No office rate
Choose 24342 when the operative work is reinsertion of a ruptured distal biceps or triceps tendon. Code 24341 covers repair of an injured upper arm or elbow tendon or muscle.
On this page
CMS RVU26D · Effective 2026-10-01
24341 Tendon/muscle repair Medicare reimbursement rates in Wisconsin
Report this code for operative repair of each injured tendon or muscle in the upper arm or elbow, rather than tendon transfer or lengthening. Compare 24341 office and facility rates across CMS payment localities in Wisconsin.
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 24341 in Wisconsin?
Wisconsin 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
$651.60
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 24341: Upper arm or elbow tendon or muscle repair
Report this code for operative repair of each injured tendon or muscle in the upper arm or elbow, rather than tendon transfer or lengthening.
This service repairs an injured tendon or muscle in the upper arm or elbow. An orthopedic surgeon typically identifies the damaged structure, brings the injured tissue together, and secures the repair in an operating room. The operative note should identify the tendon or muscle repaired and the work performed, especially when more than one structure is involved.
Report the code for each distinct tendon or muscle repaired, based on the documented anatomy rather than the number of tears or sutures. A ruptured distal biceps or triceps tendon that is reinserted is distinguished from this repair and reported with 24342. CMS assigns this operation a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure case, CMS pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 24341
- 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 RVU9.25 · 44%
- Practice expense (office) RVU10.12 · 48%
- Malpractice RVU1.83 · 9%
1.2K
Medicare services in 2024 · #2823 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.
24341 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
Code 24340 describes biceps tendon tenodesis at the elbow. Code 24341 describes repair of an injured tendon or muscle in the upper arm or elbow.
No office rate
Code 24320 is for tenoplasty involving an elbow-to-shoulder tendon. Code 24341 is selected when the documented operation repairs an injured tendon or muscle.
Compare 24341 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
Wisconsin →
Office / nonfacility
Unavailable
Facility
$651.60
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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 24341 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
2,301
- Code
- 24341
- Physician work
- 9.25
- Practice expense
- 10.12
- Malpractice
- 1.83
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.25 | × 1.000 | 9.2500 |
| Practice expense | 10.12 | × 0.958 | 9.6950 |
| Malpractice | 1.83 | × 0.308 | 0.5636 |
| Total RVUs | 19.5086 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$651.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.25 | 1 |
| Practice expense | 10.12 | 0.958 |
| Malpractice | 1.83 | 0.308 |
(9.25 × 1 + 10.12 × 0.958 + 1.83 × 0.308) × $33.4009 = $651.60
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.
24341 billing questions
When is 24341 reported instead of 24342?
Use 24341 for repair of an upper arm or elbow tendon or muscle. Code 24342 describes reinsertion of a ruptured distal biceps or triceps tendon; the operative note should show whether the tendon was reinserted.
Does each tear or suture count as another unit?
No. The count is based on distinct tendons or muscles repaired, not separate tears or sutures within one structure.
How does 24341 differ from biceps tenodesis at the elbow?
Code 24340 describes biceps tendon tenodesis at the elbow. Use 24341 when the documented work is repair of an injured tendon or muscle rather than tenodesis.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral repair reported under Medicare?
When the same qualifying repair is performed on both sides, CMS pays bilateral reporting with modifier 50 at 150%.
Can an assistant or co-surgeon participate?
An assistant at surgery may be paid. 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.
2,29824331,,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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,