CPT code 23505: Clavicle fracture, with manipulation2026 Medicare rate & RVUs

Medicare pays $408.83 for 23505 nationally in the office and $345.37 in a hospital or facility. Local office rates run $359.44–$523.65.

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

What 23505 covers

A physician, commonly an orthopedist, treats a clavicle fracture by manipulating the bone fragments to improve their alignment without surgically exposing the fracture or placing internal fixation. The service may be provided in a clinic, emergency department, or hospital. A sling or other immobilization may support the treated fracture; the key distinction from treatment without manipulation is that the physician actually performs a reduction maneuver, not simply that the fracture is displaced.

Select this code when the documented treatment includes manipulation of the clavicle fracture. The record should identify the fracture and side, describe the reduction maneuver and resulting alignment, and support the treatment provided. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are 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 23505 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

23505 rates by state

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

How the 23505 rate is calculated

Each of 23505’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 23505

23505 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

23505 compared with similar codes

How to choose

23500Clavicle fracture careWithout manipulation

Both codes describe closed clavicle fracture treatment. Choose 23505 only when the physician performs manipulation; treatment without manipulation is reported with 23500.

23515Clavicle fracture repairOpen treatment

Use 23515 for open treatment with internal fixation. This code describes manipulation without surgically exposing and fixing the fracture.

23545AC joint treatmentClosed, with manipulation

This code concerns closed treatment with manipulation of an acromioclavicular dislocation, not a clavicle fracture.

Codes related to 23505

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

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