No office rate
Use 24357 for a percutaneous release. Use 24358 when the surgeon treats the elbow tendon origin through an open approach with debridement.
On this page
CMS RVU26D · Effective 2026-10-01
24357 Elbow tenotomy Medicare reimbursement rates in Indiana
Reports percutaneous release of a diseased tendon origin at the elbow for lateral or medial epicondylitis, rather than an open debridement or repair. Compare 24357 office and facility rates across CMS payment localities in Indiana.
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 24357 in Indiana?
Indiana 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
$360.17
1 of 1 localities have a supported rate.
Payment area: Indiana
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 24357: Percutaneous elbow tendon release
Reports percutaneous release of a diseased tendon origin at the elbow for lateral or medial epicondylitis, rather than an open debridement or repair.
This procedure treats persistent lateral epicondylitis at the common extensor tendon origin or medial epicondylitis at the common flexor tendon origin. The surgeon releases affected tendon fibers through a percutaneous approach, without the open exposure used for debridement or tendon-origin repair. Orthopedic and sports medicine surgeons commonly perform it for patients whose elbow symptoms warrant operative treatment, in an office-based procedure setting or a surgical facility.
Choose this code when the operative report supports a percutaneous tendon release at the elbow; an open approach belongs to a different code in the family. Document the affected elbow and tendon origin, the percutaneous technique, the condition treated, and the medical necessity. The code has a 90-day global period that includes the day-before preoperative visit and related postoperative care during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 24357
- 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 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 RVU5.30 · 46%
- Practice expense (office) RVU5.59 · 49%
- Malpractice RVU0.62 · 5%
646
Medicare services in 2024 · #3336 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.
24357 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Use 24359 for the open elbow procedure that includes tendon-origin repair with debridement; 24357 describes a percutaneous release.
$56.64
20551 reports an injection at a tendon origin or insertion. It does not describe a percutaneous surgical release.
Compare 24357 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
Indiana →
Office / nonfacility
Unavailable
Facility
$360.17
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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 24357 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
2,307
- Code
- 24357
- Physician work
- 5.30
- Practice expense
- 5.59
- Malpractice
- 0.62
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.30 | × 1.000 | 5.3000 |
| Practice expense | 5.59 | × 0.927 | 5.1819 |
| Malpractice | 0.62 | × 0.486 | 0.3013 |
| Total RVUs | 10.7833 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$360.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.3 | 1 |
| Practice expense | 5.59 | 0.927 |
| Malpractice | 0.62 | 0.486 |
(5.3 × 1 + 5.59 × 0.927 + 0.62 × 0.486) × $33.4009 = $360.17
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.
24357 billing questions
How does this differ from 24358 or 24359?
This code is for a percutaneous tendon release. Use 24358 or 24359 when the surgeon performs the respective open procedure; the operative approach and work documented determine the code.
Can an injection be reported instead for epicondylitis?
A tendon-origin injection, such as 20551, is a different treatment approach. It is not a substitute for reporting a percutaneous release when that procedure was performed.
What documentation supports this code?
Document the elbow and tendon origin treated, the percutaneous technique, the condition prompting the procedure, and why operative treatment was medically necessary.
How is bilateral treatment reported?
When both elbows are treated, report the bilateral procedure with modifier 50. CMS pays it at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery is paid only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,30424344,,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
2,30624346,,Reconstruct elbow med 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
2,30724357,,Repair elbow perc,A,,5.30,5.59,NA,5.59,,0.62,11.51,11.51,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30824358,,Repair elbow w/deb open,A,,6.49,7.20,NA,7.20,,1.28,14.97,14.97,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30924359,,Repair elbow deb/attch open,A,,8.76,7.97,NA,7.97,,1.74,18.47,18.47,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31024360,,Reconstruct elbow joint,A,,12.35,10.11,NA,10.11,,2.62,25.08,25.08,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915