No office rate
24357 uses a percutaneous approach. This code describes open surgery that includes debridement and repair of the common tendon origin.
On this page
CMS RVU26D · Effective 2026-10-01
24359 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$609.31
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 24359: Open elbow tendon-origin debridement and repair
Open surgery for elbow tendinopathy that removes diseased tissue and repairs the common extensor or flexor tendon origin.
This service treats chronic lateral or medial elbow tendinopathy, commonly called tennis elbow or golfer’s elbow. The surgeon opens the affected area, removes abnormal tissue at the tendon origin, and repairs the common extensor or flexor tendon attachment. Orthopedic surgeons typically perform it in an operating room, with the operative report identifying the side, affected tendon origin, debridement, and repair performed.
Report this code when the open procedure includes both debridement and repair of the tendon origin; the debridement and repair are represented together. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 24359
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.76 · 47%
- Practice expense (office) RVU7.97 · 43%
- Malpractice RVU1.74 · 9%
2.2K
Medicare services in 2024 · #2409 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.
24359 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Both involve an open elbow tendon procedure, but this code includes repair of the common extensor or flexor tendon origin in addition to debridement.
No office rate
24341 is for repair of a tendon or muscle at the upper arm or elbow. This code is specific to open debridement and repair at a common extensor or flexor tendon origin.
No office rate
24342 addresses repair of a ruptured distal biceps tendon. It is not the code for debridement and repair of an epicondylar tendon origin.
The same code, a different location
How does Delaware compare?
24359 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware 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
Alabama
Alabama · 24359
Office
Unavailable
Facility
$558.42
No comparable office rate is available.
Arkansas
Arkansas · 24359
Office
Unavailable
Facility
$551.19
No comparable office rate is available.
Arizona
Arizona · 24359
Office
Unavailable
Facility
$600.29
No comparable office rate is available.
Bakersfield
California · 24359
Office
Unavailable
Facility
$625.31
No comparable office rate is available.
Chico
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
El Centro
California · 24359
Office
Unavailable
Facility
$620.77
No comparable office rate is available.
Fresno
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Hanford-Corcoran
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Madera
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Merced
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Modesto
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Napa
California · 24359
Office
Unavailable
Facility
$691.41
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24359
Office
Unavailable
Facility
$651.65
No comparable office rate is available.
Redding
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Rest Of California
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24359
Office
Unavailable
Facility
$639.19
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24359
Office
Unavailable
Facility
$643.87
No comparable office rate is available.
Salinas
California · 24359
Office
Unavailable
Facility
$641.35
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24359
Office
Unavailable
Facility
$651.25
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24359
Office
Unavailable
Facility
$722.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24359
Office
Unavailable
Facility
$720.44
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24359
Office
Unavailable
Facility
$739.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24359
Office
Unavailable
Facility
$731.72
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24359
Office
Unavailable
Facility
$631.92
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24359
Office
Unavailable
Facility
$653.33
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24359
Office
Unavailable
Facility
$642.33
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24359
Office
Unavailable
Facility
$659.42
No comparable office rate is available.
Stockton
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Vallejo
California · 24359
Office
Unavailable
Facility
$688.56
No comparable office rate is available.
Visalia
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Yuba City
California · 24359
Office
Unavailable
Facility
$620.48
No comparable office rate is available.
Colorado
Colorado · 24359
Office
Unavailable
Facility
$624.74
No comparable office rate is available.
Connecticut
Connecticut · 24359
Office
Unavailable
Facility
$655.47
No comparable office rate is available.
Fort Lauderdale
Florida · 24359
Office
Unavailable
Facility
$667.33
No comparable office rate is available.
Rest Of Florida
Florida · 24359
Office
Unavailable
Facility
$634.43
No comparable office rate is available.
Atlanta
Georgia · 24359
Office
Unavailable
Facility
$633.73
No comparable office rate is available.
Rest Of Georgia
Georgia · 24359
Office
Unavailable
Facility
$599.32
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24359
Office
Unavailable
Facility
$628.92
No comparable office rate is available.
Iowa
Iowa · 24359
Office
Unavailable
Facility
$559.24
No comparable office rate is available.
Idaho
Idaho · 24359
Office
Unavailable
Facility
$564.99
No comparable office rate is available.
East St. Louis
Illinois · 24359
Office
Unavailable
Facility
$654.55
No comparable office rate is available.
Rest Of Illinois
Illinois · 24359
Office
Unavailable
Facility
$626.47
No comparable office rate is available.
Suburban Chicago
Illinois · 24359
Office
Unavailable
Facility
$671.02
No comparable office rate is available.
Indiana
Indiana · 24359
Office
Unavailable
Facility
$567.61
No comparable office rate is available.
Kansas
Kansas · 24359
Office
Unavailable
Facility
$562.53
No comparable office rate is available.
Kentucky
Kentucky · 24359
Office
Unavailable
Facility
$582.43
No comparable office rate is available.
New Orleans
Louisiana · 24359
Office
Unavailable
Facility
$609.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24359
Office
Unavailable
Facility
$583.86
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24359
Office
Unavailable
Facility
$674.16
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24359
Office
Unavailable
Facility
$623.91
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24359
Office
Unavailable
Facility
$654.80
No comparable office rate is available.
Rest Of Maryland
Maryland · 24359
Office
Unavailable
Facility
$618.27
No comparable office rate is available.
Rest Of Maine
Maine · 24359
Office
Unavailable
Facility
$573.65
No comparable office rate is available.
Southern Maine
Maine · 24359
Office
Unavailable
Facility
$593.07
No comparable office rate is available.
Detroit
Michigan · 24359
Office
Unavailable
Facility
$647.47
No comparable office rate is available.
Rest Of Michigan
Michigan · 24359
Office
Unavailable
Facility
$601.25
No comparable office rate is available.
Minnesota
Minnesota · 24359
Office
Unavailable
Facility
$583.72
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24359
Office
Unavailable
Facility
$599.34
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24359
Office
Unavailable
Facility
$604.25
No comparable office rate is available.
Rest Of Missouri
Missouri · 24359
Office
Unavailable
Facility
$578.67
No comparable office rate is available.
Mississippi
Mississippi · 24359
Office
Unavailable
Facility
$564.74
No comparable office rate is available.
Montana**
Montana · 24359
Office
Unavailable
Facility
$616.80
No comparable office rate is available.
North Carolina
North Carolina · 24359
Office
Unavailable
Facility
$578.10
No comparable office rate is available.
North Dakota**
North Dakota · 24359
Office
Unavailable
Facility
$582.39
No comparable office rate is available.
Nebraska
Nebraska · 24359
Office
Unavailable
Facility
$560.27
No comparable office rate is available.
New Hampshire
New Hampshire · 24359
Office
Unavailable
Facility
$620.56
No comparable office rate is available.
Northern Nj
New Jersey · 24359
Office
Unavailable
Facility
$681.89
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24359
Office
Unavailable
Facility
$658.75
No comparable office rate is available.
New Mexico
New Mexico · 24359
Office
Unavailable
Facility
$606.50
No comparable office rate is available.
Nevada**
Nevada · 24359
Office
Unavailable
Facility
$607.48
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24359
Office
Unavailable
Facility
$735.76
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24359
Office
Unavailable
Facility
$667.58
No comparable office rate is available.
Queens
New York · 24359
Office
Unavailable
Facility
$709.78
No comparable office rate is available.
Rest Of New York
New York · 24359
Office
Unavailable
Facility
$586.34
No comparable office rate is available.
Ohio
Ohio · 24359
Office
Unavailable
Facility
$594.22
No comparable office rate is available.
Oklahoma
Oklahoma · 24359
Office
Unavailable
Facility
$575.47
No comparable office rate is available.
Portland
Oregon · 24359
Office
Unavailable
Facility
$636.27
No comparable office rate is available.
Rest Of Oregon
Oregon · 24359
Office
Unavailable
Facility
$598.59
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24359
Office
Unavailable
Facility
$644.31
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24359
Office
Unavailable
Facility
$591.89
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24359
Office
Unavailable
Facility
$618.97
No comparable office rate is available.
Rhode Island
Rhode Island · 24359
Office
Unavailable
Facility
$624.98
No comparable office rate is available.
South Carolina
South Carolina · 24359
Office
Unavailable
Facility
$587.97
No comparable office rate is available.
South Dakota**
South Dakota · 24359
Office
Unavailable
Facility
$578.32
No comparable office rate is available.
Tennessee
Tennessee · 24359
Office
Unavailable
Facility
$565.78
No comparable office rate is available.
Austin
Texas · 24359
Office
Unavailable
Facility
$626.31
No comparable office rate is available.
Beaumont
Texas · 24359
Office
Unavailable
Facility
$588.83
No comparable office rate is available.
Brazoria
Texas · 24359
Office
Unavailable
Facility
$604.07
No comparable office rate is available.
Dallas
Texas · 24359
Office
Unavailable
Facility
$610.23
No comparable office rate is available.
Fort Worth
Texas · 24359
Office
Unavailable
Facility
$608.32
No comparable office rate is available.
Galveston
Texas · 24359
Office
Unavailable
Facility
$607.40
No comparable office rate is available.
Houston
Texas · 24359
Office
Unavailable
Facility
$639.24
No comparable office rate is available.
Rest Of Texas
Texas · 24359
Office
Unavailable
Facility
$597.70
No comparable office rate is available.
Utah
Utah · 24359
Office
Unavailable
Facility
$595.01
No comparable office rate is available.
Virginia
Virginia · 24359
Office
Unavailable
Facility
$595.30
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24359
Office
Unavailable
Facility
$618.97
No comparable office rate is available.
Vermont
Vermont · 24359
Office
Unavailable
Facility
$585.54
No comparable office rate is available.
Rest Of Washington
Washington · 24359
Office
Unavailable
Facility
$620.94
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24359
Office
Unavailable
Facility
$681.34
No comparable office rate is available.
Wisconsin
Wisconsin · 24359
Office
Unavailable
Facility
$565.52
No comparable office rate is available.
West Virginia
West Virginia · 24359
Office
Unavailable
Facility
$607.09
No comparable office rate is available.
Wyoming**
Wyoming · 24359
Office
Unavailable
Facility
$601.80
No comparable office rate is available.
See how rates vary across the country
24359 · 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 / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 24359 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$670.24
$609.31 × 110% = $670.24
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.
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 24359 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,309
- Code
- 24359
- Physician work
- 8.76
- Practice expense
- 7.97
- Malpractice
- 1.74
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.76 | × 1.005 | 8.8038 |
| Practice expense | 7.97 | × 0.988 | 7.8744 |
| Malpractice | 1.74 | × 0.899 | 1.5643 |
| Total RVUs | 18.2424 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$609.31
Open 24359 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.76 | 1.005 |
| Practice expense | 7.97 | 0.988 |
| Malpractice | 1.74 | 0.899 |
(8.76 × 1.005 + 7.97 × 0.988 + 1.74 × 0.899) × $33.4009 = $609.31
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
24359 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $609.31 | RVU26D |
| 2026-07-01 | Not available in this setting | $609.31 | RVU26C |
| 2026-04-01 | Not available in this setting | $609.31 | RVU26B |
| 2026-01-01 | Not available in this setting | $609.31 | RVU26A |
| 2025-10-01 | Not available in this setting | $657.44 | RVU25D |
| 2025-07-01 | Not available in this setting | $657.44 | RVU25C |
| 2025-04-01 | Not available in this setting | $657.44 | RVU25B |
| 2025-01-01 | Not available in this setting | $657.44 | RVU25A |
24359 billing questions
How does this differ from 24358?
This code includes repair of the common extensor or flexor tendon origin after debridement. Use 24358 when the open procedure includes debridement but not that repair.
When is 24357 a better fit?
24357 describes a percutaneous approach. This code is for open surgery that includes debridement and repair of the tendon origin.
Can debridement and tendon-origin repair be billed separately?
No. The debridement and repair are included together in this service; the operative report should support both components.
What documentation supports reporting this code?
Document the elbow and side, the affected common extensor or flexor tendon origin, the open approach, the debridement, and the repair performed.
How are bilateral procedures and other same-session procedures handled?
Modifier 50 applies to bilateral reporting, which CMS pays at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
2,30624346,,Reconstruct elbow med ligmnt,A,,14.83,12.86,NA,12.86,,3.16,30.85,30.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30724357,,Repair elbow perc,A,,5.30,5.59,NA,5.59,,0.62,11.51,11.51,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30824358,,Repair elbow w/deb open,A,,6.49,7.20,NA,7.20,,1.28,14.97,14.97,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30924359,,Repair elbow deb/attch open,A,,8.76,7.97,NA,7.97,,1.74,18.47,18.47,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31024360,,Reconstruct elbow joint,A,,12.35,10.11,NA,10.11,,2.62,25.08,25.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31124361,,Reconstruct elbow joint,A,,14.05,10.81,NA,10.81,,3.00,27.86,27.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31224362,,Reconstruct elbow joint,A,,14.94,11.10,NA,11.10,,3.18,29.22,29.22,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503