CPT code 23530: Joint dislocation surgery, sternoclavicular, without graft2026 Medicare rate & RVUs in New Mexico
Open surgical treatment of an acute or chronic sternoclavicular dislocation, reported when the dislocated joint is addressed through an operative approach.
In New Mexico, Medicare pays $538.35 for 23530 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 23530 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 23530 covers
This service involves open surgery to treat a dislocation where the medial clavicle meets the sternum. Orthopedic or trauma surgeons may perform it for an acute injury or persistent, chronic displacement when operative treatment is chosen. The operative report should establish the sternoclavicular site and describe the open treatment performed; this code represents the option without graft use.
Report 23532 instead when the open sternoclavicular dislocation treatment includes a graft. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon and team-surgery billing 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 New Mexico compares for 23530
Across 109 of 109 payment localities, the facility rate for 23530 runs from $488.32 in Arkansas to $664.38 in San Benito County, CA. New Mexico pays $538.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$538.35
- Los Angeles, CA · California$588.33+$49.98
- Washington, DC area · District of Columbia$613.32+$74.97
- Miami, FL · Florida$638.18+$99.83
- Chicago, IL · Illinois$618.70+$80.35
- Manhattan, NY · New York$636.01+$97.66
- Alaska · Alaska$664.28+$125.93
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $495.01 |
| ArkansasArkansas | — | $488.32 |
| ArizonaArizona | — | $533.82 |
| Bakersfield, CACalifornia | — | $558.03 |
| Chico, CACalifornia | — | $553.78 |
| El Centro, CACalifornia | — | $554.04 |
| Fresno, CACalifornia | — | $553.78 |
| Hanford, CACalifornia | — | $553.78 |
| Madera, CACalifornia | — | $553.78 |
| Merced, CACalifornia | — | $553.78 |
| Modesto, CACalifornia | — | $553.78 |
| Napa, CACalifornia | — | $619.97 |
| Oxnard, CACalifornia | — | $582.80 |
| Redding, CACalifornia | — | $553.78 |
| Rest of CaliforniaCalifornia | — | $553.78 |
| Riverside, CACalifornia | — | $570.33 |
| Sacramento, CACalifornia | — | $575.44 |
| Salinas, CACalifornia | — | $573.21 |
| San Diego, CACalifornia | — | $582.68 |
| Marin County, CACalifornia | — | $648.63 |
| San Francisco, CACalifornia | — | $646.88 |
| San Benito County, CACalifornia | — | $664.38 |
| Santa Clara County, CACalifornia | — | $657.23 |
| San Luis Obispo, CACalifornia | — | $564.71 |
| Santa Cruz, CACalifornia | — | $585.01 |
| Santa Maria, CACalifornia | — | $574.26 |
| Santa Rosa, CACalifornia | — | $590.50 |
| Stockton, CACalifornia | — | $553.78 |
| Vallejo, CACalifornia | — | $617.45 |
| Visalia, CACalifornia | — | $553.78 |
| Yuba City, CACalifornia | — | $553.78 |
| ColoradoColorado | — | $557.04 |
| ConnecticutConnecticut | — | $584.35 |
| DelawareDelaware | — | $542.08 |
| Fort Lauderdale, FLFlorida | — | $593.98 |
| Rest of FloridaFlorida | — | $563.80 |
| Atlanta, GAGeorgia | — | $564.25 |
| Rest of GeorgiaGeorgia | — | $531.54 |
| Hawaii, Guam, HIHawaii | — | $562.28 |
| IowaIowa | — | $496.49 |
| IdahoIdaho | — | $501.67 |
| East St. Louis, ILIllinois | — | $580.93 |
| Rest of IllinoisIllinois | — | $555.96 |
| Suburban Chicago, ILIllinois | — | $597.39 |
| IndianaIndiana | — | $504.12 |
| KansasKansas | — | $499.20 |
| KentuckyKentucky | — | $516.52 |
| New Orleans, LALouisiana | — | $541.11 |
| Rest of LouisianaLouisiana | — | $517.72 |
| Metropolitan Boston, MAMassachusetts | — | $602.75 |
| Rest of MassachusettsMassachusetts | — | $556.04 |
| Baltimore area, MDMaryland | — | $583.75 |
| Rest of MarylandMaryland | — | $550.38 |
| Rest of MaineMaine | — | $509.33 |
| Southern Maine, MEMaine | — | $527.84 |
| Detroit, MIMichigan | — | $575.50 |
| Rest of MichiganMichigan | — | $533.63 |
| MinnesotaMinnesota | — | $520.27 |
| Metropolitan Kansas City, MOMissouri | — | $532.42 |
| Metropolitan St. Louis, MOMissouri | — | $537.01 |
| Rest of MissouriMissouri | — | $512.70 |
| MississippiMississippi | — | $500.35 |
| MontanaMontana | — | $549.01 |
| North CarolinaNorth Carolina | — | $513.51 |
| North DakotaNorth Dakota | — | $518.56 |
| NebraskaNebraska | — | $497.54 |
| New HampshireNew Hampshire | — | $553.10 |
| Northern New JerseyNew Jersey | — | $608.62 |
| Rest of New JerseyNew Jersey | — | $587.22 |
| NevadaNevada | — | $540.77 |
| NYC suburbs and Long Island, NYNew York | — | $656.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $595.02 |
| Queens, NYNew York | — | $633.69 |
| Rest of New YorkNew York | — | $521.12 |
| OhioOhio | — | $527.41 |
| OklahomaOklahoma | — | $510.44 |
| Portland, OROregon | — | $568.05 |
| Rest of OregonOregon | — | $532.82 |
| Metropolitan Philadelphia, PAPennsylvania | — | $573.84 |
| Rest of PennsylvaniaPennsylvania | — | $525.44 |
| Puerto RicoPuerto Rico | — | $551.14 |
| Rhode IslandRhode Island | — | $556.57 |
| South CarolinaSouth Carolina | — | $522.08 |
| South DakotaSouth Dakota | — | $514.96 |
| TennesseeTennessee | — | $502.16 |
| Austin, TXTexas | — | $558.48 |
| Beaumont, TXTexas | — | $522.58 |
| Brazoria, TXTexas | — | $537.45 |
| Dallas, TXTexas | — | $542.98 |
| Fort Worth, TXTexas | — | $541.11 |
| Galveston, TXTexas | — | $540.43 |
| Houston, TXTexas | — | $568.62 |
| Rest of TexasTexas | — | $531.16 |
| UtahUtah | — | $528.61 |
| VirginiaVirginia | — | $529.67 |
| Virgin Islands, VIUnited States Virgin Islands | — | $551.14 |
| VermontVermont | — | $521.16 |
| Rest of WashingtonWashington | — | $553.45 |
| King County, WAWashington | — | $609.57 |
| WisconsinWisconsin | — | $502.84 |
| West VirginiaWest Virginia | — | $537.98 |
| WyomingWyoming | — | $535.74 |
23530 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 23530 rate is calculated
Each of 23530’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 · 23530
RVUs × geographic indexes × conversion factor
Work7.29
7.29 RVUs× 1.000 GPCI
Practice expense7.61
7.61 RVUs× 1.000 GPCI
Malpractice1.54
1.54 RVUs× 1.000 GPCI
Adjusted RVUs
16.4400
Conversion factor
$33.4009
Medicare rate
$549.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,223
- Code
- 23530
- Physician work
- 7.29
- Practice expense
- 7.61
- Malpractice
- 1.54
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.29 | × 1.000 | 7.2900 |
| Practice expense | 7.61 | × 0.917 | 6.9784 |
| Malpractice | 1.54 | × 1.201 | 1.8495 |
| Total RVUs | 16.1179 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$538.35
Facility: (7.29 × 1 + 7.61 × 0.917 + 1.54 × 1.201) × $33.4009 = $538.35
Payment rules and modifiers for 23530
23530 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23530
Joint dislocation surgery, sternoclavicular, without graft
| 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) | 2 | Paid. |
| 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 · 23530
Joint dislocation surgery, sternoclavicular, without graft
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
23530 without 50 · national facility
$549.11
Joint dislocation surgery, sternoclavicular, without graft
23530-50 · Bilateral: 150%
$823.67
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 23530 has changed in New Mexico
23530 · 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 | $538.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $538.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $538.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $538.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $557.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $557.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $557.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $557.33 | RVU25A |
| 2024-10-01 | Not available in this setting | $568.40 | RVU24D |
| 2024-07-01 | Not available in this setting | $568.40 | RVU24C |
| 2024-04-01 | Not available in this setting | $568.40 | RVU24B |
| 2024-03-09 | Not available in this setting | $568.40 | RVU24AR |
| 2024-01-01 | Not available in this setting | $559.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $571.97 | RVU23D |
| 2023-07-01 | Not available in this setting | $571.97 | RVU23C |
| 2023-04-01 | Not available in this setting | $571.97 | RVU23B |
| 2023-01-01 | Not available in this setting | $571.97 | RVU23A |
| 2022-10-01 | Not available in this setting | $574.63 | RVU22D |
| 2022-07-01 | Not available in this setting | $574.63 | RVU22C |
| 2022-04-01 | Not available in this setting | $574.63 | RVU22B |
| 2022-01-01 | Not available in this setting | $574.63 | RVU22A |
| 2021-10-01 | Not available in this setting | $574.24 | RVU21D |
| 2021-07-01 | Not available in this setting | $574.24 | RVU21C |
| 2021-04-01 | Not available in this setting | $574.24 | RVU21B |
| 2021-01-01 | Not available in this setting | $574.24 | RVU21A |
| 2020-10-01 | Not available in this setting | $583.03 | RVU20D |
| 2020-07-01 | Not available in this setting | $583.03 | RVU20C |
| 2020-04-01 | Not available in this setting | $583.03 | RVU20B |
| 2020-01-01 | Not available in this setting | $583.03 | RVU20A |
| 2019-10-01 | Not available in this setting | $587.60 | RVU19D |
| 2019-07-01 | Not available in this setting | $587.60 | RVU19C |
| 2019-04-01 | Not available in this setting | $581.31 | RVU19B |
| 2019-01-01 | Not available in this setting | $581.31 | RVU19A |
| 2018-10-01 | Not available in this setting | $585.18 | RVU18D |
| 2018-07-01 | Not available in this setting | $585.18 | RVU18C |
| 2018-04-01 | Not available in this setting | $585.18 | RVU18B |
| 2018-01-01 | Not available in this setting | $585.18 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $577.77 | RVU17D |
| 2017-07-01 | Not available in this setting | $577.77 | RVU17C |
| 2017-04-01 | Not available in this setting | $577.77 | RVU17B |
| 2017-01-01 | Not available in this setting | $577.77 | RVU17A |
| 2016-10-01 | Not available in this setting | $554.38 | RVU16D |
| 2016-07-01 | Not available in this setting | $554.38 | RVU16C |
| 2016-04-01 | Not available in this setting | $554.38 | RVU16B |
| 2016-01-01 | Not available in this setting | $554.38 | RVU16A |
| 2015-10-01 | Not available in this setting | $580.06 | RVU15D |
| 2015-07-01 | Not available in this setting | $580.06 | RVU15C |
| 2015-04-01 | Not available in this setting | $577.17 | RVU15B |
| 2015-01-01 | Not available in this setting | $577.17 | RVU15A |
| 2014-10-01 | Not available in this setting | $565.21 | RVU14D |
| 2014-07-01 | Not available in this setting | $565.21 | RVU14C |
| 2014-04-01 | Not available in this setting | $565.21 | RVU14B |
| 2014-01-01 | Not available in this setting | $565.21 | RVU14A |
| 2013-10-01 | Not available in this setting | $555.57 | RVU13D |
| 2013-07-01 | Not available in this setting | $555.57 | RVU13C |
| 2013-04-01 | Not available in this setting | $555.57 | RVU13B |
| 2013-01-01 | Not available in this setting | $555.57 | RVU13AR |
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
23530 billing questions
When should 23530 be used instead of 23532?
Use 23530 for open treatment of a sternoclavicular dislocation without a graft. Use 23532 when the treatment includes graft use.
How does 23530 differ from 23520 or 23525?
23530 represents open surgical treatment. Codes 23520 and 23525 describe closed treatment, with the latter specifying manipulation.
What documentation supports 23530?
Document the sternoclavicular dislocation, its acute or chronic status, and the open treatment performed. The operative record should also make clear whether a graft was used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can 23530 be reported bilaterally or with an assistant?
Bilateral reporting with modifier 50 is paid at 150%, and assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
How are other same-session procedures paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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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