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

In South Dakota, Medicare pays $390.86 for 23505 in the office and $327.40 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.

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 South Dakota 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. South Dakota pays $390.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23505 rates by state

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

See 23505 in every payment locality

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

Codes related to 23505

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

How 23505 has changed in South Dakota

Price 23505 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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