CPT code 23076: Shoulder tumor excision, deep, under 5 cm2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $583.11 for 23076 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23076 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 23076 covers

This service involves surgically removing a soft-tissue tumor beneath the superficial fascia in the shoulder area, including a mass located within muscle. An orthopedic surgeon or another surgeon may perform it in a hospital or outpatient surgical setting. A deep lipomatous mass is one typical clinical example; the code is based on the tumor’s depth and size, not simply the length of the incision.

Select this code when the tumor is deep and measures less than 5 cm; document its location, depth, and size, along with the excision performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid, and 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 Washington, DC area compares for 23076

Across 109 of 109 payment localities, the facility rate for 23076 runs from $464.87 in Arkansas to $634.33 in Alaska. Washington, DC area pays $583.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23076 rates by state

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

See 23076 in every payment locality

How the 23076 rate is calculated

Each of 23076’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 23076

23076 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 23076

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

How 23076 has changed in Washington, DC area

Price 23076 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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