No office rate
Choose 24342 for a ruptured distal biceps or triceps tendon. Use 24341 for repair of another tendon or muscle in the upper arm or elbow.
On this page
CMS RVU26D · Effective 2026-10-01
24342 Tendon repair Medicare reimbursement rates in Florida
Reports operative repair of a ruptured distal biceps or triceps tendon at the elbow, including primary or secondary repair and graft use when performed. Compare 24342 office and facility rates across CMS payment localities in Florida.
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 24342 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$738.72–$835.84
3 of 3 localities have a supported rate.
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.
Where 24342 pays more and less in Florida
Orthopedic surgery
About 24342: Distal biceps or triceps tendon repair
Reports operative repair of a ruptured distal biceps or triceps tendon at the elbow, including primary or secondary repair and graft use when performed.
This procedure repairs a ruptured distal biceps or triceps tendon near the elbow, typically by an orthopedic surgeon in an operating room. The surgeon restores tendon continuity and attachment; a graft may be used when needed. Common situations include a distal biceps rupture after lifting or a triceps rupture after an injury, when operative repair is selected.
Report the code for repair of the ruptured distal biceps or triceps tendon, whether the repair is primary or secondary; document the tendon, side, rupture, operative work, and any graft used. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with 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.
CMS billing rules for 24342
- 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 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 · 49%
- Practice expense (office) RVU8.74 · 41%
- Malpractice RVU2.11 · 10%
5.1K
Medicare services in 2024 · #1854 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.
24342 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
24340 describes biceps tendon tenodesis at the elbow. 24342 is for repair of a ruptured distal biceps or triceps tendon.
No office rate
24343 addresses repair of the lateral elbow ligament with tissue; 24342 repairs a distal biceps or triceps tendon.
Compare 24342 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$776.85
Miami →
Office / nonfacility
Unavailable
Facility
$835.84
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$738.72
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24342 billing questions
When should 24342 be used instead of 24341?
Use 24342 for repair of a ruptured distal biceps or triceps tendon at the elbow. Code 24341 covers repair of other upper-arm or elbow tendons or muscles, reported for each tendon or muscle.
Is a graft included in 24342?
Yes. The code includes graft use when performed as part of the distal biceps or triceps tendon repair.
How is bilateral repair reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
CMS allows payment for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
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.
2,29924332,,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
2,30024340,,Tenodesis biceps tdn at elbw,A,,7.88,7.97,NA,7.97,,1.62,17.47,17.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30124341,,Rpr tdn/musc upr a/e each,A,,9.25,10.12,NA,10.12,,1.83,21.20,21.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30224342,,Repair of ruptured tendon,A,,10.59,8.74,NA,8.74,,2.11,21.44,21.44,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30324343,,Repr elbow lat ligmnt w/tiss,A,,8.93,9.55,NA,9.55,,1.78,20.26,20.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30424344,,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