No office rate
24305 describes tendon lengthening. Choose 24310 when the documented procedure is open tenotomy rather than lengthening.
On this page
CMS RVU26D · Effective 2026-10-01
24305 Tendon lengthening Medicare reimbursement rates in Georgia
Report this procedure when a surgeon lengthens a tendon in the upper arm or around the elbow to address tendon shortening or restricted movement. Compare 24305 office and facility rates across CMS payment localities in Georgia.
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 24305 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$523.29–$554.90
2 of 2 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.
Orthopedic surgery
About 24305: Upper arm or elbow tendon lengthening
Report this procedure when a surgeon lengthens a tendon in the upper arm or around the elbow to address tendon shortening or restricted movement.
An orthopedic surgeon lengthens a tendon in the upper arm or around the elbow to reduce the effects of a shortened tendon, such as restricted joint movement. The procedure is performed in an operating room or another surgical setting, with the operative approach and technique determined by the tendon and clinical problem. This code is specific to tendon lengthening; it does not describe simply cutting a tendon or transferring it to another location.
Select the code based on the work performed, and document the tendon treated, its location, the reason for lengthening, and the operative technique. The code is reported for each tendon lengthened. It has a 90-day global period, which includes 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. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 24305
- 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 RVU7.43 · 46%
- Practice expense (office) RVU7.35 · 45%
- Malpractice RVU1.41 · 9%
1.4K
Medicare services in 2024 · #2726 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.
24305 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
24301 describes a muscle or tendon transfer in the upper arm or elbow. It is not the choice when the surgeon lengthens the tendon in place.
No office rate
24320 describes tenoplasty in the elbow-to-shoulder region. Use 24305 when the operative work is tendon lengthening, not the tenoplasty service represented by 24320.
Compare 24305 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$554.90
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$523.29
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24305 billing questions
How is tendon lengthening different from tendon tenotomy?
Use 24305 when the surgeon lengthens the tendon. Code 24310 describes an open tenotomy in the elbow-to-shoulder region, where cutting the tendon rather than lengthening it is the documented work.
How many units should be reported?
The code is reported for each tendon lengthened. The operative report should identify each tendon treated and describe the lengthening performed.
Is modifier 50 appropriate when both sides are treated?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.
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 surgeon be paid for this procedure?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeon and team-surgery payment are not permitted.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
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.
2,29124220,,Injection px for elbow arthg,A,,1.28,4.17,,0.27,,0.13,5.58,1.68,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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