CPT code 23410: Rotator cuff repair, acute tear, open2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 23410 in California.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 23410 covers

An orthopedic surgeon uses this code for open repair of an acutely ruptured rotator cuff, reattaching torn tendon tissue to the humerus as needed to restore the cuff. The procedure is generally performed in an operating room, most often in a hospital or ambulatory surgery center. The operative report should describe the acute tear and the repair performed.

Choose this code for an acute rupture rather than the chronic-tear repair code; document the clinical history and operative findings that support the acute classification. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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.

Where 23410 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 23410 rate is calculated

Each of 23410’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 23410

23410 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

23410 compared with similar codes

How to choose

23412Rotator cuff repairChronic tear, open repair

Use 23410 for an acute cuff rupture and 23412 for a chronic rupture. Documentation should support the clinical classification rather than relying on the code number alone.

29827Rotator cuff repairArthroscopic technique

Use 23410 for open repair of an acute cuff rupture; 29827 describes arthroscopic rotator cuff repair.

23420Rotator cuff surgeryChronic complete avulsion

23420 is for reconstruction of a chronic, complete cuff avulsion, not the acute cuff repair described by 23410.

Codes related to 23410

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

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