CPT code 23462: Shoulder stabilization, coracoid process transfer2026 Medicare rate & RVUs in Texas
Open anterior shoulder stabilization with transfer of the coracoid process is reported for recurrent instability requiring this specific bony augmentation.
CMS doesn’t publish an office rate for 23462 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 23462 covers
This open operation stabilizes an unstable shoulder by moving the coracoid process, with its attached tendon, to the front of the glenoid and securing it there. Orthopedic surgeons typically perform it for recurrent anterior shoulder dislocations or instability when the operative plan calls for coracoid transfer as part of the stabilization. It is distinct from capsular repair alone and from procedures using a different bone-block method.
Report the code when the operative documentation supports both anterior stabilization and coracoid transfer; the transfer is part of the coded service, not a separate procedure to report again. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.
Where 23462 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $986.59 |
| Beaumont, TX | Unavailable | $937.50 |
| Brazoria, TX | Unavailable | $954.24 |
| Dallas, TX | Unavailable | $965.03 |
| Fort Worth, TX | Unavailable | $962.88 |
| Galveston, TX | Unavailable | $960.18 |
| Houston, TX | Unavailable | $1,019.85 |
| Rest of Texas | Unavailable | $948.57 |
How the 23462 rate is calculated
Each of 23462’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 · 23462
RVUs × geographic indexes × conversion factor
Work15.33
15.33 RVUs× 1.000 GPCI
Practice expense10.67
10.67 RVUs× 1.000 GPCI
Malpractice3.26
3.26 RVUs× 1.000 GPCI
Adjusted RVUs
29.2600
Conversion factor
$33.4009
Medicare rate
$977.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 23462
23462 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23462
Shoulder stabilization, coracoid process transfer
| 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) | 2 | Paid. |
| 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 · 23462
Shoulder stabilization, coracoid process transfer
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
23462 without 50 · national facility
$977.31
Shoulder stabilization, coracoid process transfer
23462-50 · Bilateral: 150%
$1,465.97
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).
23462 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 23450Shoulder stabilizationAnterior Putti-Platt repair
- Choose 23462 when the operative stabilization includes coracoid transfer. Choose 23450 for anterior capsular stabilization without that transfer.
- 23455Shoulder stabilizationAnterior repair with labrum
- 23455 is the relevant choice when anterior stabilization includes labral repair but not coracoid transfer; 23462 describes the coracoid-transfer approach.
- 23460Shoulder stabilizationAnterior capsular repair with bone block
- Both address anterior shoulder stabilization with bony augmentation, but 23462 specifies transfer of the coracoid process; 23460 describes a different bone-block approach.
- 23465Shoulder capsule repairPosterior instability
- 23465 addresses posterior capsular stabilization. Use 23462 for anterior stabilization involving coracoid transfer.
23462 billing questions
When should this code be chosen over a shoulder capsular repair code?
Use it when the documented stabilization includes transfer of the coracoid process. A capsular repair without that transfer is not this service.
Is the coracoid transfer separately billable?
No. The transfer is included in this shoulder stabilization service and should not be reported a second time as a separate procedure.
What documentation supports reporting this code?
The operative report should describe anterior stabilization and the coracoid process transfer, including the transfer’s role in the reconstruction.
How is bilateral reporting handled?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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