No office rate
Both describe elbow flexor-plasty. Use 24331 when advancement is part of the operation; 24330 describes flexor-plasty without that advancement.
On this page
CMS RVU26D · Effective 2026-10-01
24330 Elbow flexor-plasty Medicare reimbursement rates in Nevada
Reports elbow flexor-plasty, such as a Steindler procedure, to improve active elbow flexion when weakness prevents useful bending of the arm. Compare 24330 office and facility rates across CMS payment localities in Nevada.
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 24330 in Nevada?
Nevada 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
$665.95
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 24330: Elbow flexor-plasty
Reports elbow flexor-plasty, such as a Steindler procedure, to improve active elbow flexion when weakness prevents useful bending of the arm.
Elbow flexor-plasty surgically repositions or reshapes the flexor mechanism to improve the patient’s ability to bend the elbow. A classic example is the Steindler procedure, used for substantial loss of active elbow flexion, including weakness following a brachial plexus injury. An orthopedic or hand surgeon typically performs the operation in a surgical setting. The operative technique distinguishes this procedure from flexor-plasty that includes advancement.
Report 24330 when the documented operation is elbow flexor-plasty without the advancement specified by its sibling code 24331. The operative report should identify the procedure and the structures addressed; the clinical record should support the functional deficit and surgical indication. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 24330
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.55 · 47%
- Practice expense (office) RVU8.68 · 43%
- Malpractice RVU2.04 · 10%
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.
24330 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
24301 describes a muscle or tendon transfer in the upper arm or elbow. Choose 24330 for an elbow flexor-plasty, such as a Steindler procedure.
No office rate
24305 reports tendon lengthening at the upper arm or elbow. It is not the code for a flexor-plasty intended to improve elbow flexion.
Compare 24330 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$665.95
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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 24330 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
2,297
- Code
- 24330
- Physician work
- 9.55
- Practice expense
- 8.68
- Malpractice
- 2.04
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.55 | × 1.000 | 9.5500 |
| Practice expense | 8.68 | × 1.001 | 8.6887 |
| Malpractice | 2.04 | × 0.833 | 1.6993 |
| Total RVUs | 19.9380 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$665.95
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.55 | 1 |
| Practice expense | 8.68 | 1.001 |
| Malpractice | 2.04 | 0.833 |
(9.55 × 1 + 8.68 × 1.001 + 2.04 × 0.833) × $33.4009 = $665.95
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.
24330 billing questions
How do I choose between 24330 and 24331?
Use 24330 for elbow flexor-plasty without advancement. Choose 24331 when the documented procedure includes advancement.
What documentation supports 24330?
The operative report should identify the elbow flexor-plasty performed and the structures addressed. The clinical record should support the loss of active elbow flexion and the reason for surgery.
Can 24330 be reported bilaterally?
CMS lists this as a bilateral procedure; modifier 50 is paid at 150%.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
Assistant-at-surgery services may be paid. CMS does not permit co-surgeons or team surgery for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
2,29424305,,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
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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097