{"id":183382,"date":"2026-08-18T12:07:17","date_gmt":"2026-08-18T12:07:17","guid":{"rendered":"https:\/\/pabau.com\/?p=183382"},"modified":"2026-08-18T12:29:01","modified_gmt":"2026-08-18T12:29:01","slug":"cpt-code-24340","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-24340\/","title":{"rendered":"CPT code 24340: Tenodesis of the biceps tendon at the elbow"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT Code 24340: Tenodesis of the biceps tendon at the elbow\",\"description\":\"CPT code 24340 covers tenodesis of the biceps tendon at the elbow as a separate procedure. Learn modifiers, ICD-10 codes, Medicare reimbursement, RVU values, and billing guidelines.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-24340\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-07\",\"dateModified\":\"2026-08-07\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 24340 covers tenodesis of the biceps tendon at the elbow, performed as a separate procedure.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT 24342 covers a completely ruptured tendon, while 24340 covers one that is intact or partially torn.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The separate procedure designation means 24340 should not be billed alongside a more comprehensive elbow procedure without modifier support.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Common modifiers include -LT and -RT for laterality, -51 for multiple procedures, and -59 when NCCI edits apply.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau links the operative note to claim generation, cutting manual CPT and ICD-10 transcription errors.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT code 24340 is the procedure code for tenodesis of the biceps tendon at the elbow, performed as a separate procedure. The official AMA descriptor reads: Tenodesis of biceps tendon at elbow (separate procedure).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code sits in the CPT musculoskeletal system chapter. Its subsection covers repair, revision, and reconstruction of the humerus and elbow, spanning 24300 to 24498. Tenodesis stabilizes the biceps tendon by anchoring it to bone or adjacent tissue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It does not fully reattach a ruptured end, which is what separates it from reinsertion procedures. The separate procedure designation is part of the official descriptor and carries the billing consequences covered below. For orthopedic teams handling <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine billing<\/a>, 24340 is one of the foundational elbow repair codes to track.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-clinical-indications-for-cpt-24340\" class=\"wp-block-heading\">Clinical indications for CPT 24340<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Payers expect the operative note to support tenodesis rather than reinsertion. These are the diagnoses that most often justify CPT code 24340:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Partial biceps tendon tear at the elbow with persistent instability that has not responded to conservative management<\/li>\n\n\n\n<li>Degenerative tendinopathy of the distal biceps tendon causing pain and functional limitation<\/li>\n\n\n\n<li>Biceps tendon instability or subluxation at the elbow joint<\/li>\n\n\n\n<li>Failed conservative treatment, including physical therapy and a steroid injection billed under <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20550\/\">CPT 20550<\/a><\/li>\n\n\n\n<li>Intraoperative finding of tendon degeneration that needs stabilization during a related elbow procedure<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Document each indication in the pre-operative assessment and confirm it in the operative report. Vague language like &#8220;elbow pain&#8221; or &#8220;tendon pathology&#8221; without a linked diagnosis code raises denial risk sharply.<\/p>\n\n\n\n<h2 id=\"h-which-modifiers-apply-to-cpt-24340\" class=\"wp-block-heading\">Which modifiers apply to CPT 24340<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A laterality modifier applies to every unilateral 24340 claim, with -51 or -59 on top where the encounter calls for it. Modifier choice depends on how many procedures were performed and whether NCCI bundling edits are triggered. The wrong modifier, or a missing one, is a primary cause of rejection for this code.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to apply with CPT 24340<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-RT \/ -LT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right side \/ Left side<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Always required when the procedure is unilateral. Append it to identify the operative extremity.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-51<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiple procedures<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Append when 24340 is the secondary procedure in a same-session claim. It reduces payment by 50%.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-59<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Distinct procedural service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when an NCCI edit bundles 24340 with another code but the procedures were genuinely distinct. The note must document the different site, session, or indication.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-80<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Assistant surgeon<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Append to the assisting surgeon&#8217;s claim when two surgeons take part. Check payer policy first, as Medicare sets its own assistant surgeon rules.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-62<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Two surgeons<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when surgeons of different specialties each perform a distinct portion of the procedure. Each one bills -62 and receives 62.5% of the fee schedule rate.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The Office of Inspector General (OIG) treats incorrect modifier -59 usage as a high-audit-risk area. Only apply -59 when the procedures are genuinely distinct and the operative note explains the basis for that distinction. The <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC Codify platform<\/a> provides current NCCI edit pair lookups, so you can check -59 before the claim goes out.<\/p>\n\n\n\n<h2 id=\"h-icd-10-codes-used-with-cpt-code-24340\" class=\"wp-block-heading\">ICD-10 codes used with CPT code 24340<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every 24340 claim needs a linked ICD-10-CM diagnosis code that supports medical necessity. Payers read that code to confirm tenodesis was the clinically appropriate procedure. The codes below are the ones most often paired with a 24340 claim. Check current-year validity with the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule<\/a> before submitting.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Laterality notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S46.211A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supports a partial distal biceps tear treated by tenodesis. Pair with -RT.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S46.212A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Strain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left-sided equivalent of the code above. Pair with -LT.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M66.221<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Spontaneous rupture of extensor tendons, right upper arm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The M66.2 series codes to upper arm, not elbow. Pair with -RT.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M66.222<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Spontaneous rupture of extensor tendons, left upper arm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left-sided equivalent. Pair with -LT.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M75.21<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bicipital tendinitis, right shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder-level code. Use only when the pathology extends to the elbow, and document that clearly.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S52.001A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture of upper end of right ulna, initial encounter for closed fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right-sided only. Use S52.002A for the left ulna when tenodesis accompanies fracture fixation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">If the operative note describes a different biceps injury pattern, check the neighboring codes in the S46 series, such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s46191a\/\">S46.191A<\/a>. The M77.2 series is a common mis-pick here, because those codes describe the wrist rather than the elbow.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Use <a href=\"https:\/\/crosscoder.com\/\" target=\"_blank\" rel=\"nofollow noopener\">CrossCoder<\/a> to verify current crosswalk pairings. It also shows whether your diagnosis code carries an active Local Coverage Determination (LCD) from your Medicare Administrative Contractor (MAC). Practice management software like Pabau keeps that link inside the encounter itself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Its <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management tools<\/a> let coders attach ICD-10 codes to CPT codes as the note is written. The pairing never has to be re-typed into a separate billing system.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-24340\/automate-claims-through-healthcode.webp\" alt=\"Pabau checkout screen and completed insurer invoice\"\/><figcaption class=\"wp-element-caption\"><em>Pabau builds the insurer invoice at checkout, so the codes on the claim match what was recorded at the encounter.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-medicare-reimbursement-and-rvu-values-for-cpt-24340\" class=\"wp-block-heading\">Medicare reimbursement and RVU values for CPT 24340<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare pays CPT 24340 through the Physician Fee Schedule RVU methodology. The national rate is the total RVU multiplied by the annual conversion factor. A geographic practice cost index (GPCI) then adjusts that figure for your locality.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Payment also changes with the place of service, so a hospital case and an office case are not worth the same amount.<\/p>\n\n\n\n<h3 id=\"h-rvu-breakdown-for-cpt-24340\" class=\"wp-block-heading\">RVU breakdown for CPT 24340<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The table below shows the components behind that payment. Use the <a href=\"https:\/\/fastrvu.com\/tools\/rvu-lookup\" target=\"_blank\" rel=\"nofollow noopener\">FastRVU lookup tool<\/a> to pull current-year values for your locality, since CMS updates the components and the conversion factor every year.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU Component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Typical value (national)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">What it reflects<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU (wRVU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify via CMS PFS lookup<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Physician time, skill, and intensity for the tenodesis procedure<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice Expense RVU (PE RVU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Facility and non-facility rates differ<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Overhead costs, including equipment, supplies, and clinical staff<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU (MP RVU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify via CMS PFS lookup<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Professional liability insurance allocation for orthopedic surgery<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sum of wRVU, PE RVU, and MP RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiplied by the conversion factor and GPCI to produce the Medicare payment<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Conversion Factor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Updated annually by CMS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dollar multiplier applied to the total RVU. Verify the current-year figure with CMS.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Non-facility rates, which apply to office-based procedures, are typically higher than facility rates. The practice expense RVU covers overhead that a hospital or ASC absorbs itself in the facility setting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Confirm which setting applies before you submit. Billing teams should also confirm locality-adjusted rates with their MAC before using national figures in a revenue projection.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run your CPT 24340 claims through a facility versus non-facility rate check before submission. If the procedure happened in a hospital or ASC, the lower facility PE RVU applies. Submitting the non-facility rate for a facility-based procedure triggers automatic downcoding, and the shortfall can take weeks to resolve.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-cpt-24340-vs-cpt-24342-key-differences-for-coders\" class=\"wp-block-heading\">CPT 24340 vs. CPT 24342: Key differences for coders<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The most common miscoding error for elbow biceps procedures is swapping 24340 for 24342. Tenodesis (24340) stabilizes a tendon that is intact or partially torn. Reinsertion (24342) reattaches a tendon that has completely ruptured from its insertion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Using 24342 for a tenodesis procedure, or the reverse, is an audit trigger the OIG has flagged in orthopedic billing reviews.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Factor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT 24340<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT 24342<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Official descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Tenodesis of biceps tendon at elbow (separate procedure)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reinsertion of ruptured biceps or triceps tendon, distal<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Clinical scenario<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Tendon is intact or partially torn, and the procedure stabilizes it to bone or tissue<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Tendon is completely ruptured and must be reattached to its bony insertion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Operative note requirement<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Must describe tendon continuity and the stabilization technique, such as a suture anchor, interference screw, or drill hole<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Must document complete rupture with proximal retraction and reattachment to the radial tuberosity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Separate procedure flag<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes, in the code descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No separate procedure flag<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Typical ICD-10 pairing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Partial rupture, instability, or degenerative tendinopathy codes<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Complete rupture codes from the S46.2 biceps injury series<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">When the operative report describes both stabilization and reattachment, code the primary procedure first. If the surgeon found a complete rupture and performed a reinsertion when tenodesis was planned, code what was actually done. Add a clinical note explaining the intraoperative finding.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Recording the pre-operative plan alongside that decision protects against a denial that challenges the code change. Practices keeping consent and assessment in <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake records<\/a> can link pre-operative forms to post-operative notes in one file, with no manual retrieval.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-24340\/how-to-mark-injection-points-in-a-treatment-note.webp\" alt=\"Pabau treatment note with anatomical site plotting\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s treatment notes record the anatomical site and the products used, which is the same detail a payer looks for.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-related-cpt-codes-in-the-24300-series\" class=\"wp-block-heading\">Related CPT codes in the 24300 series<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 24340 belongs to a cluster of elbow repair and reconstruction codes. Knowing the neighbors helps you confirm code selection and spot valid combinations when several elbow procedures happen in one session. Soft-tissue codes for the same region, such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-24076\/\">CPT 24076<\/a>, can appear on the same operative claim.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key distinction<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24340<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Tenodesis of biceps tendon at elbow (separate procedure)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">This article&#8217;s primary code, covering stabilization without full reattachment<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24341<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Repair, tendon or muscle, upper arm or elbow, each tendon or muscle<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Broader tendon and muscle repair, not limited to the biceps, with no separate procedure designation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24342<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reinsertion of ruptured biceps or triceps tendon, distal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Complete rupture requiring reattachment, and higher complexity than 24340<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24343<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Repair of lateral collateral ligament, elbow, with local tissue<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lateral ligament repair, a different anatomical structure from the biceps tendon<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24344<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reconstruction of lateral collateral ligament, elbow, with tendon graft<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Graft-based reconstruction, more complex than a local tissue repair<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24345<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Repair of medial collateral ligament, elbow, with local tissue<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medial ligament repair, distinct from lateral and biceps procedures<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24346<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reconstruction of medial collateral ligament, elbow, with tendon graft<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The Tommy John equivalent, a graft-based medial stabilization<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">When several codes from this series are billed together, review the NCCI edits to confirm whether -51 or -59 is required. <a href=\"https:\/\/pabau.com\/features\/automated-workflows-software\/\">Automated workflow tools<\/a> can flag multi-procedure encounters for coder review before submission, which catches unbundling risk upstream of the payer.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-24340\/automated-communication-in-pabau.webp\" alt=\"Automated patient communications queued against an appointment in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau sends pre- and post-care instructions automatically and logs each one, so the follow-up plan is recorded against the encounter.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-billing-guidelines-and-common-coding-errors-for-cpt-code-24340\" class=\"wp-block-heading\">Billing guidelines and common coding errors for CPT code 24340<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The separate procedure designation is the biggest compliance issue attached to this code. Under AMA CPT guidelines, a separate procedure should not be reported on its own. That holds when it forms part of a larger procedure at the same session and site.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The rule governs which codes you may report together, rather than the amount you get paid. Billing 24340 alongside a more comprehensive elbow reconstruction code, without documentation and modifier support, is unbundling. That is an OIG enforcement priority.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three scenarios let you bill CPT code 24340 alongside other codes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Different anatomical site:<\/strong> Tenodesis at the elbow billed alongside a shoulder or wrist procedure in the same session, supported by -59 or an XS modifier<\/li>\n\n\n\n<li><strong>Different operative session:<\/strong> The tenodesis was performed at a distinctly different time from the companion procedure, with separate operative notes<\/li>\n\n\n\n<li><strong>Distinct independent indication:<\/strong> The tenodesis addresses a condition unrelated to the primary procedure, with separate pre-operative diagnosis codes for each<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-documentation-requirements-for-cpt-24340\" class=\"wp-block-heading\">Documentation requirements for CPT 24340<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A defensible 24340 claim rests on what the operative note actually says. These elements belong in the record before the claim goes out:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pre-operative diagnosis:<\/strong> A specific ICD-10-CM code, backed by imaging, physical examination findings, and records of failed conservative treatment<\/li>\n\n\n\n<li><strong>Procedure description:<\/strong> The technique used, whether that is suture anchor fixation, an interference screw, or a bone tunnel, plus the anatomical fixation site<\/li>\n\n\n\n<li><strong>Tendon integrity status:<\/strong> Confirmation that the tendon was intact or partially torn at surgery. This separates the case from a complete rupture, which is coded 24342<\/li>\n\n\n\n<li><strong>Separate procedure justification:<\/strong> Where 24340 is billed with other codes, a statement of why the tenodesis was a distinct service. Name the separate indication or site<\/li>\n\n\n\n<li><strong>Implant or fixation device used:<\/strong> The manufacturer, product name, and quantity of any anchor or device deployed. These may trigger separate HCPCS supply codes<\/li>\n\n\n\n<li><strong>Post-operative plan:<\/strong> The rehabilitation timeline and follow-up instructions, which demonstrate procedural completion and support the global period calculation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/ai-medical-scribe\/\">AI-assisted documentation<\/a> lets surgeons structure the operative note during or straight after the procedure. The biller then works from the same detail the surgeon recorded, which removes the re-keying step where transcription errors creep in. Our guide to <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">medical documentation<\/a> covers form design, compliance, and workflow for surgical specialties.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-24340\/creating-treatment-notes-with-echo-ai.webp\" alt=\"Pabau Scribe drafting a treatment note from a recorded consultation\"\/><figcaption class=\"wp-element-caption\"><em>Pabau Scribe, our AI scribe, drafts the note from the recorded consultation, so operative detail reaches the biller unchanged.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Before submitting any CPT 24340 claim that carries modifier -59, pull the NCCI edit pair table for 24340 and the companion code. Confirm the Column 1 and Column 2 relationship, then check whether the modifier is permitted at all (0 = not allowed, 1 = allowed with documentation). A -59 applied to an edit pair that does not permit it will still deny, however good your documentation is.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-pabau-supports-orthopedic-billing-for-cpt-code-24340\" class=\"wp-block-heading\">How Pabau supports orthopedic billing for CPT code 24340<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Knowing the right code is half the job. The rest sits in the handoff between the operative note and the billing encounter, which is where orthopedic and surgical practices lose time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In Pabau, billers attach CPT codes, ICD-10 codes, and modifier selections to the surgical encounter itself. The operative note stays open in the same patient record. That removes the step of pulling codes out of a separate document and typing them into a billing system.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same workflow applies in <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical rehabilitation billing<\/a>, where the clinical record and the claim sit side by side. Fewer modifier omissions and code mismatches means less rework for the team chasing them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s built-in reporting then shows CPT frequency by provider, denial rates by code, and reimbursement trends across your payer mix. A practice billing 24340 alongside companion codes can run a denial report by code pair.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That report names the combinations triggering NCCI rejections. You can then fix the documentation workflow instead of waiting for the pattern to surface in manual claim review.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Streamline your orthopedic billing workflow                <\/h3>\n\n                <p class=\"description\">\n                    Pabau connects surgical documentation to claim generation in one platform. Link CPT codes, modifiers, and ICD-10 diagnosis codes straight from the operative note to the submitted claim, so your team spends less time correcting rejections.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard for orthopedic billing\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 24340 is narrow in clinical scope and demanding in documentation. The separate procedure designation, the 24340 versus 24342 distinction, and the NCCI modifier rules are where well-intentioned claims go wrong.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Get those three right in the operative note, before the claim is generated. That is the difference between a clean first-pass submission and a denial cycle that costs more in rework than the procedure pays.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical move is to fix the record at the point of care, not at the point of appeal. If your billing team handles 24340 inside complex multi-procedure encounters, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a> to see how Pabau connects surgical documentation to the claim.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding another upper-limb repair?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23462\/\">CPT code 23462<\/a> covers reimbursement, RVUs, and modifiers for shoulder capsulorrhaphy claims.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing fixation alongside a soft tissue repair?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20690\/\">CPT code 20690<\/a> explains how uniplane external fixation is reported and documented.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the sequela code for a shoulder dislocation?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s43121s\/\">ICD-10 code S43.121S<\/a> sets out the documentation for right AC joint dislocation follow-up.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Documenting the exam that led to surgery?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/neers-test\/\">Neer&#8217;s test<\/a> shows how to perform the shoulder impingement test and interpret the result.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Tracking recovery after an upper-limb repair?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/functional-status-questionnaire\/\">Functional status questionnaire<\/a> gives you a ready-made form for measuring post-operative function.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1787038721843\"><h3 class=\"schema-faq-question\">What is CPT code 24340?<\/h3> <p class=\"schema-faq-answer\">CPT code 24340 is a surgical procedure code for tenodesis of the biceps tendon at the elbow, performed as a separate procedure. It is classified under the AMA CPT musculoskeletal system chapter, specifically the repair, revision, and reconstruction subsection for the humerus and elbow. The code is used when the biceps tendon is stabilized at the elbow without full reattachment of a ruptured end.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038721844\"><h3 class=\"schema-faq-question\">What is the difference between CPT 24340 and CPT 24342?<\/h3> <p class=\"schema-faq-answer\">CPT 24340 covers tenodesis, where the biceps tendon is intact or partially torn and is anchored to bone or tissue for stabilization. CPT 24342 covers reinsertion of a completely ruptured biceps or triceps tendon back to its bony insertion point. The key distinction is tendon continuity: if the tendon has not fully separated from its insertion, use 24340. If there is a complete rupture with proximal retraction requiring reattachment to the radial tuberosity, use 24342.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038721845\"><h3 class=\"schema-faq-question\">What modifiers apply to CPT 24340?<\/h3> <p class=\"schema-faq-answer\">Laterality modifiers -RT (right) and -LT (left) are always required. Modifier -51 applies when CPT 24340 is the secondary procedure in a multi-procedure claim. Modifier -59 applies when an NCCI bundling edit would otherwise group 24340 with another code. Use it only where the procedures are genuinely distinct by site, session, or indication. Modifier -80 applies when an assistant surgeon participates. Verify current NCCI edit pairs before applying -59, as incorrect use is an audit trigger.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038721846\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for CPT 24340?<\/h3> <p class=\"schema-faq-answer\">Medicare reimbursement for CPT 24340 comes from Physician Fee Schedule RVU values multiplied by the annual conversion factor. The geographic practice cost index then adjusts that figure for your locality. Non-facility rates (office-based procedures) are higher than facility rates (hospital or ASC). Exact dollar amounts change with each CMS Physician Fee Schedule update. Use the CMS PFS lookup tool or FastRVU for current-year locality-adjusted rates.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038721847\"><h3 class=\"schema-faq-question\">When is CPT 24340 billed as a separate procedure?<\/h3> <p class=\"schema-faq-answer\">The &#8220;separate procedure&#8221; designation means CPT 24340 should not be billed when it forms an integral part of a more comprehensive elbow procedure. That applies at the same session and the same anatomical site. It can be billed on its own when it is the only elbow procedure performed. It can also be billed alongside other codes in three cases. The companion procedure sits at a different site, happened at a different time, or addresses a separately documented indication. Modifier -59 or an X-modifier must support the claim.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038721848\"><h3 class=\"schema-faq-question\">What are the RVU values for CPT 24340?<\/h3> <p class=\"schema-faq-answer\">RVU values for CPT 24340 have three components. Work RVU reflects physician time and skill. Practice expense RVU reflects overhead, which differs between facility and non-facility settings. Malpractice RVU covers liability cost. The total RVU is the sum of all three, multiplied by the CMS conversion factor and adjusted for your locality. CMS updates these values annually in the Physician Fee Schedule final rule. Use the FastRVU lookup tool or the CMS PFS search for current-year values in your MAC locality.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>CPT 24340 covers biceps tenodesis at the elbow as a separate procedure. Get the modifiers, ICD-10 pairings, and RVU components.<\/p>\n","protected":false},"author":82,"featured_media":183380,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"80","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[1162,2419,1666,2777],"class_list":["post-183382","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-cpt-codes","tag-modifier-59","tag-orthopedic-billing","tag-orthopedic-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 24340: Modifiers, ICD-10 codes, and RVUs<\/title>\n<meta name=\"description\" content=\"CPT 24340 covers biceps tenodesis at the elbow as a separate procedure. Get the modifiers, ICD-10 pairings, and RVU components.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-24340\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT code 24340: Modifiers, ICD-10 codes, and RVUs\" \/>\n<meta property=\"og:description\" content=\"CPT 24340 covers biceps tenodesis at the elbow as a separate procedure. Get the modifiers, ICD-10 pairings, and RVU components.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/procedure-codes\/cpt-code-24340\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-18T12:07:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T12:29:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-24340.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Maja Popovska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"15 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"CPT code 24340: Tenodesis of the biceps tendon at the elbow\",\"datePublished\":\"2026-08-18T12:07:17+00:00\",\"dateModified\":\"2026-08-18T12:29:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/\"},\"wordCount\":2765,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-24340.webp\",\"keywords\":[\"CPT Codes\",\"Modifier 59\",\"Orthopedic Billing\",\"Orthopedic surgery\"],\"articleSection\":[\"Billing Codes\",\"CPT Codes\"],\"inLanguage\":\"nl-NL\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/\",\"name\":\"CPT code 24340: Modifiers, ICD-10 codes, and RVUs\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/cpt-code-24340\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-24340.webp\",\"datePublished\":\"2026-08-18T12:07:17+00:00\",\"dateModified\":\"2026-08-18T12:29:01+00:00\",\"description\":\"CPT 24340 covers biceps tenodesis at the elbow as a separate procedure. 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