CPT code 23125: Claviculectomy, entire clavicle2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $633.14 for 23125 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23125 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 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.

How Vermont compares for 23125

Across 109 of 109 payment localities, the facility rate for 23125 runs from $595.98 in Arkansas to $814.75 in Alaska. Vermont pays $633.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23125 rates by state

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

See 23125 in every payment locality

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.

Payment rules and modifiers for 23125

23125 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 23125

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

How 23125 has changed in Vermont

Price 23125 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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