No office rate
24340 is for biceps tenodesis at the elbow. Choose 24342 when the procedure is repair of a ruptured distal biceps or triceps tendon.
On this page
CMS RVU26D · Effective 2026-10-01
24340 Biceps tenodesis Medicare reimbursement rates in Iowa
Reports surgical fixation of the biceps tendon at the elbow, commonly during treatment of a distal biceps tendon injury requiring tenodesis. Compare 24340 office and facility rates across CMS payment localities in Iowa.
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 24340 in Iowa?
Iowa 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
$528.26
1 of 1 localities have a supported rate.
Payment area: Iowa
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 24340: Distal biceps tendon tenodesis
Reports surgical fixation of the biceps tendon at the elbow, commonly during treatment of a distal biceps tendon injury requiring tenodesis.
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.
CMS billing rules for 24340
- 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 RVU7.88 · 45%
- Practice expense (office) RVU7.97 · 46%
- Malpractice RVU1.62 · 9%
157
Medicare services in 2024 · #4527 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.
24340 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
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.
No office rate
23430 describes biceps tenodesis at the shoulder. Code 24340 is specific to tenodesis at the elbow.
Compare 24340 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
Iowa →
Office / nonfacility
Unavailable
Facility
$528.26
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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 24340 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,300
- Code
- 24340
- Physician work
- 7.88
- Practice expense
- 7.97
- Malpractice
- 1.62
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.88 | × 1.000 | 7.8800 |
| Practice expense | 7.97 | × 0.915 | 7.2926 |
| Malpractice | 1.62 | × 0.397 | 0.6431 |
| Total RVUs | 15.8157 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$528.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.88 | 1 |
| Practice expense | 7.97 | 0.915 |
| Malpractice | 1.62 | 0.397 |
(7.88 × 1 + 7.97 × 0.915 + 1.62 × 0.397) × $33.4009 = $528.26
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.
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 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.
2,29724330,,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
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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136