No office rate
Use 23430 for routine tenodesis of the long-head biceps tendon. This code describes the transfer-based shoulder procedure.
On this page
CMS RVU26D · Effective 2026-10-01
23440 Biceps tenodesis Medicare reimbursement rates in Kansas
Reports shoulder surgery that relocates and secures the long-head biceps tendon as part of a tendon transfer for selected biceps tendon disorders. Compare 23440 office and facility rates across CMS payment localities in Kansas.
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 23440 in Kansas?
Kansas 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
$638.34
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Shoulder surgery
About 23440: Biceps tendon tenodesis with transfer
Reports shoulder surgery that relocates and secures the long-head biceps tendon as part of a tendon transfer for selected biceps tendon disorders.
This operation addresses disease or instability involving the long head of the biceps tendon at the shoulder. The surgeon releases the tendon from its usual attachment and relocates or secures it as part of a tendon transfer. Orthopedic surgeons commonly perform the procedure in a hospital outpatient department or ambulatory surgery center, often during surgery for associated shoulder pathology. The operative report should establish the tendon treated and describe the transfer and fixation performed.
Report this service when the documented work supports a tendon transfer, rather than a routine biceps tenodesis alone. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 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 23440
- 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 RVU10.37 · 49%
- Practice expense (office) RVU8.46 · 40%
- Malpractice RVU2.17 · 10%
1.7K
Medicare services in 2024 · #2590 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.
23440 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Code 23405 represents a shoulder-area tendon incision, not relocation and securing of the biceps tendon as part of a transfer.
No office rate
Code 23410 reports repair of an acute rotator cuff rupture. It does not represent biceps tendon transfer, though both procedures may be performed in one session.
Compare 23440 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
Kansas →
Office / nonfacility
Unavailable
Facility
$638.34
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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 23440 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,203
- Code
- 23440
- Physician work
- 10.37
- Practice expense
- 8.46
- Malpractice
- 2.17
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.37 | × 1.000 | 10.3700 |
| Practice expense | 8.46 | × 0.904 | 7.6478 |
| Malpractice | 2.17 | × 0.504 | 1.0937 |
| Total RVUs | 19.1115 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$638.34
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.37 | 1 |
| Practice expense | 8.46 | 0.904 |
| Malpractice | 2.17 | 0.504 |
(10.37 × 1 + 8.46 × 0.904 + 2.17 × 0.504) × $33.4009 = $638.34
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.
23440 billing questions
How does this differ from a routine biceps tenodesis?
This code is for biceps tendon work that includes a tendon transfer. A routine long-head biceps tenodesis without that transfer is generally reported with 23430.
What should the operative report document?
Document the long-head biceps tendon treated, the transfer performed, and how the tendon was relocated or secured. The record should distinguish the transfer from routine tenodesis alone.
Can this be reported with rotator cuff surgery?
It may be performed during the same session as a rotator cuff repair when each procedure is separately supported by the operative work. Same-session procedures are subject to the standard multiple procedure reduction.
How is bilateral surgery reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
2,20023415,,Release of shoulder ligament,A,,9.00,8.86,NA,8.86,,1.85,19.71,19.71,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20123420,,Repair of shoulder,A,,13.20,11.17,NA,11.17,,2.77,27.14,27.14,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20223430,,Repair biceps tendon,A,,9.92,8.94,NA,8.94,,1.99,20.85,20.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20323440,,Remove/transplant tendon,A,,10.37,8.46,NA,8.46,,2.17,21.00,21.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20423450,,Repair shoulder capsule,A,,13.36,9.89,NA,9.89,,2.85,26.10,26.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20523455,,Repair shoulder capsule,A,,14.30,9.33,NA,9.33,,2.73,26.36,26.36,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20623460,,Repair shoulder capsule,A,,15.42,11.26,NA,11.26,,3.28,29.96,29.96,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958