CPT code 23125: Claviculectomy, entire clavicle2026 Medicare rate & RVUs in California
Report complete clavicle removal when the surgeon resects the entire clavicle, rather than removing only part of the bone or a focal lesion.
CMS doesn’t publish an office rate for 23125 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 23125 covers
An orthopedic surgeon removes the entire clavicle through an operative approach to the shoulder girdle. The procedure may be performed in a hospital or other surgical facility when the treatment plan calls for complete removal of the bone; the operative report should make clear that the resection involved the full clavicle, not just its distal end or a localized area.
Report this code for complete claviculectomy, distinguishing it from partial removal and procedures directed at a focal bone lesion or sequestrum. Documentation should identify the side, extent of resection, and operative findings. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be available; co-surgeons are paid only with 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.
Where 23125 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $676.54 |
| Chico, CA | Unavailable | $671.03 |
| El Centro, CA | Unavailable | $671.37 |
| Fresno, CA | Unavailable | $671.03 |
| Hanford, CA | Unavailable | $671.03 |
| Los Angeles, CA | Unavailable | $712.20 |
| Madera, CA | Unavailable | $671.03 |
| Marin County, CA | Unavailable | $780.89 |
| Merced, CA | Unavailable | $671.03 |
| Modesto, CA | Unavailable | $671.03 |
| Napa, CA | Unavailable | $747.60 |
| Oxnard, CA | Unavailable | $705.09 |
| Redding, CA | Unavailable | $671.03 |
| Rest of California | Unavailable | $671.03 |
| Riverside, CA | Unavailable | $692.52 |
| Sacramento, CA | Unavailable | $696.31 |
| Salinas, CA | Unavailable | $693.59 |
| San Benito County, CA | Unavailable | $799.97 |
| San Diego, CA | Unavailable | $704.34 |
| San Francisco, CA | Unavailable | $778.62 |
| San Luis Obispo, CA | Unavailable | $683.43 |
| Santa Clara County, CA | Unavailable | $790.68 |
| Santa Cruz, CA | Unavailable | $706.59 |
| Santa Maria, CA | Unavailable | $694.66 |
| Santa Rosa, CA | Unavailable | $713.16 |
| Stockton, CA | Unavailable | $671.03 |
| Vallejo, CA | Unavailable | $744.32 |
| Visalia, CA | Unavailable | $671.03 |
| Yuba City, CA | Unavailable | $671.03 |
How the 23125 rate is calculated
Each of 23125’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 · 23125
RVUs × geographic indexes × conversion factor
Work9.40
9.40 RVUs× 1.000 GPCI
Practice expense8.63
8.63 RVUs× 1.000 GPCI
Malpractice2.00
2.00 RVUs× 1.000 GPCI
Adjusted RVUs
20.0300
Conversion factor
$33.4009
Medicare rate
$669.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 23125
23125 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23125
Claviculectomy, entire clavicle
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 23125
Claviculectomy, entire clavicle
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
23125 without 50 · national facility
$669.02
Claviculectomy, entire clavicle
23125-50 · Bilateral: 150%
$1,003.53
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).
23125 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 23120Clavicle resectionPartial claviculectomy
- 23120 is for partial clavicle removal. Choose 23125 when the operative report supports resection of the complete clavicle.
- 23140Bone lesion removalClavicular lesion
- 23140 addresses a bone lesion in the clavicle; 23125 represents removal of the entire bone, not just a focal lesion.
- 23170SequestrectomyClavicle
- 23170 is for removal of a clavicular sequestrum. It does not describe complete claviculectomy.
23125 billing questions
How do I distinguish this code from partial claviculectomy?
Use this code when the operative report documents removal of the entire clavicle. Partial clavicle removal is reported with 23120.
Can a focal clavicle lesion be reported with this code?
The extent of the operation controls: this code represents removal of the whole clavicle, while a localized lesion procedure may be appropriate when only the lesion is treated. The operative report should establish the actual extent.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery handled?
For a complete claviculectomy on both sides, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple-procedure reduction affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid 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
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