No office rate
Choose 24343 for repair using local tissue. Choose 24344 when the lateral elbow ligament is reconstructed, typically using a graft to recreate it.
On this page
CMS RVU26D · Effective 2026-10-01
24343 Elbow ligament repair Medicare reimbursement rates in Virginia
Reports operative repair of an injured lateral elbow ligament using local tissue, typically to address ligament disruption causing elbow instability. Compare 24343 office and facility rates across CMS payment localities in Virginia.
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 24343 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$653.80–$756.31
2 of 2 localities have a supported rate.
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 24343: Lateral elbow ligament repair with local tissue
Reports operative repair of an injured lateral elbow ligament using local tissue, typically to address ligament disruption causing elbow instability.
An orthopedic surgeon uses this code for operative repair of the lateral ligament complex at the elbow with local tissue. The procedure may be performed for a disrupted lateral ligament causing symptomatic elbow instability, including instability after trauma. It is distinct from reconstruction that uses a graft to recreate the ligament. These repairs are commonly performed in an operating room, with either hospital or ambulatory surgical facility services.
Select the code when the operative report supports repair of the lateral ligament with local tissue, rather than graft reconstruction or repair of a different structure. Documentation should identify the injured ligament, the instability or injury being treated, and the repair technique. 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 may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 24343
- 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) RVU9.55 · 47%
- Malpractice RVU1.78 · 9%
1.3K
Medicare services in 2024 · #2778 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.
24343 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Both describe elbow ligament repair with tissue, but 24345 addresses the medial ligament; 24343 is for the lateral ligament.
No office rate
Code 24346 is reconstruction of the medial elbow ligament. Code 24343 is repair of the lateral ligament with local tissue.
Compare 24343 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$756.31
Virginia →
Office / nonfacility
Unavailable
Facility
$653.80
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24343 billing questions
When should this code be chosen over 24344?
Use 24343 when the lateral elbow ligament is repaired with local tissue. Code 24344 describes reconstruction of the lateral ligament, such as when a graft is used to recreate it.
Can a separate tendon repair be reported at the same session?
A distinct tendon repair may be separately reportable when it is a separate service and is supported by the operative documentation. CMS applies the multiple-procedure reduction when multiple procedures are performed in the same session.
How is a bilateral repair reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,30024340,,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
2,30124341,,Rpr tdn/musc upr a/e each,A,,9.25,10.12,NA,10.12,,1.83,21.20,21.20,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,30224342,,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