CPT code 23182: Bone excision, scapula, partial removal2026 Medicare rate & RVUs in Delaware
Reports surgical removal of part of the scapula for a documented bone condition when the procedure is not specifically a sequestrectomy or lesion excision.
In Delaware, Medicare pays $632.74 for 23182 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 23182 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 23182 covers
An orthopedic surgeon reports this service when surgery removes a portion of scapular bone. The operative report should identify the affected area and describe the bone removal and its clinical purpose. The work is distinct from removing a sequestrum or performing a procedure specifically directed at a bone cyst or benign tumor. CMS utilization data show this code is performed in facility settings, such as a hospital operating room.
Choose the code from the operation documented, not just the diagnosis: record the scapular site, extent of bone removed, and whether the surgeon treated a sequestrum or a defined lesion. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 Delaware compares for 23182
Across 109 of 109 payment localities, the facility rate for 23182 runs from $569.65 in Arkansas to $777.37 in San Benito County, CA. Delaware pays $632.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$632.74
- Los Angeles, CA · California$687.61+$54.87
- Washington, DC area · District of Columbia$716.44+$83.70
- Miami, FL · Florida$744.22+$111.48
- Chicago, IL · Illinois$721.42+$88.68
- Manhattan, NY · New York$742.54+$109.80
- Alaska · Alaska$773.97+$141.23
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $577.50 |
| ArkansasArkansas | — | $569.65 |
| ArizonaArizona | — | $623.06 |
| Bakersfield, CACalifornia | — | $651.96 |
| Chico, CACalifornia | — | $647.06 |
| El Centro, CACalifornia | — | $647.36 |
| Fresno, CACalifornia | — | $647.06 |
| Hanford, CACalifornia | — | $647.06 |
| Madera, CACalifornia | — | $647.06 |
| Merced, CACalifornia | — | $647.06 |
| Modesto, CACalifornia | — | $647.06 |
| Napa, CACalifornia | — | $725.17 |
| Oxnard, CACalifornia | — | $681.23 |
| Redding, CACalifornia | — | $647.06 |
| Rest of CaliforniaCalifornia | — | $647.06 |
| Riverside, CACalifornia | — | $666.19 |
| Sacramento, CACalifornia | — | $672.57 |
| Salinas, CACalifornia | — | $669.97 |
| San Diego, CACalifornia | — | $681.19 |
| Marin County, CACalifornia | — | $758.94 |
| San Francisco, CACalifornia | — | $756.92 |
| San Benito County, CACalifornia | — | $777.37 |
| Santa Clara County, CACalifornia | — | $769.10 |
| San Luis Obispo, CACalifornia | — | $660.02 |
| Santa Cruz, CACalifornia | — | $684.04 |
| Santa Maria, CACalifornia | — | $671.24 |
| Santa Rosa, CACalifornia | — | $690.47 |
| Stockton, CACalifornia | — | $647.06 |
| Vallejo, CACalifornia | — | $722.26 |
| Visalia, CACalifornia | — | $647.06 |
| Yuba City, CACalifornia | — | $647.06 |
| ColoradoColorado | — | $650.59 |
| ConnecticutConnecticut | — | $682.25 |
| Fort Lauderdale, FLFlorida | — | $692.92 |
| Rest of FloridaFlorida | — | $657.61 |
| Atlanta, GAGeorgia | — | $658.57 |
| Rest of GeorgiaGeorgia | — | $619.84 |
| Hawaii, Guam, HIHawaii | — | $657.21 |
| IowaIowa | — | $579.50 |
| IdahoIdaho | — | $585.53 |
| East St. Louis, ILIllinois | — | $677.15 |
| Rest of IllinoisIllinois | — | $648.22 |
| Suburban Chicago, ILIllinois | — | $696.96 |
| IndianaIndiana | — | $588.41 |
| KansasKansas | — | $582.55 |
| KentuckyKentucky | — | $602.47 |
| New Orleans, LALouisiana | — | $631.27 |
| Rest of LouisianaLouisiana | — | $603.82 |
| Metropolitan Boston, MAMassachusetts | — | $704.36 |
| Rest of MassachusettsMassachusetts | — | $649.35 |
| Baltimore area, MDMaryland | — | $681.53 |
| Rest of MarylandMaryland | — | $642.51 |
| Rest of MaineMaine | — | $594.39 |
| Southern Maine, MEMaine | — | $616.31 |
| Detroit, MIMichigan | — | $671.20 |
| Rest of MichiganMichigan | — | $622.42 |
| MinnesotaMinnesota | — | $607.84 |
| Metropolitan Kansas City, MOMissouri | — | $621.22 |
| Metropolitan St. Louis, MOMissouri | — | $626.62 |
| Rest of MissouriMissouri | — | $597.84 |
| MississippiMississippi | — | $583.57 |
| MontanaMontana | — | $640.84 |
| North CarolinaNorth Carolina | — | $599.32 |
| North DakotaNorth Dakota | — | $605.65 |
| NebraskaNebraska | — | $580.78 |
| New HampshireNew Hampshire | — | $645.88 |
| Northern New JerseyNew Jersey | — | $710.87 |
| Rest of New JerseyNew Jersey | — | $685.66 |
| New MexicoNew Mexico | — | $627.91 |
| NevadaNevada | — | $631.34 |
| NYC suburbs and Long Island, NYNew York | — | $766.79 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $694.68 |
| Queens, NYNew York | — | $740.01 |
| Rest of New YorkNew York | — | $608.24 |
| OhioOhio | — | $615.23 |
| OklahomaOklahoma | — | $595.47 |
| Portland, OROregon | — | $663.67 |
| Rest of OregonOregon | — | $622.10 |
| Metropolitan Philadelphia, PAPennsylvania | — | $669.83 |
| Rest of PennsylvaniaPennsylvania | — | $612.99 |
| Puerto RicoPuerto Rico | — | $643.39 |
| Rhode IslandRhode Island | — | $649.81 |
| South CarolinaSouth Carolina | — | $609.15 |
| South DakotaSouth Dakota | — | $601.49 |
| TennesseeTennessee | — | $586.02 |
| Austin, TXTexas | — | $652.22 |
| Beaumont, TXTexas | — | $609.63 |
| Brazoria, TXTexas | — | $627.41 |
| Dallas, TXTexas | — | $633.84 |
| Fort Worth, TXTexas | — | $631.60 |
| Galveston, TXTexas | — | $630.87 |
| Houston, TXTexas | — | $663.45 |
| Rest of TexasTexas | — | $619.83 |
| UtahUtah | — | $616.82 |
| VirginiaVirginia | — | $618.36 |
| Virgin Islands, VIUnited States Virgin Islands | — | $643.39 |
| VermontVermont | — | $608.58 |
| Rest of WashingtonWashington | — | $646.36 |
| King County, WAWashington | — | $712.48 |
| WisconsinWisconsin | — | $587.17 |
| West VirginiaWest Virginia | — | $627.12 |
| WyomingWyoming | — | $625.51 |
23182 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 23182 rate is calculated
Each of 23182’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 · 23182
RVUs × geographic indexes × conversion factor
Work8.39
8.39 RVUs× 1.000 GPCI
Practice expense9.02
9.02 RVUs× 1.000 GPCI
Malpractice1.78
1.78 RVUs× 1.000 GPCI
Adjusted RVUs
19.1900
Conversion factor
$33.4009
Medicare rate
$640.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,181
- Code
- 23182
- Physician work
- 8.39
- Practice expense
- 9.02
- Malpractice
- 1.78
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.39 | × 1.005 | 8.4320 |
| Practice expense | 9.02 | × 0.988 | 8.9118 |
| Malpractice | 1.78 | × 0.899 | 1.6002 |
| Total RVUs | 18.9439 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$632.74
Facility: (8.39 × 1.005 + 9.02 × 0.988 + 1.78 × 0.899) × $33.4009 = $632.74
Payment rules and modifiers for 23182
23182 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23182
Bone excision, scapula, partial removal
| 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) | 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 · 23182
Bone excision, scapula, partial removal
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
23182 without 50 · national facility
$640.96
Bone excision, scapula, partial removal
23182-50 · Bilateral: 150%
$961.44
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 23182 has changed in Delaware
23182 · 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 | $632.74 | RVU26D |
| 2026-07-01 | Not available in this setting | $632.74 | RVU26C |
| 2026-04-01 | Not available in this setting | $632.74 | RVU26B |
| 2026-01-01 | Not available in this setting | $632.74 | RVU26A |
| 2025-10-01 | Not available in this setting | $666.81 | RVU25D |
| 2025-07-01 | Not available in this setting | $666.81 | RVU25C |
| 2025-04-01 | Not available in this setting | $666.81 | RVU25B |
| 2025-01-01 | Not available in this setting | $666.81 | RVU25A |
| 2024-10-01 | Not available in this setting | $679.60 | RVU24D |
| 2024-07-01 | Not available in this setting | $679.60 | RVU24C |
| 2024-04-01 | Not available in this setting | $679.60 | RVU24B |
| 2024-03-09 | Not available in this setting | $679.60 | RVU24AR |
| 2024-01-01 | Not available in this setting | $668.51 | RVU24A |
| 2023-10-01 | Not available in this setting | $689.02 | RVU23D |
| 2023-07-01 | Not available in this setting | $689.02 | RVU23C |
| 2023-04-01 | Not available in this setting | $689.02 | RVU23B |
| 2023-01-01 | Not available in this setting | $689.02 | RVU23A |
| 2022-10-01 | Not available in this setting | $697.85 | RVU22D |
| 2022-07-01 | Not available in this setting | $697.85 | RVU22C |
| 2022-04-01 | Not available in this setting | $697.85 | RVU22B |
| 2022-01-01 | Not available in this setting | $697.85 | RVU22A |
| 2021-10-01 | Not available in this setting | $697.02 | RVU21D |
| 2021-07-01 | Not available in this setting | $697.02 | RVU21C |
| 2021-04-01 | Not available in this setting | $697.02 | RVU21B |
| 2021-01-01 | Not available in this setting | $697.02 | RVU21A |
| 2020-10-01 | Not available in this setting | $695.93 | RVU20D |
| 2020-07-01 | Not available in this setting | $695.93 | RVU20C |
| 2020-04-01 | Not available in this setting | $695.93 | RVU20B |
| 2020-01-01 | Not available in this setting | $695.93 | RVU20A |
| 2019-10-01 | Not available in this setting | $698.21 | RVU19D |
| 2019-07-01 | Not available in this setting | $698.21 | RVU19C |
| 2019-04-01 | Not available in this setting | $698.21 | RVU19B |
| 2019-01-01 | Not available in this setting | $698.21 | RVU19A |
| 2018-10-01 | Not available in this setting | $694.47 | RVU18D |
| 2018-07-01 | Not available in this setting | $694.47 | RVU18C |
| 2018-04-01 | Not available in this setting | $694.47 | RVU18B |
| 2018-01-01 | Not available in this setting | $694.47 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $694.55 | RVU17D |
| 2017-07-01 | Not available in this setting | $694.55 | RVU17C |
| 2017-04-01 | Not available in this setting | $694.55 | RVU17B |
| 2017-01-01 | Not available in this setting | $694.55 | RVU17A |
| 2016-10-01 | Not available in this setting | $687.59 | RVU16D |
| 2016-07-01 | Not available in this setting | $687.59 | RVU16C |
| 2016-04-01 | Not available in this setting | $687.59 | RVU16B |
| 2016-01-01 | Not available in this setting | $687.59 | RVU16A |
| 2015-10-01 | Not available in this setting | $700.27 | RVU15D |
| 2015-07-01 | Not available in this setting | $700.27 | RVU15C |
| 2015-04-01 | Not available in this setting | $696.79 | RVU15B |
| 2015-01-01 | Not available in this setting | $696.79 | RVU15A |
| 2014-10-01 | Not available in this setting | $682.13 | RVU14D |
| 2014-07-01 | Not available in this setting | $682.13 | RVU14C |
| 2014-04-01 | Not available in this setting | $682.13 | RVU14B |
| 2014-01-01 | Not available in this setting | $682.13 | RVU14A |
| 2013-10-01 | Not available in this setting | $668.98 | RVU13D |
| 2013-07-01 | Not available in this setting | $668.98 | RVU13C |
| 2013-04-01 | Not available in this setting | $668.98 | RVU13B |
| 2013-01-01 | Not available in this setting | $668.98 | RVU13AR |
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
23182 billing questions
How does this differ from scapular sequestrectomy?
Use 23182 for partial removal of scapular bone when the procedure is not specifically removal of a sequestrum. When the operative service is sequestrectomy, consider 23172.
When would a bone-lesion code be a better fit?
A code such as 23140 is for a procedure directed at a bone cyst or benign tumor. Select 23182 when the documented service is partial scapular bone excision rather than lesion-specific excision or curettage.
What should the operative report document?
Document the scapular location, the portion and extent of bone removed, the reason for removal, and whether the procedure addressed a sequestrum or a defined lesion.
How is bilateral scapular surgery reported?
For bilateral work, CMS lists modifier 50, with payment at 150%.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
Fee sheets · Coming soon
Put 23182 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist