No office rate
24357 uses a percutaneous approach. This code describes open surgery that includes debridement and repair of the common tendon origin.
On this page
CMS RVU26D · Effective 2026-10-01
24359 Elbow tendon repair Medicare reimbursement rates in Iowa
Open surgery for elbow tendinopathy that removes diseased tissue and repairs the common extensor or flexor tendon origin. Compare 24359 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 24359 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
$559.24
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 24359: Open elbow tendon-origin debridement and repair
Open surgery for elbow tendinopathy that removes diseased tissue and repairs the common extensor or flexor tendon origin.
This service treats chronic lateral or medial elbow tendinopathy, commonly called tennis elbow or golfer’s elbow. The surgeon opens the affected area, removes abnormal tissue at the tendon origin, and repairs the common extensor or flexor tendon attachment. Orthopedic surgeons typically perform it in an operating room, with the operative report identifying the side, affected tendon origin, debridement, and repair performed.
Report this code when the open procedure includes both debridement and repair of the tendon origin; the debridement and repair are represented together. The 90-day global period includes 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 are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 24359
- 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 RVU8.76 · 47%
- Practice expense (office) RVU7.97 · 43%
- Malpractice RVU1.74 · 9%
2.2K
Medicare services in 2024 · #2409 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.
24359 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Both involve an open elbow tendon procedure, but this code includes repair of the common extensor or flexor tendon origin in addition to debridement.
No office rate
24341 is for repair of a tendon or muscle at the upper arm or elbow. This code is specific to open debridement and repair at a common extensor or flexor tendon origin.
No office rate
24342 addresses repair of a ruptured distal biceps tendon. It is not the code for debridement and repair of an epicondylar tendon origin.
Compare 24359 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
$559.24
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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 24359 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,309
- Code
- 24359
- Physician work
- 8.76
- Practice expense
- 7.97
- Malpractice
- 1.74
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.76 | × 1.000 | 8.7600 |
| Practice expense | 7.97 | × 0.915 | 7.2926 |
| Malpractice | 1.74 | × 0.397 | 0.6908 |
| Total RVUs | 16.7433 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$559.24
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.76 | 1 |
| Practice expense | 7.97 | 0.915 |
| Malpractice | 1.74 | 0.397 |
(8.76 × 1 + 7.97 × 0.915 + 1.74 × 0.397) × $33.4009 = $559.24
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.
24359 billing questions
How does this differ from 24358?
This code includes repair of the common extensor or flexor tendon origin after debridement. Use 24358 when the open procedure includes debridement but not that repair.
When is 24357 a better fit?
24357 describes a percutaneous approach. This code is for open surgery that includes debridement and repair of the tendon origin.
Can debridement and tendon-origin repair be billed separately?
No. The debridement and repair are included together in this service; the operative report should support both components.
What documentation supports reporting this code?
Document the elbow and side, the affected common extensor or flexor tendon origin, the open approach, the debridement, and the repair performed.
How are bilateral procedures and other same-session procedures handled?
Modifier 50 applies to bilateral reporting, which CMS pays at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are 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.
2,30624346,,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
2,31124361,,Reconstruct elbow joint,A,,14.05,10.81,NA,10.81,,3.00,27.86,27.86,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,31224362,,Reconstruct elbow joint,A,,14.94,11.10,NA,11.10,,3.18,29.22,29.22,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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