No office rate
24305 is for lengthening a tendon. Choose 24320 when the documented procedure is tenoplasty, not tendon lengthening.
On this page
CMS RVU26D · Effective 2026-10-01
24320 Tenoplasty Medicare reimbursement rates in Connecticut
Reports operative reconstruction or reshaping of an individual tendon in the elbow-to-shoulder region when the procedure is a tenoplasty. Compare 24320 office and facility rates across CMS payment localities in Connecticut.
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 24320 in Connecticut?
Connecticut 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
$775.48
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 24320: Elbow-to-shoulder tendon reconstruction
Reports operative reconstruction or reshaping of an individual tendon in the elbow-to-shoulder region when the procedure is a tenoplasty.
Code 24320 represents an operative tenoplasty on a tendon in the elbow-to-shoulder region, reported for each tendon treated. The surgeon reconstructs or reshapes tendon tissue; the procedure is distinct from tendon release, lengthening, transfer, fixation, or a separately defined tendon or muscle repair. Orthopedic surgeons and upper-extremity specialists typically perform it in an operating-room setting when the operative plan calls for tenoplasty of a tendon in this region.
The operative report should identify the tendon and site, describe the reconstructive work performed, and support the number of tendons treated. This major-surgery code 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 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this descriptor and anatomy.
CMS billing rules for 24320
- 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 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 · 48%
- Practice expense (office) RVU9.00 · 41%
- Malpractice RVU2.25 · 10%
15
Medicare services in 2024 · #6058 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.
24320 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
24310 describes open tenotomy, or tendon release. It is not the choice for reconstructive or reshaping work reported as tenoplasty.
No office rate
24341 covers a defined tendon or muscle repair in the upper arm or elbow. Distinguish it from tenoplasty by the procedure actually documented.
No office rate
24340 is for biceps tendon fixation at the elbow. Use 24320 for tenoplasty of a tendon rather than that fixation procedure.
Compare 24320 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$775.48
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 24320 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,296
- Code
- 24320
- Physician work
- 10.59
- Practice expense
- 9.00
- Malpractice
- 2.25
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.59 | × 1.020 | 10.8018 |
| Practice expense | 9.00 | × 1.077 | 9.6930 |
| Malpractice | 2.25 | × 1.210 | 2.7225 |
| Total RVUs | 23.2173 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$775.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.59 | 1.02 |
| Practice expense | 9 | 1.077 |
| Malpractice | 2.25 | 1.21 |
(10.59 × 1.02 + 9 × 1.077 + 2.25 × 1.21) × $33.4009 = $775.48
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.
24320 billing questions
How is tenoplasty different from tendon repair?
Use 24320 when the documented operation is a tenoplasty. When the surgeon performs the separately defined repair of a tendon or muscle in the upper arm or elbow, consider 24341 instead.
Should 24320 be reported per tendon?
Yes. The code is reported for each tendon treated, so the operative report should identify the tendon or tendons and the work performed on each.
Can modifier 50 be used when both elbows are treated?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy; modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
2,29324301,,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
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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808