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See a sample rate comparisonCPT 24310 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery For Tendon Injury, Surgery To Cut The Biceps Tendon In The Arm. The Procedure Treats Biceps Tendon Inflammation Or Injury.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 24310 |
| Medicaid Fee Schedule | View Medicaid rates for 24310 |
National average reimbursement for CPT 24310 by major payers:
$661.06
$637.12
$656.29
$785.39
Compare published rates across providers.
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CPT 24310
5 of 25 sample ratesHigher to lower in this preview
Pacific Endo-Surgical Center Lp
Pacific Endosurgical Center Lp
$2,859.00Published rateCedar Park Surgery Center, LLC
Cedar Park Surgery Center LLC
$1,919.00Published rateSurgicare Associates, LLC
Surgicare Associates LLC
$1,500.00Published rateArmenia Ambulatory Surgical Center, LLC
Armenia Ambulatory Surgical Center LLC
$1,129.00Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$445.00Published rate
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See a sample payer proposalCPT 24310 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24310 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 24310 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 24301-CPT | High | Muscl Or Tndon Trnsfer Any Typ Upper Arm Elbow Sngle (Exclu, Muscle Or Tendon Transfer Any Type Upper Arm Or Elbow Single (Exclu |
| 24305-CPT | Moderate | Tendon Lengthening,Upper Arm/Elbow, Sing |
| 24310-CPT | Moderate | Surgery For Tendon Injury, Surgery To Cut The Biceps Tendon In The Arm. The Procedure Treats Biceps Tendon Inflammation Or Injury. |
| 24341-CPT | High | Rpr Tdn Musc Upr A E Each, Repair Tendon Or Muscle Upper Arm Or Elbow Each Tendon Or Muscle Primary Or Secondary Excludes Rotator Cuff |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24310. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24310 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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