CPT code 23430: Biceps surgery, open tendon fixation2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $656.93 for 23430 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23430 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 23430 covers

An orthopedic surgeon releases the long head of the biceps tendon from its shoulder attachment and secures it to the humerus through an open approach. The operation is commonly performed in an operating room for a diseased, unstable, or ruptured tendon causing shoulder symptoms. It may be performed as a standalone procedure or during a shoulder operation such as repair of a rotator cuff tear.

Report this code for the open tendon-fixation procedure, not for arthroscopic-only fixation or simple tendon release. The operative report should identify the long-head tendon, describe the open fixation and its site, and clarify any other procedures performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 North Dakota compares for 23430

Across 109 of 109 payment localities, the facility rate for 23430 runs from $622.07 in Arkansas to $851.64 in Alaska. North Dakota pays $656.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23430 rates by state

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

See 23430 in every payment locality

How the 23430 rate is calculated

Each of 23430’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 23430

23430 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

Codes related to 23430

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

How 23430 has changed in North Dakota

Price 23430 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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