CPT code 23415: Shoulder decompression, open ligament release2026 Medicare rate & RVUs in New Mexico
Reports open release of the shoulder’s coracoacromial ligament, with or without acromioplasty, during surgery for subacromial impingement.
In New Mexico, Medicare pays $646.19 for 23415 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 23415 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 23415 covers
The surgeon releases the coracoacromial ligament, which spans the coracoid process and acromion, to increase clearance in the subacromial space. The procedure may include reshaping the acromion. An orthopedic surgeon typically performs it through an open approach during surgery for shoulder impingement, sometimes in the same session as rotator cuff repair.
Report 23415 when the operative work includes an open coracoacromial ligament release; acromioplasty may be performed with it. The operative report should identify the ligament release and any acromial work, rather than relying on an impingement diagnosis alone. 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 one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral work reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires 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 New Mexico compares for 23415
Across 109 of 109 payment localities, the facility rate for 23415 runs from $586.64 in Arkansas to $800.13 in Alaska. New Mexico pays $646.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$646.19
- Los Angeles, CA · California$704.05+$57.86
- Washington, DC area · District of Columbia$734.22+$88.03
- Miami, FL · Florida$764.94+$118.75
- Chicago, IL · Illinois$741.94+$95.75
- Manhattan, NY · New York$761.72+$115.53
- Alaska · Alaska$800.13+$153.94
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $594.52 |
| ArkansasArkansas | — | $586.64 |
| ArizonaArizona | — | $640.26 |
| Bakersfield, CACalifornia | — | $668.29 |
| Chico, CACalifornia | — | $663.18 |
| El Centro, CACalifornia | — | $663.49 |
| Fresno, CACalifornia | — | $663.18 |
| Hanford, CACalifornia | — | $663.18 |
| Madera, CACalifornia | — | $663.18 |
| Merced, CACalifornia | — | $663.18 |
| Modesto, CACalifornia | — | $663.18 |
| Napa, CACalifornia | — | $740.97 |
| Oxnard, CACalifornia | — | $697.31 |
| Redding, CACalifornia | — | $663.18 |
| Rest of CaliforniaCalifornia | — | $663.18 |
| Riverside, CACalifornia | — | $683.07 |
| Sacramento, CACalifornia | — | $688.72 |
| Salinas, CACalifornia | — | $686.03 |
| San Diego, CACalifornia | — | $697.05 |
| Marin County, CACalifornia | — | $774.79 |
| San Francisco, CACalifornia | — | $772.69 |
| San Benito County, CACalifornia | — | $793.53 |
| Santa Clara County, CACalifornia | — | $784.94 |
| San Luis Obispo, CACalifornia | — | $675.91 |
| Santa Cruz, CACalifornia | — | $699.60 |
| Santa Maria, CACalifornia | — | $687.20 |
| Santa Rosa, CACalifornia | — | $706.15 |
| Stockton, CACalifornia | — | $663.18 |
| Vallejo, CACalifornia | — | $737.95 |
| Visalia, CACalifornia | — | $663.18 |
| Yuba City, CACalifornia | — | $663.18 |
| ColoradoColorado | — | $667.35 |
| ConnecticutConnecticut | — | $700.11 |
| DelawareDelaware | — | $650.04 |
| Fort Lauderdale, FLFlorida | — | $712.11 |
| Rest of FloridaFlorida | — | $676.39 |
| Atlanta, GAGeorgia | — | $676.39 |
| Rest of GeorgiaGeorgia | — | $638.24 |
| Hawaii, Guam, HIHawaii | — | $672.86 |
| IowaIowa | — | $595.92 |
| IdahoIdaho | — | $602.09 |
| East St. Louis, ILIllinois | — | $697.31 |
| Rest of IllinoisIllinois | — | $667.37 |
| Suburban Chicago, ILIllinois | — | $716.13 |
| IndianaIndiana | — | $604.97 |
| KansasKansas | — | $599.27 |
| KentuckyKentucky | — | $620.23 |
| New Orleans, LALouisiana | — | $649.28 |
| Rest of LouisianaLouisiana | — | $621.70 |
| Metropolitan Boston, MAMassachusetts | — | $721.27 |
| Rest of MassachusettsMassachusetts | — | $666.28 |
| Baltimore area, MDMaryland | — | $699.39 |
| Rest of MarylandMaryland | — | $659.82 |
| Rest of MaineMaine | — | $611.30 |
| Southern Maine, MEMaine | — | $632.87 |
| Detroit, MIMichigan | — | $690.36 |
| Rest of MichiganMichigan | — | $640.56 |
| MinnesotaMinnesota | — | $623.41 |
| Metropolitan Kansas City, MOMissouri | — | $638.86 |
| Metropolitan St. Louis, MOMissouri | — | $644.25 |
| Rest of MissouriMissouri | — | $615.89 |
| MississippiMississippi | — | $601.07 |
| MontanaMontana | — | $658.21 |
| North CarolinaNorth Carolina | — | $616.20 |
| North DakotaNorth Dakota | — | $621.63 |
| NebraskaNebraska | — | $597.11 |
| New HampshireNew Hampshire | — | $662.74 |
| Northern New JerseyNew Jersey | — | $728.82 |
| Rest of New JerseyNew Jersey | — | $703.58 |
| NevadaNevada | — | $648.31 |
| NYC suburbs and Long Island, NYNew York | — | $786.46 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $712.95 |
| Queens, NYNew York | — | $758.74 |
| Rest of New YorkNew York | — | $625.18 |
| OhioOhio | — | $633.08 |
| OklahomaOklahoma | — | $612.89 |
| Portland, OROregon | — | $680.17 |
| Rest of OregonOregon | — | $638.80 |
| Metropolitan Philadelphia, PAPennsylvania | — | $687.80 |
| Rest of PennsylvaniaPennsylvania | — | $630.67 |
| Puerto RicoPuerto Rico | — | $660.66 |
| Rhode IslandRhode Island | — | $667.14 |
| South CarolinaSouth Carolina | — | $626.57 |
| South DakotaSouth Dakota | — | $617.30 |
| TennesseeTennessee | — | $602.79 |
| Austin, TXTexas | — | $669.05 |
| Beaumont, TXTexas | — | $627.31 |
| Brazoria, TXTexas | — | $644.48 |
| Dallas, TXTexas | — | $651.08 |
| Fort Worth, TXTexas | — | $648.92 |
| Galveston, TXTexas | — | $648.04 |
| Houston, TXTexas | — | $681.90 |
| Rest of TexasTexas | — | $637.25 |
| UtahUtah | — | $634.27 |
| VirginiaVirginia | — | $635.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $660.66 |
| VermontVermont | — | $624.85 |
| Rest of WashingtonWashington | — | $663.16 |
| King County, WAWashington | — | $729.23 |
| WisconsinWisconsin | — | $603.14 |
| West VirginiaWest Virginia | — | $646.20 |
| WyomingWyoming | — | $642.27 |
23415 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 23415 rate is calculated
Each of 23415’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 · 23415
RVUs × geographic indexes × conversion factor
Work9.00
9.00 RVUs× 1.000 GPCI
Practice expense8.86
8.86 RVUs× 1.000 GPCI
Malpractice1.85
1.85 RVUs× 1.000 GPCI
Adjusted RVUs
19.7100
Conversion factor
$33.4009
Medicare rate
$658.33
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,200
- Code
- 23415
- Physician work
- 9.00
- Practice expense
- 8.86
- Malpractice
- 1.85
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.00 | × 1.000 | 9.0000 |
| Practice expense | 8.86 | × 0.917 | 8.1246 |
| Malpractice | 1.85 | × 1.201 | 2.2219 |
| Total RVUs | 19.3465 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$646.19
Facility: (9 × 1 + 8.86 × 0.917 + 1.85 × 1.201) × $33.4009 = $646.19
Payment rules and modifiers for 23415
23415 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23415
Shoulder decompression, open ligament release
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 23415
Shoulder decompression, open ligament release
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
23415 without 50 · national facility
$658.33
Shoulder decompression, open ligament release
23415-50 · Bilateral: 150%
$987.50
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 23415 has changed in New Mexico
23415 · 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 | $646.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $646.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $646.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $646.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $675.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $675.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $675.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $675.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $687.28 | RVU24D |
| 2024-07-01 | Not available in this setting | $687.28 | RVU24C |
| 2024-04-01 | Not available in this setting | $687.28 | RVU24B |
| 2024-03-09 | Not available in this setting | $687.28 | RVU24AR |
| 2024-01-01 | Not available in this setting | $676.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $691.73 | RVU23D |
| 2023-07-01 | Not available in this setting | $691.73 | RVU23C |
| 2023-04-01 | Not available in this setting | $691.73 | RVU23B |
| 2023-01-01 | Not available in this setting | $691.73 | RVU23A |
| 2022-10-01 | Not available in this setting | $696.54 | RVU22D |
| 2022-07-01 | Not available in this setting | $696.54 | RVU22C |
| 2022-04-01 | Not available in this setting | $696.54 | RVU22B |
| 2022-01-01 | Not available in this setting | $696.54 | RVU22A |
| 2021-10-01 | Not available in this setting | $695.62 | RVU21D |
| 2021-07-01 | Not available in this setting | $695.62 | RVU21C |
| 2021-04-01 | Not available in this setting | $695.62 | RVU21B |
| 2021-01-01 | Not available in this setting | $695.62 | RVU21A |
| 2020-10-01 | Not available in this setting | $709.17 | RVU20D |
| 2020-07-01 | Not available in this setting | $709.17 | RVU20C |
| 2020-04-01 | Not available in this setting | $709.17 | RVU20B |
| 2020-01-01 | Not available in this setting | $709.17 | RVU20A |
| 2019-10-01 | Not available in this setting | $715.86 | RVU19D |
| 2019-07-01 | Not available in this setting | $715.86 | RVU19C |
| 2019-04-01 | Not available in this setting | $715.86 | RVU19B |
| 2019-01-01 | Not available in this setting | $715.86 | RVU19A |
| 2018-10-01 | Not available in this setting | $712.61 | RVU18D |
| 2018-07-01 | Not available in this setting | $712.61 | RVU18C |
| 2018-04-01 | Not available in this setting | $712.61 | RVU18B |
| 2018-01-01 | Not available in this setting | $712.61 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $707.00 | RVU17D |
| 2017-07-01 | Not available in this setting | $707.00 | RVU17C |
| 2017-04-01 | Not available in this setting | $707.00 | RVU17B |
| 2017-01-01 | Not available in this setting | $707.00 | RVU17A |
| 2016-10-01 | Not available in this setting | $701.56 | RVU16D |
| 2016-07-01 | Not available in this setting | $701.56 | RVU16C |
| 2016-04-01 | Not available in this setting | $701.56 | RVU16B |
| 2016-01-01 | Not available in this setting | $701.56 | RVU16A |
| 2015-10-01 | Not available in this setting | $707.08 | RVU15D |
| 2015-07-01 | Not available in this setting | $707.08 | RVU15C |
| 2015-04-01 | Not available in this setting | $703.56 | RVU15B |
| 2015-01-01 | Not available in this setting | $703.56 | RVU15A |
| 2014-10-01 | Not available in this setting | $688.88 | RVU14D |
| 2014-07-01 | Not available in this setting | $688.88 | RVU14C |
| 2014-04-01 | Not available in this setting | $688.88 | RVU14B |
| 2014-01-01 | Not available in this setting | $688.88 | RVU14A |
| 2013-10-01 | Not available in this setting | $676.48 | RVU13D |
| 2013-07-01 | Not available in this setting | $676.48 | RVU13C |
| 2013-04-01 | Not available in this setting | $676.48 | RVU13B |
| 2013-01-01 | Not available in this setting | $676.48 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
23415 billing questions
Does 23415 include acromioplasty?
Yes. The code covers coracoacromial ligament release with or without acromioplasty, so acromial reshaping performed as part of that service is included.
Can 23415 be reported with a rotator cuff repair?
The codes describe different work: ligament release and acromial work versus tendon repair. Report both only when both services were performed and the applicable coding edits permit separate reporting.
How does 23415 differ from 29826?
23415 describes the open approach. Code 29826 describes arthroscopic subacromial decompression, so the operative approach distinguishes the codes.
What documentation supports 23415?
The operative report should identify the open release of the coracoacromial ligament and describe any acromioplasty performed. A diagnosis of shoulder impingement alone does not establish that the procedure was done.
What are the assistant and co-surgeon payment rules?
CMS does not pay an assistant at surgery for this code. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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 23415 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist