Billing code 24358: Elbow tenotomyMedicare rate & RVUs in Utah
Open elbow surgery for lateral or medial epicondylitis that releases the affected tendon and debrides diseased soft tissue or bone.
CMS doesn’t publish an office rate for 24358 in Utah.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 24358 covers
This operation treats persistent lateral or medial epicondylitis by surgically releasing the involved tendon and removing diseased soft tissue and/or bone. A common example is open treatment of chronic tennis elbow involving the common extensor origin; medial epicondylitis may involve the flexor origin. Orthopedic and hand surgeons typically perform it in an operating room, such as a hospital outpatient department or ambulatory surgery center.
Report 24358 when the surgeon uses an open approach and performs the release with debridement, without the origin detachment and reattachment that distinguishes 24359. The operative report should identify the affected side and tendon origin, the open approach, and the debridement performed. CMS 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 payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
24358 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $481.22 |
How the 24358 rate is calculated
Each of 24358’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 24358
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.49Practice expense 7.20Malpractice 1.28
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 24358
24358 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 24358
Elbow tenotomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 24358
Elbow tenotomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
24358 without 50 · national facility
$500.01
Elbow tenotomy
24358-50 · Bilateral: 150%
$750.02
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
24358 compared with similar codes
Compare codes
24358 vs 24357 vs 24359 vs 24341: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 24357Elbow tenotomy
- Choose 24357 for percutaneous treatment. This code is for open release with debridement.
- 24359Elbow tendon repair
- Choose 24359 when the common extensor or flexor origin is detached and reattached. This code covers open release with debridement without that reattachment.
- 24341Tendon/muscle repair
- 24341 describes repair of a tendon or muscle in the upper arm or elbow. Use 24358 for open epicondylar release with debridement, not repair of a discrete tendon or muscle injury.
24358 billing questions
How does 24358 differ from 24357?
24358 describes an open operation with release and debridement. 24357 is the percutaneous approach.
When should 24359 be reported instead?
Use 24359 when the operative work includes detaching and reattaching the common extensor or flexor origin. Debridement with open release, without that reattachment, points to 24358.
What should the operative note document?
Document the side, lateral or medial tendon origin treated, open approach, and soft-tissue and/or bone debridement. The note should make clear whether the tendon origin was detached and reattached.
How is bilateral surgery reported?
When the procedure is performed on both elbows, report modifier 50 under the CMS bilateral rule; payment is at 150%.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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