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Biceps tenodesis at the elbow, referred to in CPT® Code 24340, is a surgical procedure aimed at addressing issues related to the biceps tendon, specifically targeting tears or tendinitis. The biceps brachii muscle, commonly known as the biceps, has its distal attachment at the radial tuberosity located at the elbow. This procedure involves making an incision either on the medial or lateral side of the biceps, which is then extended over the antecubital fossa and downwards over the brachioradialis muscle in the forearm. During the surgery, careful identification and protection of the surrounding neurovascular structures are paramount to prevent any damage. The surgeon locates the biceps tendon, inspects it for any abnormalities, and detaches it from the radial tuberosity if necessary. In cases of tendinitis, the procedure includes debridement, where damaged tendon tissue is removed, and any tears in the tendon are repaired. Following these steps, the tendon is reattached to the radial tuberosity using bone anchors to ensure stability. The procedure concludes with the joint being flushed with sterile saline, followed by the closure of the incisions and the application of a dressing to promote healing.
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The procedure of biceps tenodesis at the elbow is indicated for specific conditions affecting the biceps tendon. These include:
The biceps tenodesis procedure involves several critical steps to ensure successful outcomes. The following outlines the procedural steps:
Post-procedure care for patients undergoing biceps tenodesis at the elbow typically involves monitoring for any signs of complications, managing pain, and ensuring proper healing. Patients may be advised to follow specific rehabilitation protocols to regain strength and range of motion in the affected arm. It is essential to adhere to follow-up appointments to assess recovery progress and address any concerns that may arise during the healing process.
| Short Descr | TENODESIS BICEPS TDN AT ELBW | Medium Descr | TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE | Long Descr | Tenodesis of biceps tendon at elbow (separate procedure) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 160 - Other therapeutic procedures on muscles and tendons |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2023-01-01 | Note | Short description changed. |
| Pre-1990 | Added | Code added. |
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