CPT code 23505: Clavicle fracture, with manipulation2026 Medicare rate & RVUs in Montana
Reports closed treatment of a clavicle fracture when the physician manipulates the fracture to improve alignment without surgically exposing or fixing it.
In Montana, Medicare pays $408.77 for 23505 in the office and $345.31 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 23505 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 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.
How Montana compares for 23505
Across 109 of 109 payment localities, the office rate for 23505 runs from $359.44 in Arkansas to $523.65 in San Benito County, CA. Montana pays $408.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$408.77
- Los Angeles, CA · California$451.91+$43.14
- Washington, DC area · District of Columbia$464.39+$55.62
- Miami, FL · Florida$460.74+$51.97
- Chicago, IL · Illinois$446.02+$37.25
- Manhattan, NY · New York$474.32+$65.55
- Alaska · Alaska$475.69+$66.92
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $364.94 | $309.41 |
| ArkansasArkansas | $359.44 | $304.93 |
| ArizonaArizona | $396.96 | $335.46 |
| Bakersfield, CACalifornia | $425.31 | $355.75 |
| Chico, CACalifornia | $423.08 | $353.53 |
| El Centro, CACalifornia | $423.22 | $353.66 |
| Fresno, CACalifornia | $423.08 | $353.53 |
| Hanford, CACalifornia | $423.08 | $353.53 |
| Madera, CACalifornia | $423.08 | $353.53 |
| Merced, CACalifornia | $423.08 | $353.53 |
| Modesto, CACalifornia | $423.08 | $353.53 |
| Napa, CACalifornia | $485.15 | $401.51 |
| Oxnard, CACalifornia | $448.92 | $373.91 |
| Redding, CACalifornia | $423.08 | $353.53 |
| Rest of CaliforniaCalifornia | $423.08 | $353.53 |
| Riverside, CACalifornia | $431.78 | $362.23 |
| Sacramento, CACalifornia | $442.68 | $368.87 |
| Salinas, CACalifornia | $441.03 | $367.48 |
| San Diego, CACalifornia | $450.58 | $374.68 |
| Marin County, CACalifornia | $511.47 | $421.99 |
| San Francisco, CACalifornia | $510.55 | $421.07 |
| San Benito County, CACalifornia | $523.65 | $432.14 |
| Santa Clara County, CACalifornia | $519.89 | $428.38 |
| San Luis Obispo, CACalifornia | $434.14 | $361.86 |
| Santa Cruz, CACalifornia | $454.19 | $377.08 |
| Santa Maria, CACalifornia | $442.46 | $368.46 |
| Santa Rosa, CACalifornia | $458.65 | $380.72 |
| Stockton, CACalifornia | $423.08 | $353.53 |
| Vallejo, CACalifornia | $483.82 | $400.18 |
| Visalia, CACalifornia | $423.08 | $353.53 |
| Yuba City, CACalifornia | $423.08 | $353.53 |
| ColoradoColorado | $420.86 | $353.33 |
| ConnecticutConnecticut | $436.80 | $368.46 |
| DelawareDelaware | $403.63 | $340.93 |
| Fort Lauderdale, FLFlorida | $434.03 | $369.74 |
| Rest of FloridaFlorida | $411.12 | $350.45 |
| Atlanta, GAGeorgia | $418.75 | $354.28 |
| Rest of GeorgiaGeorgia | $386.25 | $329.64 |
| Hawaii, Guam, HIHawaii | $432.67 | $360.52 |
| IowaIowa | $370.65 | $312.58 |
| IdahoIdaho | $373.99 | $315.61 |
| East St. Louis, ILIllinois | $415.69 | $357.30 |
| Rest of IllinoisIllinois | $401.68 | $343.74 |
| Suburban Chicago, ILIllinois | $437.53 | $372.35 |
| IndianaIndiana | $376.15 | $317.32 |
| KansasKansas | $370.72 | $313.35 |
| KentuckyKentucky | $377.98 | $321.56 |
| New Orleans, LALouisiana | $397.33 | $337.61 |
| Rest of LouisianaLouisiana | $378.11 | $321.95 |
| Metropolitan Boston, MAMassachusetts | $460.85 | $385.08 |
| Rest of MassachusettsMassachusetts | $418.96 | $352.13 |
| Baltimore area, MDMaryland | $436.01 | $367.91 |
| Rest of MarylandMaryland | $410.94 | $346.72 |
| Rest of MaineMaine | $378.03 | $319.64 |
| Southern Maine, MEMaine | $396.53 | $333.64 |
| Detroit, MIMichigan | $418.39 | $357.14 |
| Rest of MichiganMichigan | $389.94 | $332.00 |
| MinnesotaMinnesota | $397.24 | $331.94 |
| Metropolitan Kansas City, MOMissouri | $392.52 | $332.93 |
| Metropolitan St. Louis, MOMissouri | $396.54 | $336.12 |
| Rest of MissouriMissouri | $372.63 | $317.93 |
| MississippiMississippi | $366.02 | $311.38 |
| North CarolinaNorth Carolina | $381.83 | $322.62 |
| North DakotaNorth Dakota | $392.76 | $329.29 |
| NebraskaNebraska | $372.20 | $313.62 |
| New HampshireNew Hampshire | $415.99 | $349.93 |
| Northern New JerseyNew Jersey | $459.67 | $386.05 |
| Rest of New JerseyNew Jersey | $440.10 | $370.80 |
| New MexicoNew Mexico | $392.92 | $334.72 |
| NevadaNevada | $404.57 | $341.04 |
| NYC suburbs and Long Island, NYNew York | $488.59 | $413.14 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $444.55 | $375.06 |
| Queens, NYNew York | $475.57 | $400.55 |
| Rest of New YorkNew York | $387.93 | $327.64 |
| OhioOhio | $386.67 | $328.73 |
| OklahomaOklahoma | $375.27 | $318.60 |
| Portland, OROregon | $432.44 | $361.94 |
| Rest of OregonOregon | $399.76 | $336.56 |
| Metropolitan Philadelphia, PAPennsylvania | $426.84 | $360.77 |
| Rest of PennsylvaniaPennsylvania | $386.25 | $327.99 |
| Puerto RicoPuerto Rico | $411.25 | $347.09 |
| Rhode IslandRhode Island | $416.76 | $351.20 |
| South CarolinaSouth Carolina | $385.22 | $326.58 |
| South DakotaSouth Dakota | $390.86 | $327.40 |
| TennesseeTennessee | $372.90 | $315.21 |
| Austin, TXTexas | $420.91 | $353.77 |
| Beaumont, TXTexas | $383.76 | $326.01 |
| Brazoria, TXTexas | $401.56 | $338.67 |
| Dallas, TXTexas | $405.08 | $341.87 |
| Fort Worth, TXTexas | $402.86 | $340.28 |
| Galveston, TXTexas | $403.37 | $340.35 |
| Houston, TXTexas | $418.20 | $355.18 |
| Rest of TexasTexas | $393.09 | $332.86 |
| UtahUtah | $390.64 | $330.98 |
| VirginiaVirginia | $396.50 | $334.12 |
| Virgin Islands, VIUnited States Virgin Islands | $411.25 | $347.09 |
| VermontVermont | $392.89 | $330.06 |
| Rest of WashingtonWashington | $417.61 | $350.79 |
| King County, WAWashington | $468.49 | $390.62 |
| WisconsinWisconsin | $379.30 | $318.51 |
| West VirginiaWest Virginia | $386.80 | $331.65 |
| WyomingWyoming | $401.79 | $338.33 |
23505 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.
$359.44
$475.69
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $475.69 | 1 |
| AL | $364.94 | 1 |
| AR | $359.44 | 1 |
| AZ | $396.96 | 1 |
| CA | $423.08–$523.65 | 29 |
| CO | $420.86 | 1 |
| CT | $436.80 | 1 |
| DC | $464.39 | 1 |
| DE | $403.63 | 1 |
| FL | $411.12–$460.74 | 3 |
| GA | $386.25–$418.75 | 2 |
| GU | $432.67 | 1 |
| HI | $432.67 | 1 |
| IA | $370.65 | 1 |
| ID | $373.99 | 1 |
| IL | $401.68–$446.02 | 4 |
| IN | $376.15 | 1 |
| KS | $370.72 | 1 |
| KY | $377.98 | 1 |
| LA | $378.11–$397.33 | 2 |
| MA | $418.96–$460.85 | 2 |
| MD | $410.94–$464.39 | 3 |
| ME | $378.03–$396.53 | 2 |
| MI | $389.94–$418.39 | 2 |
| MN | $397.24 | 1 |
| MO | $372.63–$396.54 | 3 |
| MS | $366.02 | 1 |
| MT | $408.77 | 1 |
| NC | $381.83 | 1 |
| ND | $392.76 | 1 |
| NE | $372.20 | 1 |
| NH | $415.99 | 1 |
| NJ | $440.10–$459.67 | 2 |
| NM | $392.92 | 1 |
| NV | $404.57 | 1 |
| NY | $387.93–$488.59 | 5 |
| OH | $386.67 | 1 |
| OK | $375.27 | 1 |
| OR | $399.76–$432.44 | 2 |
| PA | $386.25–$426.84 | 2 |
| PR | $411.25 | 1 |
| RI | $416.76 | 1 |
| SC | $385.22 | 1 |
| SD | $390.86 | 1 |
| TN | $372.90 | 1 |
| TX | $383.76–$420.91 | 8 |
| UT | $390.64 | 1 |
| VA | $396.50–$464.39 | 2 |
| VI | $411.25 | 1 |
| VT | $392.89 | 1 |
| WA | $417.61–$468.49 | 2 |
| WI | $379.30 | 1 |
| WV | $386.80 | 1 |
| WY | $401.79 | 1 |
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.
How the rate is built · 23505
RVUs × geographic indexes × conversion factor
Work3.73
3.73 RVUs× 1.000 GPCI
Practice expense7.70
7.70 RVUs× 1.000 GPCI
Malpractice0.81
0.81 RVUs× 1.000 GPCI
Adjusted RVUs
12.2400
Conversion factor
$33.4009
Medicare rate
$408.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,219
- Code
- 23505
- Physician work
- 3.73
- Practice expense
- 7.70
- Malpractice
- 0.81
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.73 | × 1.000 | 3.7300 |
| Practice expense | 7.70 | × 1.000 | 7.7000 |
| Malpractice | 0.81 | × 0.998 | 0.8084 |
| Total RVUs | 12.2384 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$408.77
Office: (3.73 × 1 + 7.7 × 1 + 0.81 × 0.998) × $33.4009 = $408.77
Facility: (3.73 × 1 + 5.8 × 1 + 0.81 × 0.998) × $33.4009 = $345.31
Payment rules and modifiers for 23505
23505 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23505
Clavicle fracture, with manipulation
| 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) | 0 | Not permitted. |
| 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 · 23505
Clavicle fracture, with manipulation
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
23505 without 50 · national office
$408.83
Clavicle fracture, with manipulation
23505-50 · Bilateral: 150%
$613.25
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 23505 has changed in Montana
23505 · Office / nonfacility
$408.77
Effective 2026-10-01
The base rate is $41.23 higher than on 2025-10-01, moving from $367.54 to $408.77 (11.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$367.54changed to$408.77
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.83 changed to 3.73
- Practice expense RVU 6.76 changed to 7.70
- Malpractice RVU 0.79 changed to 0.81
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$373.59changed to$367.54
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 6.64 changed to 6.76
- Malpractice RVU 0.77 changed to 0.79
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$367.49changed to$373.59
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$373.22changed to$367.49
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.45 changed to 6.64
- Malpractice RVU 0.75 changed to 0.77
January 1, 2023
RVU23A
$374.17changed to$373.22
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.23 changed to 6.45
- Malpractice RVU 0.77 changed to 0.75
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$370.32changed to$374.17
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.06 changed to 6.23
- Malpractice RVU 0.74 changed to 0.77
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$378.62changed to$370.32
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.67 changed to 6.06
- Malpractice RVU 0.76 changed to 0.74
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$381.94changed to$378.62
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.61 changed to 5.67
- Malpractice RVU 0.71 changed to 0.76
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$379.95changed to$381.94
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.55 changed to 5.61
- Malpractice RVU 0.72 changed to 0.71
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$369.10changed to$379.95
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.44 changed to 5.55
- Malpractice RVU 0.71 changed to 0.72
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$366.46changed to$369.10
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.51 changed to 5.44
- Malpractice RVU 0.73 changed to 0.71
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$367.86changed to$366.46
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.50 changed to 5.51
- Malpractice RVU 0.74 changed to 0.73
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$366.03changed to$367.86
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$361.59changed to$366.03
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 5.46 changed to 5.50
- Malpractice RVU 0.69 changed to 0.74
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$362.15changed to$361.59
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 6.02 changed to 5.46
- Malpractice RVU 0.72 changed to 0.69
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $362.15
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $408.77 | $345.31 | RVU26D |
| 2026-07-01 | $408.77 | $345.31 | RVU26C |
| 2026-04-01 | $408.77 | $345.31 | RVU26B |
| 2026-01-01 | $408.77 | $345.31 | RVU26A |
| 2025-10-01 | $367.54 | $341.02 | RVU25D |
| 2025-07-01 | $367.54 | $341.02 | RVU25C |
| 2025-04-01 | $367.54 | $341.02 | RVU25B |
| 2025-01-01 | $367.54 | $341.02 | RVU25A |
| 2024-10-01 | $373.59 | $346.62 | RVU24D |
| 2024-07-01 | $373.59 | $346.62 | RVU24C |
| 2024-04-01 | $373.59 | $346.62 | RVU24B |
| 2024-03-09 | $373.59 | $346.62 | RVU24AR |
| 2024-01-01 | $367.49 | $340.97 | RVU24A |
| 2023-10-01 | $373.22 | $346.11 | RVU23D |
| 2023-07-01 | $373.22 | $346.11 | RVU23C |
| 2023-04-01 | $373.22 | $346.11 | RVU23B |
| 2023-01-01 | $373.22 | $346.11 | RVU23A |
| 2022-10-01 | $374.17 | $347.53 | RVU22D |
| 2022-07-01 | $374.17 | $347.53 | RVU22C |
| 2022-04-01 | $374.17 | $347.53 | RVU22B |
| 2022-01-01 | $374.17 | $347.53 | RVU22A |
| 2021-10-01 | $370.32 | $344.50 | RVU21D |
| 2021-07-01 | $370.32 | $344.50 | RVU21C |
| 2021-04-01 | $370.32 | $344.50 | RVU21B |
| 2021-01-01 | $370.32 | $344.50 | RVU21A |
| 2020-10-01 | $378.62 | $355.16 | RVU20D |
| 2020-07-01 | $378.62 | $355.16 | RVU20C |
| 2020-04-01 | $378.62 | $355.16 | RVU20B |
| 2020-01-01 | $378.62 | $355.16 | RVU20A |
| 2019-10-01 | $381.94 | $358.88 | RVU19D |
| 2019-07-01 | $381.94 | $358.88 | RVU19C |
| 2019-04-01 | $381.94 | $358.88 | RVU19B |
| 2019-01-01 | $381.94 | $358.88 | RVU19A |
| 2018-10-01 | $379.95 | $357.99 | RVU18D |
| 2018-07-01 | $379.95 | $357.99 | RVU18C |
| 2018-04-01 | $379.95 | $357.99 | RVU18B |
| 2018-01-01 | $379.95 | $357.99 | RVU18AR1 |
| 2017-10-01 | $369.10 | $349.36 | RVU17D |
| 2017-07-01 | $369.10 | $349.36 | RVU17C |
| 2017-04-01 | $369.10 | $349.36 | RVU17B |
| 2017-01-01 | $369.10 | $349.36 | RVU17A |
| 2016-10-01 | $366.46 | $346.76 | RVU16D |
| 2016-07-01 | $366.46 | $346.76 | RVU16C |
| 2016-04-01 | $366.46 | $346.76 | RVU16B |
| 2016-01-01 | $366.46 | $346.76 | RVU16A |
| 2015-10-01 | $367.86 | $347.38 | RVU15D |
| 2015-07-01 | $367.86 | $347.38 | RVU15C |
| 2015-04-01 | $366.03 | $345.65 | RVU15B |
| 2015-01-01 | $366.03 | $345.65 | RVU15A |
| 2014-10-01 | $361.59 | $342.25 | RVU14D |
| 2014-07-01 | $361.59 | $342.25 | RVU14C |
| 2014-04-01 | $361.59 | $342.25 | RVU14B |
| 2014-01-01 | $361.59 | $342.25 | RVU14A |
| 2013-10-01 | $362.15 | $341.39 | RVU13D |
| 2013-07-01 | $362.15 | $341.39 | RVU13C |
| 2013-04-01 | $362.15 | $341.39 | RVU13B |
| 2013-01-01 | $362.15 | $341.39 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
23505 billing questions
When should this code be chosen instead of 23500?
Use 23505 when the physician manipulates the fracture to improve alignment. Use 23500 when the clavicle fracture is treated without manipulation.
Does displacement alone support reporting this code?
No. The documentation should show that the physician performed a manipulation or reduction, rather than relying on displacement as evidence of the service.
Is routine fracture follow-up included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this code. CMS does not permit co-surgeons or team surgery.
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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