No office rate
Use 24357 for a percutaneous release. Use 24358 when the surgeon treats the elbow tendon origin through an open approach with debridement.
On this page
CMS RVU26D · Effective 2026-10-01
24357 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$395.77
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 24357: Percutaneous elbow tendon release
Reports percutaneous release of a diseased tendon origin at the elbow for lateral or medial epicondylitis, rather than an open debridement or repair.
This procedure treats persistent lateral epicondylitis at the common extensor tendon origin or medial epicondylitis at the common flexor tendon origin. The surgeon releases affected tendon fibers through a percutaneous approach, without the open exposure used for debridement or tendon-origin repair. Orthopedic and sports medicine surgeons commonly perform it for patients whose elbow symptoms warrant operative treatment, in an office-based procedure setting or a surgical facility.
Choose this code when the operative report supports a percutaneous tendon release at the elbow; an open approach belongs to a different code in the family. Document the affected elbow and tendon origin, the percutaneous technique, the condition treated, and the medical necessity. The code has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 24357
- 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 RVU5.30 · 46%
- Practice expense (office) RVU5.59 · 49%
- Malpractice RVU0.62 · 5%
646
Medicare services in 2024 · #3336 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.
24357 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
Use 24359 for the open elbow procedure that includes tendon-origin repair with debridement; 24357 describes a percutaneous release.
$62.84
20551 reports an injection at a tendon origin or insertion. It does not describe a percutaneous surgical release.
The same code, a different location
How does Merced compare?
24357 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 24357
Office
Unavailable
Facility
$395.77
No comparable office rate is available.
Modesto
California · 24357
Office
Unavailable
Facility
$395.77
No comparable office rate is available.
Napa
California · 24357
Office
Unavailable
Facility
$444.78
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 24357
Office
Unavailable
Facility
$415.58
No comparable office rate is available.
Redding
California · 24357
Office
Unavailable
Facility
$395.77
No comparable office rate is available.
Rest Of California
California · 24357
Office
Unavailable
Facility
$395.77
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 24357
Office
Unavailable
Facility
$402.51
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 24357
Office
Unavailable
Facility
$411.64
No comparable office rate is available.
Salinas
California · 24357
Office
Unavailable
Facility
$410.01
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 24357
Office
Unavailable
Facility
$416.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 24357
Office
Unavailable
Facility
$466.61
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 24357
Office
Unavailable
Facility
$465.91
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 24357
Office
Unavailable
Facility
$476.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 24357
Office
Unavailable
Facility
$473.96
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 24357
Office
Unavailable
Facility
$403.80
No comparable office rate is available.
Santa Cruz-Watsonville
California · 24357
Office
Unavailable
Facility
$418.70
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 24357
Office
Unavailable
Facility
$410.79
No comparable office rate is available.
Santa Rosa-Petaluma
California · 24357
Office
Unavailable
Facility
$422.72
No comparable office rate is available.
Stockton
California · 24357
Office
Unavailable
Facility
$395.77
No comparable office rate is available.
Vallejo
California · 24357
Office
Unavailable
Facility
$443.77
No comparable office rate is available.
Visalia
California · 24357
Office
Unavailable
Facility
$395.77
No comparable office rate is available.
Yuba City
California · 24357
Office
Unavailable
Facility
$395.77
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 24357
Office
Unavailable
Facility
$429.58
No comparable office rate is available.
Miami
Florida · 24357
Office
Unavailable
Facility
$423.76
No comparable office rate is available.
Chicago
Illinois · 24357
Office
Unavailable
Facility
$413.43
No comparable office rate is available.
Manhattan
New York · 24357
Office
Unavailable
Facility
$438.16
No comparable office rate is available.
Alaska*
Alaska · 24357
Office
Unavailable
Facility
$475.79
No comparable office rate is available.
Alabama
Alabama · 24357
Office
Unavailable
Facility
$352.12
No comparable office rate is available.
Arkansas
Arkansas · 24357
Office
Unavailable
Facility
$348.07
No comparable office rate is available.
Arizona
Arizona · 24357
Office
Unavailable
Facility
$375.67
No comparable office rate is available.
Colorado
Colorado · 24357
Office
Unavailable
Facility
$393.98
No comparable office rate is available.
Connecticut
Connecticut · 24357
Office
Unavailable
Facility
$406.71
No comparable office rate is available.
Delaware
Delaware · 24357
Office
Unavailable
Facility
$381.00
No comparable office rate is available.
Fort Lauderdale
Florida · 24357
Office
Unavailable
Facility
$403.60
No comparable office rate is available.
Rest Of Florida
Florida · 24357
Office
Unavailable
Facility
$386.65
No comparable office rate is available.
Atlanta
Georgia · 24357
Office
Unavailable
Facility
$392.13
No comparable office rate is available.
Rest Of Georgia
Georgia · 24357
Office
Unavailable
Facility
$368.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 24357
Office
Unavailable
Facility
$401.31
No comparable office rate is available.
Iowa
Iowa · 24357
Office
Unavailable
Facility
$356.09
No comparable office rate is available.
Idaho
Idaho · 24357
Office
Unavailable
Facility
$358.59
No comparable office rate is available.
East St. Louis
Illinois · 24357
Office
Unavailable
Facility
$390.51
No comparable office rate is available.
Rest Of Illinois
Illinois · 24357
Office
Unavailable
Facility
$379.86
No comparable office rate is available.
Suburban Chicago
Illinois · 24357
Office
Unavailable
Facility
$406.71
No comparable office rate is available.
Indiana
Indiana · 24357
Office
Unavailable
Facility
$360.17
No comparable office rate is available.
Kansas
Kansas · 24357
Office
Unavailable
Facility
$356.25
No comparable office rate is available.
Kentucky
Kentucky · 24357
Office
Unavailable
Facility
$361.96
No comparable office rate is available.
New Orleans
Louisiana · 24357
Office
Unavailable
Facility
$376.24
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 24357
Office
Unavailable
Facility
$362.10
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 24357
Office
Unavailable
Facility
$425.65
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 24357
Office
Unavailable
Facility
$392.97
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 24357
Office
Unavailable
Facility
$405.81
No comparable office rate is available.
Rest Of Maryland
Maryland · 24357
Office
Unavailable
Facility
$386.76
No comparable office rate is available.
Rest Of Maine
Maine · 24357
Office
Unavailable
Facility
$361.68
No comparable office rate is available.
Southern Maine
Maine · 24357
Office
Unavailable
Facility
$375.12
No comparable office rate is available.
Detroit
Michigan · 24357
Office
Unavailable
Facility
$392.12
No comparable office rate is available.
Rest Of Michigan
Michigan · 24357
Office
Unavailable
Facility
$370.87
No comparable office rate is available.
Minnesota
Minnesota · 24357
Office
Unavailable
Facility
$375.28
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 24357
Office
Unavailable
Facility
$372.58
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 24357
Office
Unavailable
Facility
$375.52
No comparable office rate is available.
Rest Of Missouri
Missouri · 24357
Office
Unavailable
Facility
$358.14
No comparable office rate is available.
Mississippi
Mississippi · 24357
Office
Unavailable
Facility
$353.09
No comparable office rate is available.
Montana**
Montana · 24357
Office
Unavailable
Facility
$384.40
No comparable office rate is available.
North Carolina
North Carolina · 24357
Office
Unavailable
Facility
$364.46
No comparable office rate is available.
North Dakota**
North Dakota · 24357
Office
Unavailable
Facility
$372.14
No comparable office rate is available.
Nebraska
Nebraska · 24357
Office
Unavailable
Facility
$357.19
No comparable office rate is available.
New Hampshire
New Hampshire · 24357
Office
Unavailable
Facility
$389.51
No comparable office rate is available.
Northern Nj
New Jersey · 24357
Office
Unavailable
Facility
$426.88
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 24357
Office
Unavailable
Facility
$410.71
No comparable office rate is available.
New Mexico
New Mexico · 24357
Office
Unavailable
Facility
$373.11
No comparable office rate is available.
Nevada**
Nevada · 24357
Office
Unavailable
Facility
$381.17
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 24357
Office
Unavailable
Facility
$448.81
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 24357
Office
Unavailable
Facility
$414.50
No comparable office rate is available.
Queens
New York · 24357
Office
Unavailable
Facility
$438.91
No comparable office rate is available.
Rest Of New York
New York · 24357
Office
Unavailable
Facility
$368.96
No comparable office rate is available.
Ohio
Ohio · 24357
Office
Unavailable
Facility
$368.37
No comparable office rate is available.
Oklahoma
Oklahoma · 24357
Office
Unavailable
Facility
$359.85
No comparable office rate is available.
Portland
Oregon · 24357
Office
Unavailable
Facility
$402.70
No comparable office rate is available.
Rest Of Oregon
Oregon · 24357
Office
Unavailable
Facility
$377.55
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 24357
Office
Unavailable
Facility
$399.28
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 24357
Office
Unavailable
Facility
$368.00
No comparable office rate is available.
Puerto Rico
Puerto Rico · 24357
Office
Unavailable
Facility
$386.19
No comparable office rate is available.
Rhode Island
Rhode Island · 24357
Office
Unavailable
Facility
$391.73
No comparable office rate is available.
South Carolina
South Carolina · 24357
Office
Unavailable
Facility
$367.15
No comparable office rate is available.
South Dakota**
South Dakota · 24357
Office
Unavailable
Facility
$370.69
No comparable office rate is available.
Tennessee
Tennessee · 24357
Office
Unavailable
Facility
$357.87
No comparable office rate is available.
Austin
Texas · 24357
Office
Unavailable
Facility
$393.27
No comparable office rate is available.
Beaumont
Texas · 24357
Office
Unavailable
Facility
$366.17
No comparable office rate is available.
Brazoria
Texas · 24357
Office
Unavailable
Facility
$379.62
No comparable office rate is available.
Dallas
Texas · 24357
Office
Unavailable
Facility
$382.35
No comparable office rate is available.
Fort Worth
Texas · 24357
Office
Unavailable
Facility
$380.75
No comparable office rate is available.
Galveston
Texas · 24357
Office
Unavailable
Facility
$380.99
No comparable office rate is available.
Houston
Texas · 24357
Office
Unavailable
Facility
$392.34
No comparable office rate is available.
Rest Of Texas
Texas · 24357
Office
Unavailable
Facility
$372.91
No comparable office rate is available.
Utah
Utah · 24357
Office
Unavailable
Facility
$371.13
No comparable office rate is available.
Virginia
Virginia · 24357
Office
Unavailable
Facility
$375.18
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 24357
Office
Unavailable
Facility
$386.19
No comparable office rate is available.
Vermont
Vermont · 24357
Office
Unavailable
Facility
$372.35
No comparable office rate is available.
Rest Of Washington
Washington · 24357
Office
Unavailable
Facility
$391.69
No comparable office rate is available.
Seattle (King Cnty)
Washington · 24357
Office
Unavailable
Facility
$431.89
No comparable office rate is available.
Wisconsin
Wisconsin · 24357
Office
Unavailable
Facility
$362.27
No comparable office rate is available.
West Virginia
West Virginia · 24357
Office
Unavailable
Facility
$368.91
No comparable office rate is available.
Wyoming**
Wyoming · 24357
Office
Unavailable
Facility
$379.06
No comparable office rate is available.
See how rates vary across the country
24357 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 24357 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$435.35
$395.77 × 110% = $435.35
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 24357 in Merced.
PPRRVU2026_Oct_nonQPP.csv
2,307
- Code
- 24357
- Physician work
- 5.30
- Practice expense
- 5.59
- Malpractice
- 0.62
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.30 | × 1.017 | 5.3901 |
| Practice expense | 5.59 | × 1.096 | 6.1266 |
| Malpractice | 0.62 | × 0.536 | 0.3323 |
| Total RVUs | 11.8491 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$395.77
Open 24357 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.3 | 1.017 |
| Practice expense | 5.59 | 1.096 |
| Malpractice | 0.62 | 0.536 |
(5.3 × 1.017 + 5.59 × 1.096 + 0.62 × 0.536) × $33.4009 = $395.77
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
24357 · 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 | $395.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $395.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $395.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $395.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $424.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $424.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $424.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $424.97 | RVU25A |
24357 billing questions
How does this differ from 24358 or 24359?
This code is for a percutaneous tendon release. Use 24358 or 24359 when the surgeon performs the respective open procedure; the operative approach and work documented determine the code.
Can an injection be reported instead for epicondylitis?
A tendon-origin injection, such as 20551, is a different treatment approach. It is not a substitute for reporting a percutaneous release when that procedure was performed.
What documentation supports this code?
Document the elbow and tendon origin treated, the percutaneous technique, the condition prompting the procedure, and why operative treatment was medically necessary.
How is bilateral treatment reported?
When both elbows are treated, report the bilateral procedure with modifier 50. CMS pays it at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery is paid only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,30424344,,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
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
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623