CPT code 23480: Clavicle osteotomy, alignment correction2026 Medicare rate & RVUs in Delaware
Reports a planned clavicle bone cut to correct alignment or shape, with or without fixation, rather than treatment of an acute fracture.
In Delaware, Medicare pays $753.97 for 23480 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 23480 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 23480 covers
An orthopedic surgeon cuts and reshapes the clavicle to correct a structural alignment problem. The surgeon may use plates, screws, or other internal fixation to hold the bone in its corrected position. This is generally performed in an operating room, such as a hospital or ambulatory surgical facility, when a planned osteotomy is needed rather than routine fracture fixation or treatment of a nonunion or malunion.
The operative report should identify the clavicle, the reason for the osteotomy, the bone cut and correction performed, and any fixation used. Internal fixation used to stabilize the osteotomy is part of the service. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 is statutorily restricted; co-surgeons require 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 Delaware compares for 23480
Across 109 of 109 payment localities, the facility rate for 23480 runs from $681.58 in Arkansas to $935.78 in Alaska. Delaware pays $753.97. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$753.97
- Los Angeles, CA · California$808.71+$54.74
- Washington, DC area · District of Columbia$848.04+$94.07
- Miami, FL · Florida$899.07+$145.10
- Chicago, IL · Illinois$871.86+$117.89
- Manhattan, NY · New York$884.79+$130.82
- Alaska · Alaska$935.78+$181.81
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $690.59 |
| ArkansasArkansas | — | $681.58 |
| ArizonaArizona | — | $742.79 |
| Bakersfield, CACalifornia | — | $769.24 |
| Chico, CACalifornia | — | $762.64 |
| El Centro, CACalifornia | — | $763.04 |
| Fresno, CACalifornia | — | $762.64 |
| Hanford, CACalifornia | — | $762.64 |
| Madera, CACalifornia | — | $762.64 |
| Merced, CACalifornia | — | $762.64 |
| Modesto, CACalifornia | — | $762.64 |
| Napa, CACalifornia | — | $846.04 |
| Oxnard, CACalifornia | — | $800.23 |
| Redding, CACalifornia | — | $762.64 |
| Rest of CaliforniaCalifornia | — | $762.64 |
| Riverside, CACalifornia | — | $788.42 |
| Sacramento, CACalifornia | — | $790.41 |
| Salinas, CACalifornia | — | $787.30 |
| San Diego, CACalifornia | — | $798.80 |
| Marin County, CACalifornia | — | $882.47 |
| San Francisco, CACalifornia | — | $879.74 |
| San Benito County, CACalifornia | — | $904.13 |
| Santa Clara County, CACalifornia | — | $892.99 |
| San Luis Obispo, CACalifornia | — | $775.88 |
| Santa Cruz, CACalifornia | — | $800.78 |
| Santa Maria, CACalifornia | — | $788.33 |
| Santa Rosa, CACalifornia | — | $808.17 |
| Stockton, CACalifornia | — | $762.64 |
| Vallejo, CACalifornia | — | $842.11 |
| Visalia, CACalifornia | — | $762.64 |
| Yuba City, CACalifornia | — | $762.64 |
| ColoradoColorado | — | $770.54 |
| ConnecticutConnecticut | — | $811.94 |
| Fort Lauderdale, FLFlorida | — | $832.65 |
| Rest of FloridaFlorida | — | $790.65 |
| Atlanta, GAGeorgia | — | $786.05 |
| Rest of GeorgiaGeorgia | — | $746.01 |
| Hawaii, Guam, HIHawaii | — | $772.32 |
| IowaIowa | — | $689.36 |
| IdahoIdaho | — | $697.00 |
| East St. Louis, ILIllinois | — | $820.53 |
| Rest of IllinoisIllinois | — | $782.22 |
| Suburban Chicago, ILIllinois | — | $836.71 |
| IndianaIndiana | — | $700.19 |
| KansasKansas | — | $694.55 |
| KentuckyKentucky | — | $722.88 |
| New Orleans, LALouisiana | — | $756.61 |
| Rest of LouisianaLouisiana | — | $725.10 |
| Metropolitan Boston, MAMassachusetts | — | $830.21 |
| Rest of MassachusettsMassachusetts | — | $769.94 |
| Baltimore area, MDMaryland | — | $811.37 |
| Rest of MarylandMaryland | — | $764.76 |
| Rest of MaineMaine | — | $708.94 |
| Southern Maine, MEMaine | — | $731.53 |
| Detroit, MIMichigan | — | $808.09 |
| Rest of MichiganMichigan | — | $747.43 |
| MinnesotaMinnesota | — | $716.38 |
| Metropolitan Kansas City, MOMissouri | — | $743.25 |
| Metropolitan St. Louis, MOMissouri | — | $749.26 |
| Rest of MissouriMissouri | — | $719.30 |
| MississippiMississippi | — | $700.15 |
| MontanaMontana | — | $763.72 |
| North CarolinaNorth Carolina | — | $714.31 |
| North DakotaNorth Dakota | — | $716.26 |
| NebraskaNebraska | — | $690.31 |
| New HampshireNew Hampshire | — | $766.48 |
| Northern New JerseyNew Jersey | — | $842.28 |
| Rest of New JerseyNew Jersey | — | $815.02 |
| New MexicoNew Mexico | — | $754.43 |
| NevadaNevada | — | $750.80 |
| NYC suburbs and Long Island, NYNew York | — | $914.83 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $826.88 |
| Queens, NYNew York | — | $879.41 |
| Rest of New YorkNew York | — | $724.67 |
| OhioOhio | — | $737.73 |
| OklahomaOklahoma | — | $713.05 |
| Portland, OROregon | — | $783.55 |
| Rest of OregonOregon | — | $738.84 |
| Metropolitan Philadelphia, PAPennsylvania | — | $798.74 |
| Rest of PennsylvaniaPennsylvania | — | $734.22 |
| Puerto RicoPuerto Rico | — | $766.06 |
| Rhode IslandRhode Island | — | $772.52 |
| South CarolinaSouth Carolina | — | $728.45 |
| South DakotaSouth Dakota | — | $710.65 |
| TennesseeTennessee | — | $698.74 |
| Austin, TXTexas | — | $773.35 |
| Beaumont, TXTexas | — | $730.47 |
| Brazoria, TXTexas | — | $746.48 |
| Dallas, TXTexas | — | $754.65 |
| Fort Worth, TXTexas | — | $752.61 |
| Galveston, TXTexas | — | $750.94 |
| Houston, TXTexas | — | $794.87 |
| Rest of TexasTexas | — | $740.40 |
| UtahUtah | — | $737.22 |
| VirginiaVirginia | — | $735.08 |
| Virgin Islands, VIUnited States Virgin Islands | — | $766.06 |
| VermontVermont | — | $721.20 |
| Rest of WashingtonWashington | — | $765.93 |
| King County, WAWashington | — | $837.90 |
| WisconsinWisconsin | — | $695.47 |
| West VirginiaWest Virginia | — | $758.09 |
| WyomingWyoming | — | $743.04 |
23480 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 23480 rate is calculated
Each of 23480’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 · 23480
RVUs × geographic indexes × conversion factor
Work11.25
11.25 RVUs× 1.000 GPCI
Practice expense9.22
9.22 RVUs× 1.000 GPCI
Malpractice2.40
2.40 RVUs× 1.000 GPCI
Adjusted RVUs
22.8700
Conversion factor
$33.4009
Medicare rate
$763.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,214
- Code
- 23480
- Physician work
- 11.25
- Practice expense
- 9.22
- Malpractice
- 2.40
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.25 | × 1.005 | 11.3062 |
| Practice expense | 9.22 | × 0.988 | 9.1094 |
| Malpractice | 2.40 | × 0.899 | 2.1576 |
| Total RVUs | 22.5732 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$753.97
Facility: (11.25 × 1.005 + 9.22 × 0.988 + 2.4 × 0.899) × $33.4009 = $753.97
Payment rules and modifiers for 23480
23480 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23480
Clavicle osteotomy, alignment correction
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 23480
Clavicle osteotomy, alignment correction
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
23480 without 50 · national facility
$763.88
Clavicle osteotomy, alignment correction
23480-50 · Bilateral: 150%
$1,145.82
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).
How 23480 has changed in Delaware
23480 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $753.97 | RVU26D |
| 2026-07-01 | Not available in this setting | $753.97 | RVU26C |
| 2026-04-01 | Not available in this setting | $753.97 | RVU26B |
| 2026-01-01 | Not available in this setting | $753.97 | RVU26A |
| 2025-10-01 | Not available in this setting | $808.79 | RVU25D |
| 2025-07-01 | Not available in this setting | $808.79 | RVU25C |
| 2025-04-01 | Not available in this setting | $808.79 | RVU25B |
| 2025-01-01 | Not available in this setting | $808.79 | RVU25A |
| 2024-10-01 | Not available in this setting | $825.04 | RVU24D |
| 2024-07-01 | Not available in this setting | $825.04 | RVU24C |
| 2024-04-01 | Not available in this setting | $825.04 | RVU24B |
| 2024-03-09 | Not available in this setting | $825.04 | RVU24AR |
| 2024-01-01 | Not available in this setting | $811.57 | RVU24A |
| 2023-10-01 | Not available in this setting | $837.42 | RVU23D |
| 2023-07-01 | Not available in this setting | $837.42 | RVU23C |
| 2023-04-01 | Not available in this setting | $837.42 | RVU23B |
| 2023-01-01 | Not available in this setting | $837.42 | RVU23A |
| 2022-10-01 | Not available in this setting | $848.74 | RVU22D |
| 2022-07-01 | Not available in this setting | $848.74 | RVU22C |
| 2022-04-01 | Not available in this setting | $848.74 | RVU22B |
| 2022-01-01 | Not available in this setting | $848.74 | RVU22A |
| 2021-10-01 | Not available in this setting | $850.34 | RVU21D |
| 2021-07-01 | Not available in this setting | $850.34 | RVU21C |
| 2021-04-01 | Not available in this setting | $850.34 | RVU21B |
| 2021-01-01 | Not available in this setting | $850.34 | RVU21A |
| 2020-10-01 | Not available in this setting | $867.20 | RVU20D |
| 2020-07-01 | Not available in this setting | $867.20 | RVU20C |
| 2020-04-01 | Not available in this setting | $867.20 | RVU20B |
| 2020-01-01 | Not available in this setting | $867.20 | RVU20A |
| 2019-10-01 | Not available in this setting | $873.91 | RVU19D |
| 2019-07-01 | Not available in this setting | $873.91 | RVU19C |
| 2019-04-01 | Not available in this setting | $873.91 | RVU19B |
| 2019-01-01 | Not available in this setting | $873.91 | RVU19A |
| 2018-10-01 | Not available in this setting | $871.74 | RVU18D |
| 2018-07-01 | Not available in this setting | $871.74 | RVU18C |
| 2018-04-01 | Not available in this setting | $871.74 | RVU18B |
| 2018-01-01 | Not available in this setting | $871.74 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $867.24 | RVU17D |
| 2017-07-01 | Not available in this setting | $867.24 | RVU17C |
| 2017-04-01 | Not available in this setting | $867.24 | RVU17B |
| 2017-01-01 | Not available in this setting | $867.24 | RVU17A |
| 2016-10-01 | Not available in this setting | $868.11 | RVU16D |
| 2016-07-01 | Not available in this setting | $868.11 | RVU16C |
| 2016-04-01 | Not available in this setting | $868.11 | RVU16B |
| 2016-01-01 | Not available in this setting | $868.11 | RVU16A |
| 2015-10-01 | Not available in this setting | $873.93 | RVU15D |
| 2015-07-01 | Not available in this setting | $873.93 | RVU15C |
| 2015-04-01 | Not available in this setting | $869.58 | RVU15B |
| 2015-01-01 | Not available in this setting | $869.58 | RVU15A |
| 2014-10-01 | Not available in this setting | $845.86 | RVU14D |
| 2014-07-01 | Not available in this setting | $845.86 | RVU14C |
| 2014-04-01 | Not available in this setting | $845.86 | RVU14B |
| 2014-01-01 | Not available in this setting | $845.86 | RVU14A |
| 2013-10-01 | Not available in this setting | $822.32 | RVU13D |
| 2013-07-01 | Not available in this setting | $822.32 | RVU13C |
| 2013-04-01 | Not available in this setting | $822.32 | RVU13B |
| 2013-01-01 | Not available in this setting | $822.32 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
23480 billing questions
How does this differ from 23485?
Use 23480 for a clavicle osteotomy for a reason other than treatment of a nonunion or malunion. Code 23485 is the related option when the osteotomy addresses a clavicular nonunion or malunion.
Is internal fixation separately reported?
Fixation used to stabilize the osteotomy is included in this service. Document the fixation performed, but do not report a separate fixation procedure solely for that stabilization.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The operative and follow-up documentation should support the relationship of care to the surgery.
How is bilateral clavicle surgery reported?
When the procedure is performed bilaterally, report modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction for this code. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
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