No office rate
Choose 24345 for local-tissue repair of the medial ligament; choose 24346 when the surgeon reconstructs it with a tendon graft.
On this page
CMS RVU26D · Effective 2026-10-01
24345 Ligament repair Medicare reimbursement rates in Rhode Island
Open repair of the elbow’s medial collateral ligament using local tissue, reported when the surgeon repairs the ligament rather than reconstructing it with a graft. Compare 24345 office and facility rates across CMS payment localities in Rhode Island.
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 24345 in Rhode Island?
Rhode Island 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
$684.22
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 24345: Medial elbow ligament repair with local tissue
Open repair of the elbow’s medial collateral ligament using local tissue, reported when the surgeon repairs the ligament rather than reconstructing it with a graft.
This operation repairs the medial collateral ligament on the inner side of the elbow using local tissue. It is commonly performed by an orthopedic surgeon for a repairable ligament injury, including some ulnar collateral ligament injuries in throwing athletes. The surgeon exposes the injured ligament and uses available local tissue to restore its attachment or support. The code is specific to the medial ligament; the clinical diagnosis alone does not establish that this repair method was performed.
Report 24345 when the operative record supports repair with local tissue, rather than graft reconstruction. Document the ligament and side treated, the injury and operative findings, and the repair technique. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral surgery, 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 24345
- 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 RVU8.93 · 44%
- Practice expense (office) RVU9.45 · 47%
- Malpractice RVU1.82 · 9%
216
Medicare services in 2024 · #4258 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.
24345 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Both describe local-tissue ligament repair, but 24343 addresses the lateral elbow ligament and 24345 the medial ligament.
No office rate
24344 is reconstruction of the lateral elbow ligament; 24345 is repair of the medial ligament using local tissue.
No office rate
24341 concerns repair of an upper-extremity tendon or muscle-tendon unit, not repair of the medial elbow ligament.
Compare 24345 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$684.22
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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 24345 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,305
- Code
- 24345
- Physician work
- 8.93
- Practice expense
- 9.45
- Malpractice
- 1.82
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.93 | × 1.019 | 9.0997 |
| Practice expense | 9.45 | × 1.033 | 9.7618 |
| Malpractice | 1.82 | × 0.892 | 1.6234 |
| Total RVUs | 20.4850 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$684.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.93 | 1.019 |
| Practice expense | 9.45 | 1.033 |
| Malpractice | 1.82 | 0.892 |
(8.93 × 1.019 + 9.45 × 1.033 + 1.82 × 0.892) × $33.4009 = $684.22
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.
24345 billing questions
How is 24345 different from 24346?
24345 describes repair of the medial elbow ligament using local tissue. Use 24346 when the surgeon reconstructs the medial ligament with a tendon graft.
What documentation supports reporting 24345?
The operative report should identify the medial elbow ligament, the side, the injury and findings, and the use of local tissue to repair it.
Can modifier 50 be used for bilateral repair?
Yes. CMS treats this as a bilateral procedure, with modifier 50 paid at 150% when both sides are treated.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Does 24345 describe a tendon repair?
No. It describes medial elbow ligament repair with local tissue. A tendon repair code applies when the operative work repairs a tendon rather than this ligament.
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.
2,30224342,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537