CPT code 23170: Sequestrectomy, clavicle2026 Medicare rate & RVUs in Utah
Report this operation when a surgeon removes a separated segment of devitalized clavicular bone, commonly as treatment for chronic osteomyelitis.
In Utah, Medicare pays $520.33 for 23170 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 23170 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 23170 covers
An orthopedic surgeon exposes the clavicle and removes a sequestrum, a fragment of dead bone separated from viable bone. The operation is typically performed in an operating room when infection or another process has left devitalized bone requiring removal. The code is specific to the clavicle; the operative report should identify the bone and describe removal of the sequestrum.
Select this code for removal of a clavicular sequestrum, rather than a partial or total clavicle resection or excision of a bone lesion. Document the indication, involved site, operative findings, and work performed. CMS 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 is restricted; 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 Utah compares for 23170
Across 109 of 109 payment localities, the facility rate for 23170 runs from $480.62 in Arkansas to $657.03 in San Benito County, CA. Utah pays $520.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$520.33
- Los Angeles, CA · California$580.72+$60.39
- Washington, DC area · District of Columbia$604.69+$84.36
- Miami, FL · Florida$626.86+$106.53
- Chicago, IL · Illinois$607.70+$87.37
- Manhattan, NY · New York$626.31+$105.98
- Alaska · Alaska$652.64+$132.31
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $487.24 |
| ArkansasArkansas | — | $480.62 |
| ArizonaArizona | — | $525.69 |
| Bakersfield, CACalifornia | — | $550.52 |
| Chico, CACalifornia | — | $546.44 |
| El Centro, CACalifornia | — | $546.69 |
| Fresno, CACalifornia | — | $546.44 |
| Hanford, CACalifornia | — | $546.44 |
| Madera, CACalifornia | — | $546.44 |
| Merced, CACalifornia | — | $546.44 |
| Modesto, CACalifornia | — | $546.44 |
| Napa, CACalifornia | — | $612.81 |
| Oxnard, CACalifornia | — | $575.39 |
| Redding, CACalifornia | — | $546.44 |
| Rest of CaliforniaCalifornia | — | $546.44 |
| Riverside, CACalifornia | — | $562.35 |
| Sacramento, CACalifornia | — | $568.09 |
| Salinas, CACalifornia | — | $565.89 |
| San Diego, CACalifornia | — | $575.44 |
| Marin County, CACalifornia | — | $641.50 |
| San Francisco, CACalifornia | — | $639.82 |
| San Benito County, CACalifornia | — | $657.03 |
| Santa Clara County, CACalifornia | — | $650.16 |
| San Luis Obispo, CACalifornia | — | $557.47 |
| Santa Cruz, CACalifornia | — | $577.91 |
| Santa Maria, CACalifornia | — | $566.98 |
| Santa Rosa, CACalifornia | — | $583.35 |
| Stockton, CACalifornia | — | $546.44 |
| Vallejo, CACalifornia | — | $610.38 |
| Visalia, CACalifornia | — | $546.44 |
| Yuba City, CACalifornia | — | $546.44 |
| ColoradoColorado | — | $549.17 |
| ConnecticutConnecticut | — | $575.59 |
| DelawareDelaware | — | $533.86 |
| Fort Lauderdale, FLFlorida | — | $584.04 |
| Rest of FloridaFlorida | — | $554.34 |
| Atlanta, GAGeorgia | — | $555.51 |
| Rest of GeorgiaGeorgia | — | $522.55 |
| Hawaii, Guam, HIHawaii | — | $555.09 |
| IowaIowa | — | $489.15 |
| IdahoIdaho | — | $494.19 |
| East St. Louis, ILIllinois | — | $570.36 |
| Rest of IllinoisIllinois | — | $546.27 |
| Suburban Chicago, ILIllinois | — | $587.49 |
| IndianaIndiana | — | $496.63 |
| KansasKansas | — | $491.62 |
| KentuckyKentucky | — | $508.09 |
| New Orleans, LALouisiana | — | $532.35 |
| Rest of LouisianaLouisiana | — | $509.18 |
| Metropolitan Boston, MAMassachusetts | — | $594.71 |
| Rest of MassachusettsMassachusetts | — | $548.08 |
| Baltimore area, MDMaryland | — | $574.96 |
| Rest of MarylandMaryland | — | $542.13 |
| Rest of MaineMaine | — | $501.55 |
| Southern Maine, MEMaine | — | $520.21 |
| Detroit, MIMichigan | — | $565.69 |
| Rest of MichiganMichigan | — | $524.82 |
| MinnesotaMinnesota | — | $513.40 |
| Metropolitan Kansas City, MOMissouri | — | $523.98 |
| Metropolitan St. Louis, MOMissouri | — | $528.55 |
| Rest of MissouriMissouri | — | $504.08 |
| MississippiMississippi | — | $492.20 |
| MontanaMontana | — | $540.66 |
| North CarolinaNorth Carolina | — | $505.73 |
| North DakotaNorth Dakota | — | $511.40 |
| NebraskaNebraska | — | $490.26 |
| New HampshireNew Hampshire | — | $545.10 |
| Northern New JerseyNew Jersey | — | $599.96 |
| Rest of New JerseyNew Jersey | — | $578.55 |
| New MexicoNew Mexico | — | $529.41 |
| NevadaNevada | — | $532.76 |
| NYC suburbs and Long Island, NYNew York | — | $646.63 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $586.08 |
| Queens, NYNew York | — | $624.32 |
| Rest of New YorkNew York | — | $513.25 |
| OhioOhio | — | $518.84 |
| OklahomaOklahoma | — | $502.29 |
| Portland, OROregon | — | $560.34 |
| Rest of OregonOregon | — | $525.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $565.05 |
| Rest of PennsylvaniaPennsylvania | — | $517.01 |
| Puerto RicoPuerto Rico | — | $542.84 |
| Rhode IslandRhode Island | — | $548.35 |
| South CarolinaSouth Carolina | — | $513.85 |
| South DakotaSouth Dakota | — | $507.94 |
| TennesseeTennessee | — | $494.53 |
| Austin, TXTexas | — | $550.47 |
| Beaumont, TXTexas | — | $514.16 |
| Brazoria, TXTexas | — | $529.46 |
| Dallas, TXTexas | — | $534.83 |
| Fort Worth, TXTexas | — | $532.91 |
| Galveston, TXTexas | — | $532.34 |
| Houston, TXTexas | — | $559.43 |
| Rest of TexasTexas | — | $522.88 |
| VirginiaVirginia | — | $521.87 |
| Virgin Islands, VIUnited States Virgin Islands | — | $542.84 |
| VermontVermont | — | $513.78 |
| Rest of WashingtonWashington | — | $545.59 |
| King County, WAWashington | — | $601.68 |
| WisconsinWisconsin | — | $495.78 |
| West VirginiaWest Virginia | — | $528.46 |
| WyomingWyoming | — | $527.91 |
23170 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 23170 rate is calculated
Each of 23170’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 · 23170
RVUs × geographic indexes × conversion factor
Work7.03
7.03 RVUs× 1.000 GPCI
Practice expense7.68
7.68 RVUs× 1.000 GPCI
Malpractice1.48
1.48 RVUs× 1.000 GPCI
Adjusted RVUs
16.1900
Conversion factor
$33.4009
Medicare rate
$540.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,177
- Code
- 23170
- Physician work
- 7.03
- Practice expense
- 7.68
- Malpractice
- 1.48
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.03 | × 1.000 | 7.0300 |
| Practice expense | 7.68 | × 0.940 | 7.2192 |
| Malpractice | 1.48 | × 0.898 | 1.3290 |
| Total RVUs | 15.5782 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$520.33
Facility: (7.03 × 1 + 7.68 × 0.94 + 1.48 × 0.898) × $33.4009 = $520.33
Payment rules and modifiers for 23170
23170 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23170
Sequestrectomy, 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 23170
Sequestrectomy, 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
23170 without 50 · national facility
$540.76
Sequestrectomy, clavicle
23170-50 · Bilateral: 150%
$811.14
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).
How 23170 has changed in Utah
23170 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $520.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $520.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $520.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $520.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $541.51 | RVU25D |
| 2025-07-01 | Not available in this setting | $541.51 | RVU25C |
| 2025-04-01 | Not available in this setting | $541.51 | RVU25B |
| 2025-01-01 | Not available in this setting | $541.51 | RVU25A |
| 2024-10-01 | Not available in this setting | $552.91 | RVU24D |
| 2024-07-01 | Not available in this setting | $552.91 | RVU24C |
| 2024-04-01 | Not available in this setting | $552.91 | RVU24B |
| 2024-03-09 | Not available in this setting | $552.91 | RVU24AR |
| 2024-01-01 | Not available in this setting | $543.89 | RVU24A |
| 2023-10-01 | Not available in this setting | $551.36 | RVU23D |
| 2023-07-01 | Not available in this setting | $551.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $551.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $551.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $549.95 | RVU22D |
| 2022-07-01 | Not available in this setting | $549.95 | RVU22C |
| 2022-04-01 | Not available in this setting | $549.95 | RVU22B |
| 2022-01-01 | Not available in this setting | $549.95 | RVU22A |
| 2021-10-01 | Not available in this setting | $550.14 | RVU21D |
| 2021-07-01 | Not available in this setting | $550.14 | RVU21C |
| 2021-04-01 | Not available in this setting | $550.14 | RVU21B |
| 2021-01-01 | Not available in this setting | $550.14 | RVU21A |
| 2020-10-01 | Not available in this setting | $562.69 | RVU20D |
| 2020-07-01 | Not available in this setting | $562.69 | RVU20C |
| 2020-04-01 | Not available in this setting | $562.69 | RVU20B |
| 2020-01-01 | Not available in this setting | $562.69 | RVU20A |
| 2019-10-01 | Not available in this setting | $571.45 | RVU19D |
| 2019-07-01 | Not available in this setting | $571.45 | RVU19C |
| 2019-04-01 | Not available in this setting | $571.45 | RVU19B |
| 2019-01-01 | Not available in this setting | $571.45 | RVU19A |
| 2018-10-01 | Not available in this setting | $570.25 | RVU18D |
| 2018-07-01 | Not available in this setting | $570.25 | RVU18C |
| 2018-04-01 | Not available in this setting | $570.25 | RVU18B |
| 2018-01-01 | Not available in this setting | $570.25 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $566.40 | RVU17D |
| 2017-07-01 | Not available in this setting | $566.40 | RVU17C |
| 2017-04-01 | Not available in this setting | $566.40 | RVU17B |
| 2017-01-01 | Not available in this setting | $566.40 | RVU17A |
| 2016-10-01 | Not available in this setting | $559.28 | RVU16D |
| 2016-07-01 | Not available in this setting | $559.28 | RVU16C |
| 2016-04-01 | Not available in this setting | $559.28 | RVU16B |
| 2016-01-01 | Not available in this setting | $559.28 | RVU16A |
| 2015-10-01 | Not available in this setting | $568.10 | RVU15D |
| 2015-07-01 | Not available in this setting | $568.10 | RVU15C |
| 2015-04-01 | Not available in this setting | $565.27 | RVU15B |
| 2015-01-01 | Not available in this setting | $565.27 | RVU15A |
| 2014-10-01 | Not available in this setting | $555.60 | RVU14D |
| 2014-07-01 | Not available in this setting | $555.60 | RVU14C |
| 2014-04-01 | Not available in this setting | $555.60 | RVU14B |
| 2014-01-01 | Not available in this setting | $555.60 | RVU14A |
| 2013-10-01 | Not available in this setting | $548.80 | RVU13D |
| 2013-07-01 | Not available in this setting | $548.80 | RVU13C |
| 2013-04-01 | Not available in this setting | $548.80 | RVU13B |
| 2013-01-01 | Not available in this setting | $548.80 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
23170 billing questions
How is this different from partial claviculectomy?
This code is for removing a separated fragment of devitalized clavicular bone. A partial claviculectomy describes resection of part of the clavicle rather than sequestrectomy.
What operative details support reporting this code?
Document that the involved bone is the clavicle, identify the sequestrum, and describe its operative removal and the clinical indication.
Does the 90-day global period include related follow-up?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral procedures and multiple procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. In the same session, the highest-valued procedure is paid in full and additional procedures at 50%.
Can an assistant, co-surgeon, or surgical team be reported?
Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.
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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