CPT code 23073: Shoulder tumor excision, deep, 5 cm or larger2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $660.31 for 23073 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23073 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 23073 covers

Code 23073 describes operative removal of a soft-tissue tumor in the shoulder region when the lesion lies beneath the superficial fascia, such as within muscle, and measures at least 5 cm. Orthopedic surgeons and orthopedic oncologists commonly perform the procedure in an operating room; it may also be performed in an appropriately equipped outpatient surgical setting. The code concerns the tumor’s location and depth, not removal from the shoulder joint itself.

Select this code when the operative report supports the shoulder-region site, deep tissue plane, lesion size, and excision performed. Distinguish a deep lesion under 5 cm from one at least 5 cm, and distinguish excision from radical resection. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur 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 services may be paid; co-surgeons and team surgery are not permitted.

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.

How Puerto Rico compares for 23073

Across 109 of 109 payment localities, the facility rate for 23073 runs from $586.24 in Arkansas to $806.06 in Alaska. Puerto Rico pays $660.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23073 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 23073 in every payment locality

How the 23073 rate is calculated

Each of 23073’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 23073

23073 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 23073

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 23073 has changed in Puerto Rico

Price 23073 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates