CPT code 23450: Shoulder stabilization, anterior Putti-Platt repair2026 Medicare rate & RVUs in Mississippi

Open anterior shoulder capsular tightening using a Putti-Platt approach is reported for surgical stabilization of recurrent anterior instability when this technique is performed.

CMS RVU26DEffective Oct 1, 2026One payment locality18 Medicare services in 2024

In Mississippi, Medicare pays $801.00 for 23450 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$801.00Hospital or facility

Check a contract rate as a % of Medicare · 23450 nationwide

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

We’ll open 23450 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 23450 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 23450 covers

This open stabilization procedure tightens the front of the shoulder capsule, classically with tightening or overlap of the subscapularis, to limit recurrent anterior translation. An orthopedic shoulder surgeon typically performs it in an operating room for a patient with recurrent anterior shoulder instability when the Putti-Platt technique is used.

Select the code from the operative technique, not simply the diagnosis of shoulder instability. The operative report should identify the anterior capsular repair, the technique performed, the side, and any separately described labral work. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. For multiple procedures 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%. An assistant at surgery may be paid; 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 Mississippi compares for 23450

Across 109 of 109 payment localities, the facility rate for 23450 runs from $779.02 in Arkansas to $1,073.61 in Alaska. Mississippi pays $801.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

23450 in Mississippi vs other payment areas
  1. Mississippi · this page$801.00
  2. Los Angeles, CA · California$918.53+$117.53
  3. Washington, DC area · District of Columbia$965.42+$164.42
  4. Miami, FL · Florida$1,030.86+$229.86
  5. Chicago, IL · Illinois$999.81+$198.81
  6. Manhattan, NY · New York$1,009.62+$208.62
  7. Alaska · Alaska$1,073.61+$272.61

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

23450 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$789.16
ArkansasArkansas—$779.02
ArizonaArizona—$847.82
Bakersfield, CACalifornia—$874.73
Chico, CACalifornia—$866.89
El Centro, CACalifornia—$867.37
Fresno, CACalifornia—$866.89
Hanford, CACalifornia—$866.89

23450 rates by state

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

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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
23450 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 23450 in every payment locality

How the 23450 rate is calculated

Each of 23450’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 · 23450

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.36

13.36 RVUs× 1.000 GPCI

Practice expense9.89

9.89 RVUs× 1.000 GPCI

Malpractice2.85

2.85 RVUs× 1.000 GPCI

Adjusted RVUs

26.1000

Conversion factor

$33.4009

Medicare rate

$871.76

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,204

Code
23450
Physician work
13.36
Practice expense
9.89
Malpractice
2.85

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 23450 in Mississippi
ComponentRVULocality factorAdjusted
Physician work13.36× 1.00013.3600
Practice expense9.89× 0.8618.5153
Malpractice2.85× 0.7392.1061
Total RVUs23.9814
Conversion factor× 33.4009

Facility rate, Mississippi$801.00

Facility: (13.36 × 1 + 9.89 × 0.861 + 2.85 × 0.739) × $33.4009 = $801.00

Open 23450 in the RVU calculator

Payment rules and modifiers for 23450

23450 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23450

Shoulder stabilization, anterior Putti-Platt repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 23450

Shoulder stabilization, anterior Putti-Platt repair

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

23450 without 50 · national facility

$871.76

Shoulder stabilization, anterior Putti-Platt repair

23450-50 · Bilateral: 150%

$1,307.64

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).

When to use modifier 50

How 23450 has changed in Mississippi

23450 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$801.00RVU26D
2026-07-01Not available in this setting$801.00RVU26C
2026-04-01Not available in this setting$801.00RVU26B
2026-01-01Not available in this setting$801.00RVU26A
2025-10-01Not available in this setting$852.81RVU25D
2025-07-01Not available in this setting$852.81RVU25C
2025-04-01Not available in this setting$852.81RVU25B
2025-01-01Not available in this setting$852.81RVU25A
2024-10-01Not available in this setting$871.04RVU24D
2024-07-01Not available in this setting$871.04RVU24C
2024-04-01Not available in this setting$871.04RVU24B
2024-03-09Not available in this setting$871.04RVU24AR
2024-01-01Not available in this setting$856.83RVU24A
2023-10-01Not available in this setting$874.59RVU23D
2023-07-01Not available in this setting$874.59RVU23C
2023-04-01Not available in this setting$874.59RVU23B
2023-01-01Not available in this setting$874.59RVU23A
2022-10-01Not available in this setting$877.83RVU22D
2022-07-01Not available in this setting$877.83RVU22C
2022-04-01Not available in this setting$877.83RVU22B
2022-01-01Not available in this setting$877.83RVU22A
2021-10-01Not available in this setting$880.94RVU21D
2021-07-01Not available in this setting$880.94RVU21C
2021-04-01Not available in this setting$880.94RVU21B
2021-01-01Not available in this setting$880.94RVU21A
2020-10-01Not available in this setting$884.34RVU20D
2020-07-01Not available in this setting$884.34RVU20C
2020-04-01Not available in this setting$884.34RVU20B
2020-01-01Not available in this setting$884.34RVU20A
2019-10-01Not available in this setting$872.29RVU19D
2019-07-01Not available in this setting$872.29RVU19C
2019-04-01Not available in this setting$869.09RVU19B
2019-01-01Not available in this setting$869.09RVU19A
2018-10-01Not available in this setting$870.98RVU18D
2018-07-01Not available in this setting$870.98RVU18C
2018-04-01Not available in this setting$870.98RVU18B
2018-01-01Not available in this setting$870.98RVU18AR1
2017-10-01Not available in this setting$877.79RVU17D
2017-07-01Not available in this setting$877.79RVU17C
2017-04-01Not available in this setting$877.79RVU17B
2017-01-01Not available in this setting$877.79RVU17A
2016-10-01Not available in this setting$883.08RVU16D
2016-07-01Not available in this setting$883.08RVU16C
2016-04-01Not available in this setting$883.08RVU16B
2016-01-01Not available in this setting$883.08RVU16A
2015-10-01Not available in this setting$891.12RVU15D
2015-07-01Not available in this setting$891.12RVU15C
2015-04-01Not available in this setting$886.69RVU15B
2015-01-01Not available in this setting$886.69RVU15A
2014-10-01Not available in this setting$887.62RVU14D
2014-07-01Not available in this setting$887.62RVU14C
2014-04-01Not available in this setting$887.62RVU14B
2014-01-01Not available in this setting$887.62RVU14A
2013-10-01Not available in this setting$880.42RVU13D
2013-07-01Not available in this setting$880.42RVU13C
2013-04-01Not available in this setting$880.42RVU13B
2013-01-01Not available in this setting$880.42RVU13AR

Price 23450 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

23450 billing questions

How is 23450 distinguished from 23455?

23450 describes the Putti-Platt anterior capsular stabilization technique. Use 23455 when the anterior capsulorrhaphy includes labral repair.

What operative details support 23450?

The note should document the anterior capsular tightening and identify the Putti-Platt technique, side, and structures addressed. The diagnosis alone does not establish the procedure performed.

Does the 90-day global include postoperative visits?

Related postoperative care during the 90 days after surgery is included, along with the day-before preoperative visit.

How is bilateral 23450 reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction at 50%.

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
RVUs for 23450PPRRVU2026_Oct_nonQPP.csv, line 2,204 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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