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CPT code 23075: Shoulder excision, subcutaneous, under 3 cm2026 Medicare rate & RVUs in Virginia

Reports surgical removal of a subcutaneous soft-tissue lesion in the shoulder area when the lesion measures less than 3 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality673 Medicare services in 2024

In Virginia, Medicare pays $539.17 for 23075 in the office and $309.67 when it’s performed in a hospital or facility.

$539.17Office (non-facility)
$309.67Hospital or facility
−2.8%vs the national office rate ($554.79)

Check a contract rate as a % of Medicare · 23075 nationwide

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

We’ll open 23075 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 23075 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 23075 covers

A surgeon removes a soft-tissue lesion from the subcutaneous layer of the shoulder area, such as a small lipoma, rather than sampling it for diagnosis alone. The procedure may be performed in an office-based operating room or a hospital or ambulatory surgery facility. The key distinctions are the lesion’s size and its depth: it is under 3 cm and remains superficial to the deep fascia.

The operative report should identify the shoulder site, lesion size, tissue plane, and whether the lesion was excised. This major surgery code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not 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 Virginia compares for 23075

Across 109 of 109 payment localities, the office rate for 23075 runs from $485.30 in Arkansas to $726.70 in San Benito County, CA. Virginia pays $539.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

23075 in Virginia vs other payment areas
  1. Virginia · this page$539.17
  2. Los Angeles, CA · California$620.92+$81.75
  3. Washington, DC area · District of Columbia$634.56+$95.39
  4. Miami, FL · Florida$617.65+$78.48
  5. Chicago, IL · Illinois$597.48+$58.31
  6. Manhattan, NY · New York$644.27+$105.10
  7. Alaska · Alaska$634.63+$95.46

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

23075 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$493.06$288.77
ArkansasArkansas$485.30$284.75
ArizonaArizona$538.36$312.13
Bakersfield, CACalifornia$582.54$326.65
Chico, CACalifornia$580.02$324.14
El Centro, CACalifornia$580.18$324.29
Fresno, CACalifornia$580.02$324.14
Hanford, CACalifornia$580.02$324.14

23075 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$485.30

$653.36

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
23075 office rate range by state
State / territoryOffice rate rangeLocalities
AK$634.631
AL$493.061
AR$485.301
AZ$538.361
CA$580.02–$726.7029
CO$574.481
CT$593.791
DC$634.561
DE$547.721
FL$553.21–$617.653
GA$518.88–$567.572
GU$594.891
HI$594.891
IA$503.351
ID$507.631
IL$538.41–$597.484
IN$510.731
KS$502.381
KY$509.211
LA$508.98–$536.132
MA$571.26–$632.122
MD$558.28–$634.563
ME$512.20–$539.972
MI$525.07–$562.322
MN$544.381
MO$500.57–$536.273
MS$492.961
MT$554.731
NC$517.761
ND$536.541
NE$505.871
NH$566.821
NJ$598.86–$627.442
NM$528.831
NV$550.041
NY$526.31–$663.055
OH$521.361
OK$506.511
OR$544.11–$592.082
PA$521.36–$579.062
PR$558.591
RI$566.851
SC$520.761
SD$534.391
TN$505.331
TX$517.77–$574.018
UT$528.431
VA$539.17–$634.562
VI$558.591
VT$535.741
WA$569.74–$643.892
WI$517.271
WV$517.321
WY$546.801

See 23075 in every payment locality

How the 23075 rate is calculated

Each of 23075’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.

How the rate is built · 23075

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.10

4.10 RVUs× 1.000 GPCI

Practice expense11.59

11.59 RVUs× 1.000 GPCI

Malpractice0.92

0.92 RVUs× 1.000 GPCI

Adjusted RVUs

16.6100

Conversion factor

$33.4009

Medicare rate

$554.79

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,159

Code
23075
Physician work
4.10
Practice expense
11.59
Malpractice
0.92

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 23075 in Virginia
ComponentRVULocality factorAdjusted
Physician work4.10× 1.0004.1000
Practice expense11.59× 0.98311.3930
Malpractice0.92× 0.7060.6495
Total RVUs16.1425
Conversion factor× 33.4009

Office rate, Virginia$539.17

Office: (4.1 × 1 + 11.59 × 0.983 + 0.92 × 0.706) × $33.4009 = $539.17

Facility: (4.1 × 1 + 4.6 × 0.983 + 0.92 × 0.706) × $33.4009 = $309.67

Open 23075 in the RVU calculator

Payment rules and modifiers for 23075

23075 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23075

Shoulder excision, subcutaneous, under 3 cm

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 23075

Shoulder excision, subcutaneous, under 3 cm

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

23075 without 50 · national office

$554.79

Shoulder excision, subcutaneous, under 3 cm

23075-50 · Bilateral: 150%

$832.19

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 23075

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

Codes related to 23075
CodeHow it relatesOffice range, Virginia
Same family
23071Shoulder mass excision, subcutaneous, 3 cm or largerSubcutaneous shoulder lesion excision in the 3 cm-or-greater size category.No office rate
23076Shoulder tumor excision, deep, under 5 cmDeep shoulder soft-tissue tumor excision under 5 cm; differs by tissue depth.No office rate
23073Shoulder tumor excision, deep, 5 cm or largerDeep shoulder soft-tissue tumor excision in the 5 cm-or-greater size category.No office rate
Used instead
23065Shoulder biopsy, deep soft tissueShoulder-tissue biopsy when sampling, rather than lesion excision, is performed.$225.57

How 23075 has changed in Virginia

23075 · Office / nonfacility

$539.17

Effective 2026-10-01

The base rate is $51.55 higher than on 2025-10-01, moving from $487.62 to $539.17 (10.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $487.62changed to$539.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.21 changed to 4.10
    • Practice expense RVU 10.35 changed to 11.59
    • Malpractice RVU 0.89 changed to 0.92
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $505.58changed to$487.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.45 changed to 10.35
    • Malpractice RVU 0.91 changed to 0.89

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $497.33changed to$505.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $518.55changed to$497.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.47 changed to 10.45
    • Malpractice RVU 0.88 changed to 0.91
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $537.93changed to$518.55

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.58 changed to 10.47
    • Malpractice RVU 0.90 changed to 0.88
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $532.46changed to$537.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.33 changed to 10.58
    • Malpractice RVU 0.86 changed to 0.90

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $513.23changed to$532.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.30 changed to 10.33
    • Malpractice RVU 0.88 changed to 0.86
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $493.52changed to$513.23

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.79 changed to 9.30
    • Malpractice RVU 0.90 changed to 0.88
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $479.50changed to$493.52

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.41 changed to 8.79

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $471.76changed to$479.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.28 changed to 8.41
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $468.59changed to$471.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.26 changed to 8.28
    • Malpractice RVU 0.92 changed to 0.90
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $469.93changed to$468.59

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.25 changed to 8.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $467.59changed to$469.93

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $460.14changed to$467.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.16 changed to 8.25
    • Malpractice RVU 0.82 changed to 0.92
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $469.44changed to$460.14

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.17 changed to 8.16
    • Malpractice RVU 0.86 changed to 0.82
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $469.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$539.17$309.67RVU26D
2026-07-01$539.17$309.67RVU26C
2026-04-01$539.17$309.67RVU26B
2026-01-01$539.17$309.67RVU26A
2025-10-01$487.62$317.65RVU25D
2025-07-01$487.62$317.65RVU25C
2025-04-01$487.62$317.65RVU25B
2025-01-01$487.62$317.65RVU25A
2024-10-01$505.58$324.44RVU24D
2024-07-01$505.58$324.44RVU24C
2024-04-01$505.58$324.44RVU24B
2024-03-09$505.58$324.44RVU24AR
2024-01-01$497.33$319.15RVU24A
2023-10-01$518.55$328.33RVU23D
2023-07-01$518.55$328.33RVU23C
2023-04-01$518.55$328.33RVU23B
2023-01-01$518.55$328.33RVU23A
2022-10-01$537.93$335.47RVU22D
2022-07-01$537.93$335.47RVU22C
2022-04-01$537.93$335.47RVU22B
2022-01-01$537.93$335.47RVU22A
2021-10-01$532.46$333.52RVU21D
2021-07-01$532.46$333.52RVU21C
2021-04-01$532.46$333.52RVU21B
2021-01-01$532.46$333.52RVU21A
2020-10-01$513.23$336.19RVU20D
2020-07-01$513.23$336.19RVU20C
2020-04-01$513.23$336.19RVU20B
2020-01-01$513.23$336.19RVU20A
2019-10-01$493.52$333.97RVU19D
2019-07-01$493.52$333.97RVU19C
2019-04-01$493.52$333.97RVU19B
2019-01-01$493.52$333.97RVU19A
2018-10-01$479.50$334.32RVU18D
2018-07-01$479.50$334.32RVU18C
2018-04-01$479.50$334.32RVU18B
2018-01-01$479.50$334.32RVU18AR1
2017-10-01$471.76$330.36RVU17D
2017-07-01$471.76$330.36RVU17C
2017-04-01$471.76$330.36RVU17B
2017-01-01$471.76$330.36RVU17A
2016-10-01$468.59$327.81RVU16D
2016-07-01$468.59$327.81RVU16C
2016-04-01$468.59$327.81RVU16B
2016-01-01$468.59$327.81RVU16A
2015-10-01$469.93$328.29RVU15D
2015-07-01$469.93$328.29RVU15C
2015-04-01$467.59$326.65RVU15B
2015-01-01$467.59$326.65RVU15A
2014-10-01$460.14$322.17RVU14D
2014-07-01$460.14$322.17RVU14C
2014-04-01$460.14$322.17RVU14B
2014-01-01$460.14$322.17RVU14A
2013-10-01$469.44$321.19RVU13D
2013-07-01$469.44$321.19RVU13C
2013-04-01$469.44$321.19RVU13B
2013-01-01$469.44$321.19RVU13AR

Price 23075 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

23075 billing questions

When should this be reported instead of 23071?

Use this code for a subcutaneous shoulder lesion under 3 cm. Code 23071 describes the corresponding subcutaneous size category of 3 cm or greater.

How does this differ from 23076?

This code is for a lesion in the subcutaneous layer under 3 cm. Code 23076 describes excision of a deep shoulder soft-tissue tumor under 5 cm.

Can this code be used for a biopsy?

It describes excision, not a diagnostic sample alone. For a shoulder-tissue biopsy, consider the biopsy code that matches the documented tissue depth, such as 23065 for superficial tissue.

What documentation supports the size and depth?

The operative report should state the lesion’s measured size and whether it was confined to subcutaneous tissue or extended below the fascia. Include the shoulder location and the removal performed.

How are bilateral procedures and additional same-session procedures handled?

A bilateral procedure reported with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.

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

Show the CMS file lines behind this rate
RVUs for 23075PPRRVU2026_Oct_nonQPP.csv, line 2,159 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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