CPT code 23078: Shoulder tumor resection, radical resection, 5 cm or larger2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $1,307.34 for 23078 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23078 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 23078 covers

This code describes radical resection of a soft-tissue tumor in the shoulder area measuring 5 cm or larger. It is commonly used for oncologic operations, such as resection of a suspected or confirmed soft-tissue sarcoma, and is typically performed by an orthopedic oncologic or other qualified surgeon in an operating room. The operative work is more extensive than a routine local excision; the surgeon documents the tumor’s location, size, depth, and the extent of tissue removed.

Select this code when the procedure is a radical resection and the tumor meets the size threshold, rather than a deep-tumor excision or a biopsy. The operative report should support the shoulder-area site, measured size, and radical nature of the removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures 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%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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 Delaware compares for 23078

Across 109 of 109 payment localities, the facility rate for 23078 runs from $1,184.64 in Arkansas to $1,645.17 in Alaska. Delaware pays $1,307.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23078 rates by state

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

See 23078 in every payment locality

How the 23078 rate is calculated

Each of 23078’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 23078

23078 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 23078

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

How 23078 has changed in Delaware

Price 23078 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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