Billing code 24345: Ligament repairMedicare rate & RVUs in Alaska
Open repair of the elbow’s medial collateral ligament using local tissue, reported when the surgeon repairs the ligament rather than reconstructing it with a graft.
CMS doesn’t publish an office rate for 24345 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24345 covers
This operation repairs the medial collateral ligament on the inner side of the elbow using local tissue. It is commonly performed by an orthopedic surgeon for a repairable ligament injury, including some ulnar collateral ligament injuries in throwing athletes. The surgeon exposes the injured ligament and uses available local tissue to restore its attachment or support. The code is specific to the medial ligament; the clinical diagnosis alone does not establish that this repair method was performed.
Report 24345 when the operative record supports repair with local tissue, rather than graft reconstruction. Document the ligament and side treated, the injury and operative findings, and the repair technique. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral surgery, 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.
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.
24345 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $817.06 |
How the 24345 rate is calculated
Each of 24345’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24345
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.93Practice expense 9.45Malpractice 1.82
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24345
24345 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24345
Ligament repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24345
Ligament repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24345 without 50 · national facility
$674.70
Ligament repair
24345-50 · Bilateral: 150%
$1,012.05
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24345 compared with similar codes
Compare codes
24345 vs 24346 vs 24343 vs 24344 vs 24341: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24346Elbow ligament reconstruction
- Choose 24345 for local-tissue repair of the medial ligament; choose 24346 when the surgeon reconstructs it with a tendon graft.
- 24343Elbow ligament repair
- Both describe local-tissue ligament repair, but 24343 addresses the lateral elbow ligament and 24345 the medial ligament.
- 24344Elbow ligament surgery
- 24344 is reconstruction of the lateral elbow ligament; 24345 is repair of the medial ligament using local tissue.
- 24341Tendon/muscle repair
- 24341 concerns repair of an upper-extremity tendon or muscle-tendon unit, not repair of the medial elbow ligament.
24345 billing questions
How is 24345 different from 24346?
24345 describes repair of the medial elbow ligament using local tissue. Use 24346 when the surgeon reconstructs the medial ligament with a tendon graft.
What documentation supports reporting 24345?
The operative report should identify the medial elbow ligament, the side, the injury and findings, and the use of local tissue to repair it.
Can modifier 50 be used for bilateral repair?
Yes. CMS treats this as a bilateral procedure, with modifier 50 paid at 150% when both sides are treated.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Does 24345 describe a tendon repair?
No. It describes medial elbow ligament repair with local tissue. A tendon repair code applies when the operative work repairs a tendon rather than this ligament.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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