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CPT code 23532: Joint reconstruction, fascial graft2026 Medicare rate & RVUs

Reports open surgical treatment of an acute or chronic sternoclavicular dislocation when reconstruction uses a fascial graft to restore joint stability.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $597.21 for 23532 nationally in a facility.

Medicare rate · 23532

Joint reconstruction, fascial graft

Office or facility?

Work RVUs
8
Total RVUs
17.88
Global days
090

National rate · 2026

$597.21

Facility setting, before claim adjustments.

See every locality for 23532 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 23532 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 23532 covers

An orthopedic surgeon uses this code for open treatment of a sternoclavicular joint dislocation, at the junction of the sternum and clavicle, when a fascial graft is used. It can describe graft-assisted reconstruction for an acute or chronic dislocation, including a chronic or recurrent instability case requiring operative restoration of joint stability. The operative report should identify the affected joint, the dislocation, and the graft-based work performed.

Report this code rather than the open-treatment code without a graft when the fascial graft is part of the procedure. CMS 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 other procedures are subject to a 50% reduction. Bilateral treatment reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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 23532 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

23532 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$538.41
AlaskaUnavailable$723.08
ArizonaUnavailable$580.56
ArkansasUnavailable$531.15
Atlanta, GAUnavailable$613.79
Austin, TXUnavailable$607.12
Bakersfield, CAUnavailable$606.31
Baltimore area, MDUnavailable$634.89
Beaumont, TXUnavailable$568.59
Brazoria, TXUnavailable$584.39

23532 rates by state

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

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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
23532 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 23532 rate is calculated

Each of 23532’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 · 23532

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.00

8.00 RVUs× 1.000 GPCI

Practice expense8.18

8.18 RVUs× 1.000 GPCI

Malpractice1.70

1.70 RVUs× 1.000 GPCI

Adjusted RVUs

17.8800

Conversion factor

$33.4009

Medicare rate

$597.21

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 23532

23532 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23532

Joint reconstruction, fascial graft

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 23532

Joint reconstruction, fascial 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

23532 without 50 · national facility

$597.21

Joint reconstruction, fascial graft

23532-50 · Bilateral: 150%

$895.82

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).

When to use modifier 50

23532 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 23532

    Joint reconstruction, fascial graft8 wRVU

    Not priced

  • 23530

    Joint dislocation surgery, sternoclavicular, without graft7.29 wRVU

    Not priced

  • 23520

    Sternoclavicular treatment, without manipulation2.23 wRVU

    $270.55

  • 23525

    Joint reduction, sternoclavicular with manipulation3.7 wRVU

    $446.24

  • 23552

    AC joint reconstruction, with graft8.6 wRVU

    Not priced

How to choose

23530Joint dislocation surgerySternoclavicular, without graft
Both describe open treatment of an acute or chronic sternoclavicular dislocation. Choose 23532 when a fascial graft is used; choose 23530 when treatment does not include one.
23520Sternoclavicular treatmentWithout manipulation
23520 is closed treatment without manipulation. It does not describe the open graft reconstruction reported with 23532.
23525Joint reductionSternoclavicular with manipulation
23525 describes closed treatment with manipulation; 23532 describes open treatment that includes a fascial graft.
23552AC joint reconstructionWith graft
23552 is the graft-assisted open-treatment code for an acromioclavicular dislocation. Code 23532 is for a sternoclavicular dislocation.

Codes related to 23532

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

Codes related to 23532
CodeHow it relatesNational office range
Same family
23530Joint dislocation surgery, sternoclavicular, without graftOpen treatment of sternoclavicular dislocation without a fascial graft.No office rate
23520Sternoclavicular treatment, without manipulationClosed treatment of sternoclavicular dislocation without manipulation.$237.50–$351.18
23525Joint reduction, sternoclavicular with manipulationClosed treatment of sternoclavicular dislocation with manipulation.$391.66–$578.54
Used instead
23552AC joint reconstruction, with graftGraft-assisted open treatment applies to an acromioclavicular, rather than sternoclavicular, dislocation.No office rate

23532 billing questions

When is 23532 used instead of 23530?

Use 23532 when open treatment of the sternoclavicular dislocation includes a fascial graft. Use 23530 for open treatment without a fascial graft.

Does the 90-day global include routine postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral treatment reported?

For bilateral sternoclavicular treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant surgeon be reported?

CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.

How does the multiple-procedure rule affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.

What documentation supports 23532?

Document the sternoclavicular dislocation, the side treated, and the open procedure and fascial graft work. The record should make clear why the graft was part of the treatment.

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
RVUs for 23532PPRRVU2026_Oct_nonQPP.csv, line 2,224 (RVU26D)

Open CMS sourceHow we calculate rates

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