CPT code 23145: Bone lesion removal, scapula with autograft2026 Medicare rate & RVUs in Minnesota

In Minnesota, Medicare pays $619.42 for 23145 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23145 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 23145 covers

An orthopedic surgeon, often an orthopedic oncologist, uses this service to remove or curette a benign cystic or tumorous lesion in the scapula and fill the resulting defect with autologous bone graft. The work includes obtaining the patient’s graft as part of the procedure. It is a surgical treatment of a scapular lesion, not simply an arthrotomy for joint inspection or biopsy.

Report the code when the operative record supports the scapular site, lesion removal by curettage or excision, and use of the patient’s own bone graft. The 90-day global period includes 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 are subject to the standard 50% reduction. 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 Minnesota compares for 23145

Across 109 of 109 payment localities, the facility rate for 23145 runs from $585.14 in Arkansas to $799.46 in Alaska. Minnesota pays $619.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23145 rates by state

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

See 23145 in every payment locality

How the 23145 rate is calculated

Each of 23145’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 23145

23145 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 23145

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

How 23145 has changed in Minnesota

Price 23145 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

• Ada
• Adams
• Adrian
• Afton
• Aitkin
• Akeley
• Albany
• Albert Lea

Browse all communities in Minnesota

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