CPT code 23406: Tendon release, multiple shoulder tendons2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $667.63 for 23406 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23406 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 23406 covers

Code 23406 describes an operation that divides or releases multiple tendons in the shoulder region. An orthopedic surgeon may perform it when a shoulder contracture or deformity requires release of several tendon structures. It is distinct from an operation that repairs a torn rotator cuff or secures a tendon to bone.

Select the code based on the operative report’s account of the shoulder-area tendons released; a release of one tendon points to the single-tendon sibling code. Documentation should identify the treated structures and the operative work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The bilateral adjustment does not apply, and modifier 50 is inappropriate. CMS permits assistant-at-surgery payment; 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 23406

Across 109 of 109 payment localities, the facility rate for 23406 runs from $612.52 in Arkansas to $848.33 in Alaska. Delaware pays $667.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23406 rates by state

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

See 23406 in every payment locality

How the 23406 rate is calculated

Each of 23406’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 23406

23406 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 51

Codes related to 23406

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

How 23406 has changed in Delaware

Price 23406 for an earlier date of service

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

Browse all communities in Delaware

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