No office rate
Choose this code when the tendon is lengthened. Code 24310 describes open division to release a tendon, not lengthening.
On this page
CMS RVU26D · Effective 2026-10-01
24310 Open tenotomy Medicare reimbursement rates in Arkansas
Open tenotomy from the elbow to shoulder is reported for each tendon surgically divided to release it, rather than lengthen, transfer, or repair it. Compare 24310 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 24310 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$394.78
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 24310: Open upper-arm tendon release
Open tenotomy from the elbow to shoulder is reported for each tendon surgically divided to release it, rather than lengthen, transfer, or repair it.
The surgeon exposes and divides a tendon in the region from the elbow to the shoulder through an open approach. Orthopedic surgeons typically perform this operation in a hospital or ambulatory surgery setting when the planned treatment calls for releasing a tendon, rather than repairing or transferring it. The operative report should identify the tendon and document the open division performed and its clinical purpose.
Report the service for each tendon treated; documentation should support the number of tendons released. This major surgery 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 the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. An assistant at surgery is paid only when medical necessity is documented. CMS does not permit co-surgeons or team surgery for this service.
CMS billing rules for 24310
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU5.97 · 45%
- Practice expense (office) RVU6.12 · 46%
- Malpractice RVU1.15 · 9%
135
Medicare services in 2024 · #4637 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.
24310 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Code 24301 describes a muscle or tendon transfer. Code 24310 is for tendon division without transfer to a new attachment.
No office rate
Code 24332 is for triceps tenolysis, which releases adhesions around the tendon. Code 24310 describes open division of a tendon.
No office rate
Code 24341 describes tendon or muscle repair. Choose 24310 when the operative service is tendon release, not repair.
Compare 24310 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$394.78
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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 24310 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
2,295
- Code
- 24310
- Physician work
- 5.97
- Practice expense
- 6.12
- Malpractice
- 1.15
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.97 | × 1.000 | 5.9700 |
| Practice expense | 6.12 | × 0.859 | 5.2571 |
| Malpractice | 1.15 | × 0.515 | 0.5922 |
| Total RVUs | 11.8193 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$394.78
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.97 | 1 |
| Practice expense | 6.12 | 0.859 |
| Malpractice | 1.15 | 0.515 |
(5.97 × 1 + 6.12 × 0.859 + 1.15 × 0.515) × $33.4009 = $394.78
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.
24310 billing questions
How is this distinguished from tendon lengthening?
This code describes open division of a tendon in the elbow-to-shoulder region. Use the lengthening code when the procedure actually lengthens the tendon rather than simply releasing it.
How many units should be reported?
The descriptor is per tendon. The operative report should identify each tendon treated and support the number of units billed.
Can tendon transfer be reported instead?
A transfer moves a tendon to a different attachment or function; this service divides a tendon to release it. Select the code that reflects the operation documented.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is an assistant at surgery payable?
CMS pays an assistant at surgery only when medical necessity is documented.
Can co-surgeons or a surgical team be billed?
CMS does not permit co-surgeons or team surgery for this service.
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.
2,29224300,,Mnpj elbow under anes,A,,3.94,8.66,NA,8.66,,0.76,13.36,13.36,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29324301,,Musc/tdn transfer upr a/e 1,A,,10.12,8.75,NA,8.75,,2.11,20.98,20.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29424305,,Tendon lngth upr a/e ea tdn,A,,7.43,7.35,NA,7.35,,1.41,16.19,16.19,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29524310,,Tnot opn elbw to sho ea tdn,A,,5.97,6.12,NA,6.12,,1.15,13.24,13.24,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29624320,,Tenoplasty elbow to sho 1,A,,10.59,9.00,NA,9.00,,2.25,21.84,21.84,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29724330,,Flexor-plasty elbow,A,,9.55,8.68,NA,8.68,,2.04,20.27,20.27,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,29824331,,Flexor-plasty elbw w/advmnt,A,,10.68,9.03,NA,9.03,,2.27,21.98,21.98,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
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