility

    $658.58

    No comparable office rate is available.

  • Kansas

    Kansas · 24342

    Office

    Unavailable

    Facility

    $653.13

    No comparable office rate is available.

  • Kentucky

    Kentucky · 24342

    Office

    Unavailable

    Facility

    $677.72

    No comparable office rate is available.

  • New Orleans

    Louisiana · 24342

    Office

    Unavailable

    Facility

    $708.48

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 24342

    Office

    Unavailable

    Facility

    $679.58

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 24342

    Office

    Unavailable

    Facility

    $779.50

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 24342

    Office

    Unavailable

    Facility

    $722.94

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 24342

    Office

    Unavailable

    Facility

    $759.79

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 24342

    Office

    Unavailable

    Facility

    $717.38

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 24342

    Office

    Unavailable

    Facility

    $666.12

    No comparable office rate is available.

  • Southern Maine

    Maine · 24342

    Office

    Unavailable

    Facility

    $687.48

    No comparable office rate is available.

  • Detroit

    Michigan · 24342

    Office

    Unavailable

    Facility

    $754.24

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 24342

    Office

    Unavailable

    Facility

    $699.81

    No comparable office rate is available.

  • Minnesota

    Minnesota · 24342

    Office

    Unavailable

    Facility

    $674.97

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 24342

    Office

    Unavailable

    Facility

    $696.69

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 24342

    Office

    Unavailable

    Facility

    $702.24

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 24342

    Office

    Unavailable

    Facility

    $674.00

    No comparable office rate is available.

  • Mississippi

    Mississippi · 24342

    Office

    Unavailable

    Facility

    $657.14

    No comparable office rate is available.

  • Montana**

    Montana · 24342

    Office

    Unavailable

    Facility

    $715.97

    No comparable office rate is available.

  • North Carolina

    North Carolina · 24342

    Office

    Unavailable

    Facility

    $671.11

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 24342

    Office

    Unavailable

    Facility

    $674.25

    No comparable office rate is available.

  • Nebraska

    Nebraska · 24342

    Office

    Unavailable

    Facility

    $649.80

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 24342

    Office

    Unavailable

    Facility

    $719.27

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 24342

    Office

    Unavailable

    Facility

    $789.90

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 24342

    Office

    Unavailable

    Facility

    $763.96

    No comparable office rate is available.

  • New Mexico

    New Mexico · 24342

    Office

    Unavailable

    Facility

    $706.05

    No comparable office rate is available.

  • Nevada**

    Nevada · 24342

    Office

    Unavailable

    Facility

    $704.64

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 24342

    Office

    Unavailable

    Facility

    $854.32

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 24342

    Office

    Unavailable

    Facility

    $774.57

    No comparable office rate is available.

  • Queens

    New York · 24342

    Office

    Unavailable

    Facility

    $823.03

    No comparable office rate is available.

  • Rest Of New York

    New York · 24342

    Office

    Unavailable

    Facility

    $680.59

    No comparable office rate is available.

  • Ohio

    Ohio · 24342

    Office

    Unavailable

    Facility

    $691.28

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 24342

    Office

    Unavailable

    Facility

    $669.16

    No comparable office rate is available.

  • Portland

    Oregon · 24342

    Office

    Unavailable

    Facility

    $736.14

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 24342

    Office

    Unavailable

    Facility

    $694.02

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 24342

    Office

    Unavailable

    Facility

    $748.05

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 24342

    Office

    Unavailable

    Facility

    $688.30

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 24342

    Office

    Unavailable

    Facility

    $718.27

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 24342

    Office

    Unavailable

    Facility

    $724.86

    No comparable office rate is available.

  • South Carolina

    South Carolina · 24342

    Office

    Unavailable

    Facility

    $683.36

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 24342

    Office

    Unavailable

    Facility

    $669.32

    No comparable office rate is available.

  • Tennessee

    Tennessee · 24342

    Office

    Unavailable

    Facility

    $656.92

    No comparable office rate is available.

  • Austin

    Texas · 24342

    Office

    Unavailable

    Facility

    $725.72

    No comparable office rate is available.

  • Beaumont

    Texas · 24342

    Office

    Unavailable

    Facility

    $684.84

    No comparable office rate is available.

  • Brazoria

    Texas · 24342

    Office

    Unavailable

    Facility

    $700.81

    No comparable office rate is available.

  • Dallas

    Texas · 24342

    Office

    Unavailable

    Facility

    $708.12

    No comparable office rate is available.

  • Fort Worth

    Texas · 24342

    Office

    Unavailable

    Facility

    $706.12

    No comparable office rate is available.

  • Galveston

    Texas · 24342

    Office

    Unavailable

    Facility

    $704.78

    No comparable office rate is available.

  • Houston

    Texas · 24342

    Office

    Unavailable

    Facility

    $743.40

    No comparable office rate is available.

  • Rest Of Texas

    Texas · 24342

    Office

    Unavailable

    Facility

    $694.39

    No comparable office rate is available.

  • Utah

    Utah · 24342

    Office

    Unavailable

    Facility

    $691.41

    No comparable office rate is available.

  • Virginia

    Virginia · 24342

    Office

    Unavailable

    Facility

    $690.43

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 24342

    Office

    Unavailable

    Facility

    $718.27

    No comparable office rate is available.

  • Vermont

    Vermont · 24342

    Office

    Unavailable

    Facility

    $678.38

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 24342

    Office

    Unavailable

    Facility

    $719.34

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 24342

    Office

    Unavailable

    Facility

    $787.17

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 24342

    Office

    Unavailable

    Facility

    $655.09

    No comparable office rate is available.

  • West Virginia

    West Virginia · 24342

    Office

    Unavailable

    Facility

    $708.25

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 24342

    Office

    Unavailable

    Facility

    $697.79

    No comparable office rate is available.

See how rates vary across the country

24342 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 24342 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 24342 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$789.20

$717.45 × 110% = $789.20

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

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 24342 in Chico.

PPRRVU2026_Oct_nonQPP.csv

2,302

Code
24342
Physician work
10.59
Practice expense
8.74
Malpractice
2.11

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 24342 in Chico
ComponentRVULocality factorAdjusted
Physician work10.59× 1.01710.7700
Practice expense8.74× 1.0969.5790
Malpractice2.11× 0.5361.1310
Total RVUs21.4800
Conversion factor× 33.4009

Facility rate, Chico$717.45

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 24342 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work10.591.017
Practice expense8.741.096
Malpractice2.110.536

(10.59 × 1.017 + 8.74 × 1.096 + 2.11 × 0.536) × $33.4009 = $717.45

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.

How this rate has changed

24342 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01Not available in this setting$717.45RVU26D
2026-07-01Not available in this setting$717.45RVU26C
2026-04-01Not available in this setting$717.45RVU26B
2026-01-01Not available in this setting$717.45RVU26A
2025-10-01Not available in this setting$774.13RVU25D
2025-07-01Not available in this setting$774.13RVU25C
2025-04-01Not available in this setting$774.13RVU25B
2025-01-01Not available in this setting$774.13RVU25A

24342 billing questions

When should 24342 be used instead of 24341?

Use 24342 for repair of a ruptured distal biceps or triceps tendon at the elbow. Code 24341 covers repair of other upper-arm or elbow tendons or muscles, reported for each tendon or muscle.

Is a graft included in 24342?

Yes. The code includes graft use when performed as part of the distal biceps or triceps tendon repair.

How is bilateral repair reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant surgeon be reported?

CMS allows payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Are routine postoperative visits separately reported?

Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.

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.

RVUs for 24342PPRRVU2026_Oct_nonQPP.csv, line 2,302 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)