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

In Puerto Rico, Medicare pays $873.97 for 23450 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $873.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23450 rates by state

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

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.

Payment rules and modifiers for 23450

23450 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 23450

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

How 23450 has changed in Puerto Rico

Price 23450 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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