No office rate
Choose 24357 for percutaneous treatment. This code is for open release with debridement.
On this page
CMS RVU26D · Effective 2026-10-01
24358 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$507.16
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 24358: Open epicondylar tenotomy with debridement
Open elbow surgery for lateral or medial epicondylitis that releases the affected tendon and debrides diseased soft tissue or bone.
This operation treats persistent lateral or medial epicondylitis by surgically releasing the involved tendon and removing diseased soft tissue and/or bone. A common example is open treatment of chronic tennis elbow involving the common extensor origin; medial epicondylitis may involve the flexor origin. Orthopedic and hand surgeons typically perform it in an operating room, such as a hospital outpatient department or ambulatory surgery center.
Report 24358 when the surgeon uses an open approach and performs the release with debridement, without the origin detachment and reattachment that distinguishes 24359. The operative report should identify the affected side and tendon origin, the open approach, and the debridement performed. CMS assigns a 90-day global period, including 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 24358
- 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 RVU6.49 · 43%
- Practice expense (office) RVU7.20 · 48%
- Malpractice RVU1.28 · 9%
709
Medicare services in 2024 · #3250 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.
24358 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Choose 24359 when the common extensor or flexor origin is detached and reattached. This code covers open release with debridement without that reattachment.
No office rate
24341 describes repair of a tendon or muscle in the upper arm or elbow. Use 24358 for open epicondylar release with debridement, not repair of a discrete tendon or muscle injury.
The same code, a different location
How does El Centro compare?
24358 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 · 24358
Office
Unavailable
Facility
$506.95
No comparable office rate is available.
Modesto
California · 24358
Office
Unavailable
Facility
$506.95
No comparable office rate is available.
Napa
California · 24358
Office
Unavailable
Facility
$569.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24358
Office
Unavailable
Facility
$533.73
No comparable office rate is available.
Redding
California · 24358
Office
Unavailable
Facility
$506.95
No comparable office rate is available.
Rest Of California
California · 24358
Office
Unavailable
Facility
$506.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24358
Office
Unavailable
Facility
$520.72
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24358
Office
Unavailable
Facility
$527.18
No comparable office rate is available.
Salinas
California · 24358
Office
Unavailable
Facility
$525.13
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24358
Office
Unavailable
Facility
$534.07
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24358
Office
Unavailable
Facility
$596.07
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24358
Office
Unavailable
Facility
$594.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24358
Office
Unavailable
Facility
$610.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24358
Office
Unavailable
Facility
$604.37
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24358
Office
Unavailable
Facility
$517.29
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24358
Office
Unavailable
Facility
$536.43
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24358
Office
Unavailable
Facility
$526.16
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24358
Office
Unavailable
Facility
$541.51
No comparable office rate is available.
Stockton
California · 24358
Office
Unavailable
Facility
$506.95
No comparable office rate is available.
Vallejo
California · 24358
Office
Unavailable
Facility
$567.01
No comparable office rate is available.
Visalia
California · 24358
Office
Unavailable
Facility
$506.95
No comparable office rate is available.
Yuba City
California · 24358
Office
Unavailable
Facility
$506.95
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 24358
Office
Unavailable
Facility
$559.35
No comparable office rate is available.
Miami
Florida · 24358
Office
Unavailable
Facility
$575.24
No comparable office rate is available.
Chicago
Illinois · 24358
Office
Unavailable
Facility
$558.10
No comparable office rate is available.
Manhattan
New York · 24358
Office
Unavailable
Facility
$577.90
No comparable office rate is available.
Alaska*
Alaska · 24358
Office
Unavailable
Facility
$604.83
No comparable office rate is available.
Alabama
Alabama · 24358
Office
Unavailable
Facility
$451.40
No comparable office rate is available.
Arkansas
Arkansas · 24358
Office
Unavailable
Facility
$445.37
No comparable office rate is available.
Arizona
Arizona · 24358
Office
Unavailable
Facility
$486.40
No comparable office rate is available.
Colorado
Colorado · 24358
Office
Unavailable
Facility
$508.64
No comparable office rate is available.
Connecticut
Connecticut · 24358
Office
Unavailable
Facility
$531.84
No comparable office rate is available.
Delaware
Delaware · 24358
Office
Unavailable
Facility
$493.89
No comparable office rate is available.
Fort Lauderdale
Florida · 24358
Office
Unavailable
Facility
$537.68
No comparable office rate is available.
Rest Of Florida
Florida · 24358
Office
Unavailable
Facility
$510.93
No comparable office rate is available.
Atlanta
Georgia · 24358
Office
Unavailable
Facility
$513.10
No comparable office rate is available.
Rest Of Georgia
Georgia · 24358
Office
Unavailable
Facility
$482.25
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24358
Office
Unavailable
Facility
$514.96
No comparable office rate is available.
Iowa
Iowa · 24358
Office
Unavailable
Facility
$453.79
No comparable office rate is available.
Idaho
Idaho · 24358
Office
Unavailable
Facility
$458.24
No comparable office rate is available.
East St. Louis
Illinois · 24358
Office
Unavailable
Facility
$524.12
No comparable office rate is available.
Rest Of Illinois
Illinois · 24358
Office
Unavailable
Facility
$503.16
No comparable office rate is available.
Suburban Chicago
Illinois · 24358
Office
Unavailable
Facility
$541.03
No comparable office rate is available.
Indiana
Indiana · 24358
Office
Unavailable
Facility
$460.48
No comparable office rate is available.
Kansas
Kansas · 24358
Office
Unavailable
Facility
$455.72
No comparable office rate is available.
Kentucky
Kentucky · 24358
Office
Unavailable
Facility
$469.68
No comparable office rate is available.
New Orleans
Louisiana · 24358
Office
Unavailable
Facility
$491.64
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24358
Office
Unavailable
Facility
$470.56
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24358
Office
Unavailable
Facility
$550.85
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24358
Office
Unavailable
Facility
$507.55
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24358
Office
Unavailable
Facility
$531.17
No comparable office rate is available.
Rest Of Maryland
Maryland · 24358
Office
Unavailable
Facility
$501.56
No comparable office rate is available.
Rest Of Maine
Maine · 24358
Office
Unavailable
Facility
$464.61
No comparable office rate is available.
Southern Maine
Maine · 24358
Office
Unavailable
Facility
$482.07
No comparable office rate is available.
Detroit
Michigan · 24358
Office
Unavailable
Facility
$520.92
No comparable office rate is available.
Rest Of Michigan
Michigan · 24358
Office
Unavailable
Facility
$484.60
No comparable office rate is available.
Minnesota
Minnesota · 24358
Office
Unavailable
Facility
$476.89
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24358
Office
Unavailable
Facility
$484.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24358
Office
Unavailable
Facility
$488.55
No comparable office rate is available.
Rest Of Missouri
Missouri · 24358
Office
Unavailable
Facility
$465.71
No comparable office rate is available.
Mississippi
Mississippi · 24358
Office
Unavailable
Facility
$455.43
No comparable office rate is available.
Montana**
Montana · 24358
Office
Unavailable
Facility
$499.93
No comparable office rate is available.
North Carolina
North Carolina · 24358
Office
Unavailable
Facility
$468.46
No comparable office rate is available.
North Dakota**
North Dakota · 24358
Office
Unavailable
Facility
$474.62
No comparable office rate is available.
Nebraska
Nebraska · 24358
Office
Unavailable
Facility
$454.90
No comparable office rate is available.
New Hampshire
New Hampshire · 24358
Office
Unavailable
Facility
$504.53
No comparable office rate is available.
Northern Nj
New Jersey · 24358
Office
Unavailable
Facility
$555.05
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24358
Office
Unavailable
Facility
$534.95
No comparable office rate is available.
New Mexico
New Mexico · 24358
Office
Unavailable
Facility
$488.64
No comparable office rate is available.
Nevada**
Nevada · 24358
Office
Unavailable
Facility
$493.11
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24358
Office
Unavailable
Facility
$595.98
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24358
Office
Unavailable
Facility
$541.59
No comparable office rate is available.
Queens
New York · 24358
Office
Unavailable
Facility
$576.55
No comparable office rate is available.
Rest Of New York
New York · 24358
Office
Unavailable
Facility
$475.29
No comparable office rate is available.
Ohio
Ohio · 24358
Office
Unavailable
Facility
$479.43
No comparable office rate is available.
Oklahoma
Oklahoma · 24358
Office
Unavailable
Facility
$464.75
No comparable office rate is available.
Portland
Oregon · 24358
Office
Unavailable
Facility
$519.23
No comparable office rate is available.
Rest Of Oregon
Oregon · 24358
Office
Unavailable
Facility
$486.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24358
Office
Unavailable
Facility
$522.02
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24358
Office
Unavailable
Facility
$477.94
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24358
Office
Unavailable
Facility
$502.02
No comparable office rate is available.
Rhode Island
Rhode Island · 24358
Office
Unavailable
Facility
$507.45
No comparable office rate is available.
South Carolina
South Carolina · 24358
Office
Unavailable
Facility
$475.32
No comparable office rate is available.
South Dakota**
South Dakota · 24358
Office
Unavailable
Facility
$471.62
No comparable office rate is available.
Tennessee
Tennessee · 24358
Office
Unavailable
Facility
$458.33
No comparable office rate is available.
Austin
Texas · 24358
Office
Unavailable
Facility
$509.52
No comparable office rate is available.
Beaumont
Texas · 24358
Office
Unavailable
Facility
$475.33
No comparable office rate is available.
Brazoria
Texas · 24358
Office
Unavailable
Facility
$490.18
No comparable office rate is available.
Dallas
Texas · 24358
Office
Unavailable
Facility
$494.93
No comparable office rate is available.
Fort Worth
Texas · 24358
Office
Unavailable
Facility
$493.08
No comparable office rate is available.
Galveston
Texas · 24358
Office
Unavailable
Facility
$492.71
No comparable office rate is available.
Houston
Texas · 24358
Office
Unavailable
Facility
$516.14
No comparable office rate is available.
Rest Of Texas
Texas · 24358
Office
Unavailable
Facility
$483.60
No comparable office rate is available.
Utah
Utah · 24358
Office
Unavailable
Facility
$481.22
No comparable office rate is available.
Virginia
Virginia · 24358
Office
Unavailable
Facility
$483.35
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24358
Office
Unavailable
Facility
$502.02
No comparable office rate is available.
Vermont
Vermont · 24358
Office
Unavailable
Facility
$476.49
No comparable office rate is available.
Rest Of Washington
Washington · 24358
Office
Unavailable
Facility
$505.36
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24358
Office
Unavailable
Facility
$557.62
No comparable office rate is available.
Wisconsin
Wisconsin · 24358
Office
Unavailable
Facility
$460.33
No comparable office rate is available.
West Virginia
West Virginia · 24358
Office
Unavailable
Facility
$486.93
No comparable office rate is available.
Wyoming**
Wyoming · 24358
Office
Unavailable
Facility
$488.90
No comparable office rate is available.
See how rates vary across the country
24358 · 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 24358 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$557.88
$507.16 × 110% = $557.88
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 24358 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,308
- Code
- 24358
- Physician work
- 6.49
- Practice expense
- 7.20
- Malpractice
- 1.28
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.49 | × 1.017 | 6.6003 |
| Practice expense | 7.20 | × 1.096 | 7.8912 |
| Malpractice | 1.28 | × 0.541 | 0.6925 |
| Total RVUs | 15.1840 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$507.16
Open 24358 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.49 | 1.017 |
| Practice expense | 7.2 | 1.096 |
| Malpractice | 1.28 | 0.541 |
(6.49 × 1.017 + 7.2 × 1.096 + 1.28 × 0.541) × $33.4009 = $507.16
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
24358 · 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 | $507.16 | RVU26D |
| 2026-07-01 | Not available in this setting | $507.16 | RVU26C |
| 2026-04-01 | Not available in this setting | $507.16 | RVU26B |
| 2026-01-01 | Not available in this setting | $507.16 | RVU26A |
| 2025-10-01 | Not available in this setting | $541.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $541.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $541.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $541.85 | RVU25A |
24358 billing questions
How does 24358 differ from 24357?
24358 describes an open operation with release and debridement. 24357 is the percutaneous approach.
When should 24359 be reported instead?
Use 24359 when the operative work includes detaching and reattaching the common extensor or flexor origin. Debridement with open release, without that reattachment, points to 24358.
What should the operative note document?
Document the side, lateral or medial tendon origin treated, open approach, and soft-tissue and/or bone debridement. The note should make clear whether the tendon origin was detached and reattached.
How is bilateral surgery reported?
When the procedure is performed on both elbows, report modifier 50 under the CMS bilateral rule; payment is at 150%.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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.
2,30524345,,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
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
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