CPT code 23470: Shoulder arthroplasty, hemiarthroplasty2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,079.69 for 23470 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 23470 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 23470 covers

An orthopedic surgeon performs this operation to replace the humeral side of the glenohumeral joint while leaving the patient’s natural glenoid in place. It may be selected for severe shoulder arthritis or substantial humeral head damage when the surgeon plans a hemiarthroplasty rather than replacement of both joint surfaces. The procedure is generally performed in an operating room, with the operative report documenting the condition treated and the components replaced or retained.

Report the code for the hemiarthroplasty, not for a total shoulder replacement or revision of an existing prosthesis. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery payment 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 23470

Across 109 of 109 payment localities, the facility rate for 23470 runs from $975.71 in Arkansas to $1,350.85 in Alaska. New Mexico pays $1,079.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23470 rates by state

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

See 23470 in every payment locality

How the 23470 rate is calculated

Each of 23470’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 23470

23470 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 23470

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

How 23470 has changed in New Mexico

Price 23470 for an earlier date of service

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

Browse all communities in New Mexico

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