Billing code 24340: Biceps tenodesisMedicare rate & RVUs in Florida
Reports surgical fixation of the biceps tendon at the elbow, commonly during treatment of a distal biceps tendon injury requiring tenodesis.
CMS doesn’t publish an office rate for 24340 in Florida.
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 24340 covers
This service surgically secures the biceps tendon at the elbow. Orthopedic surgeons typically perform it for a distal biceps tendon injury when the operative plan calls for tenodesis rather than a direct tendon repair. The operative report should identify the tendon and elbow-level fixation and describe the procedure performed; the diagnosis alone does not establish that tenodesis was done.
Report 24340 when the documented operation is biceps tenodesis at the elbow, not simply because a distal biceps injury is present. Medicare 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 services may be paid; co-surgeons are paid only with 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.
Where 24340 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $630.69 |
| Miami | Unavailable | $677.16 |
| Rest Of Florida | Unavailable | $599.02 |
How the 24340 rate is calculated
Each of 24340’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 · 24340
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.88Practice expense 7.97Malpractice 1.62
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24340
24340 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24340
Biceps tenodesis
| 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 · 24340
Biceps tenodesis
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
24340 without 50 · national facility
$583.51
Biceps tenodesis
24340-50 · Bilateral: 150%
$875.27
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).
24340 compared with similar codes
Compare codes
24340 vs 24342 vs 24341 vs 23430: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24342Tendon repair
- 24340 is for biceps tenodesis at the elbow. Choose 24342 when the procedure is repair of a ruptured distal biceps or triceps tendon.
- 24341Tendon/muscle repair
- 24341 covers repair of an upper-arm or elbow tendon or muscle. It is not the specific elbow-level biceps tenodesis service represented by 24340.
- 23430Biceps surgery
- 23430 describes biceps tenodesis at the shoulder. Code 24340 is specific to tenodesis at the elbow.
24340 billing questions
How is 24340 different from repair of a ruptured distal biceps?
Use 24340 when the documented procedure is tenodesis of the biceps tendon at the elbow. Code 24342 describes repair of a ruptured distal biceps or triceps tendon; select based on the operation performed, not the diagnosis alone.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare apply the multiple-procedure reduction?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can modifier 50 be used for bilateral elbow tenodesis?
CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%.
What documentation supports assistant or co-surgeon billing?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation, and 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 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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