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.
On this page
CMS RVU26D · Effective 2026-10-01
24342 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$717.80
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 El Centro, from the same CMS release.
No office rate
24340 describes biceps tendon tenodesis at the elbow. 24342 is for repair of a ruptured distal biceps or triceps tendon.
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 El Centro compare?
24342 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
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.
No comparable rate is available in this setting.
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 / 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$789.58
$717.80 × 110% = $789.58
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 24342 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,302
- Code
- 24342
- Physician work
- 10.59
- Practice expense
- 8.74
- Malpractice
- 2.11
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.59 | × 1.017 | 10.7700 |
| Practice expense | 8.74 | × 1.096 | 9.5790 |
| Malpractice | 2.11 | × 0.541 | 1.1415 |
| Total RVUs | 21.4906 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$717.80
Open 24342 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.59 | 1.017 |
| Practice expense | 8.74 | 1.096 |
| Malpractice | 2.11 | 0.541 |
(10.59 × 1.017 + 8.74 × 1.096 + 2.11 × 0.541) × $33.4009 = $717.80
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.
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 | $717.80 | RVU26D |
| 2026-07-01 | Not available in this setting | $717.80 | RVU26C |
| 2026-04-01 | Not available in this setting | $717.80 | RVU26B |
| 2026-01-01 | Not available in this setting | $717.80 | RVU26A |
| 2025-10-01 | Not available in this setting | $774.81 | RVU25D |
| 2025-07-01 | Not available in this setting | $774.81 | RVU25C |
| 2025-04-01 | Not available in this setting | $774.81 | RVU25B |
| 2025-01-01 | Not available in this setting | $774.81 | RVU25A |
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.
2,29924332,,Tenolysis triceps,A,,7.71,8.31,NA,8.31,,1.64,17.66,17.66,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30024340,,Tenodesis biceps tdn at elbw,A,,7.88,7.97,NA,7.97,,1.62,17.47,17.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30124341,,Rpr tdn/musc upr a/e each,A,,9.25,10.12,NA,10.12,,1.83,21.20,21.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30224342,,Repair of ruptured tendon,A,,10.59,8.74,NA,8.74,,2.11,21.44,21.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30324343,,Repr elbow lat ligmnt w/tiss,A,,8.93,9.55,NA,9.55,,1.78,20.26,20.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30424344,,Reconstruct elbow lat 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
2,30524345,,Repr elbw med ligmnt w/tissu,A,,8.93,9.45,NA,9.45,,1.82,20.20,20.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664