CPT code 23532: Joint reconstruction, fascial graft2026 Medicare rate & RVUs in Mississippi
Reports open surgical treatment of an acute or chronic sternoclavicular dislocation when reconstruction uses a fascial graft to restore joint stability.
In Mississippi, Medicare pays $544.41 for 23532 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 23532 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 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.
How Mississippi compares for 23532
Across 109 of 109 payment localities, the facility rate for 23532 runs from $531.15 in Arkansas to $723.08 in Alaska. Mississippi pays $544.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$544.41
- Los Angeles, CA · California$639.08+$94.67
- Washington, DC area · District of Columbia$666.69+$122.28
- Miami, FL · Florida$695.23+$150.82
- Chicago, IL · Illinois$673.98+$129.57
- Manhattan, NY · New York$691.84+$147.43
- Alaska · Alaska$723.08+$178.67
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $538.41 |
| ArkansasArkansas | — | $531.15 |
| ArizonaArizona | — | $580.56 |
| Bakersfield, CACalifornia | — | $606.31 |
| Chico, CACalifornia | — | $601.63 |
| El Centro, CACalifornia | — | $601.92 |
| Fresno, CACalifornia | — | $601.63 |
| Hanford, CACalifornia | — | $601.63 |
| Madera, CACalifornia | — | $601.63 |
| Merced, CACalifornia | — | $601.63 |
| Modesto, CACalifornia | — | $601.63 |
| Napa, CACalifornia | — | $672.99 |
| Oxnard, CACalifornia | — | $633.01 |
| Redding, CACalifornia | — | $601.63 |
| Rest of CaliforniaCalifornia | — | $601.63 |
| Riverside, CACalifornia | — | $619.90 |
| Sacramento, CACalifornia | — | $625.02 |
| Salinas, CACalifornia | — | $622.59 |
| San Diego, CACalifornia | — | $632.77 |
| Marin County, CACalifornia | — | $703.89 |
| San Francisco, CACalifornia | — | $701.96 |
| San Benito County, CACalifornia | — | $721.02 |
| Santa Clara County, CACalifornia | — | $713.12 |
| San Luis Obispo, CACalifornia | — | $613.38 |
| Santa Cruz, CACalifornia | — | $635.21 |
| Santa Maria, CACalifornia | — | $623.70 |
| Santa Rosa, CACalifornia | — | $641.17 |
| Stockton, CACalifornia | — | $601.63 |
| Vallejo, CACalifornia | — | $670.21 |
| Visalia, CACalifornia | — | $601.63 |
| Yuba City, CACalifornia | — | $601.63 |
| ColoradoColorado | — | $605.47 |
| ConnecticutConnecticut | — | $635.51 |
| DelawareDelaware | — | $589.53 |
| Fort Lauderdale, FLFlorida | — | $646.64 |
| Rest of FloridaFlorida | — | $613.75 |
| Atlanta, GAGeorgia | — | $613.79 |
| Rest of GeorgiaGeorgia | — | $578.60 |
| Hawaii, Guam, HIHawaii | — | $610.73 |
| IowaIowa | — | $539.75 |
| IdahoIdaho | — | $545.43 |
| East St. Louis, ILIllinois | — | $632.93 |
| Rest of IllinoisIllinois | — | $605.41 |
| Suburban Chicago, ILIllinois | — | $650.29 |
| IndianaIndiana | — | $548.08 |
| KansasKansas | — | $542.82 |
| KentuckyKentucky | — | $562.05 |
| New Orleans, LALouisiana | — | $588.81 |
| Rest of LouisianaLouisiana | — | $563.40 |
| Metropolitan Boston, MAMassachusetts | — | $654.92 |
| Rest of MassachusettsMassachusetts | — | $604.44 |
| Baltimore area, MDMaryland | — | $634.89 |
| Rest of MarylandMaryland | — | $598.50 |
| Rest of MaineMaine | — | $553.89 |
| Southern Maine, MEMaine | — | $573.80 |
| Detroit, MIMichigan | — | $626.60 |
| Rest of MichiganMichigan | — | $580.76 |
| MinnesotaMinnesota | — | $565.16 |
| Metropolitan Kansas City, MOMissouri | — | $579.24 |
| Metropolitan St. Louis, MOMissouri | — | $584.21 |
| Rest of MissouriMissouri | — | $558.03 |
| MontanaMontana | — | $597.09 |
| North CarolinaNorth Carolina | — | $558.40 |
| North DakotaNorth Dakota | — | $563.48 |
| NebraskaNebraska | — | $540.85 |
| New HampshireNew Hampshire | — | $601.31 |
| Northern New JerseyNew Jersey | — | $661.62 |
| Rest of New JerseyNew Jersey | — | $638.54 |
| New MexicoNew Mexico | — | $585.94 |
| NevadaNevada | — | $588.00 |
| NYC suburbs and Long Island, NYNew York | — | $714.61 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $647.11 |
| Queens, NYNew York | — | $689.13 |
| Rest of New YorkNew York | — | $566.68 |
| OhioOhio | — | $573.89 |
| OklahomaOklahoma | — | $555.31 |
| Portland, OROregon | — | $617.27 |
| Rest of OregonOregon | — | $579.25 |
| Metropolitan Philadelphia, PAPennsylvania | — | $624.18 |
| Rest of PennsylvaniaPennsylvania | — | $571.68 |
| Puerto RicoPuerto Rico | — | $599.36 |
| Rhode IslandRhode Island | — | $605.17 |
| South CarolinaSouth Carolina | — | $567.93 |
| South DakotaSouth Dakota | — | $559.51 |
| TennesseeTennessee | — | $546.06 |
| Austin, TXTexas | — | $607.12 |
| Beaumont, TXTexas | — | $568.59 |
| Brazoria, TXTexas | — | $584.39 |
| Dallas, TXTexas | — | $590.46 |
| Fort Worth, TXTexas | — | $588.46 |
| Galveston, TXTexas | — | $587.67 |
| Houston, TXTexas | — | $618.78 |
| Rest of TexasTexas | — | $577.77 |
| UtahUtah | — | $575.02 |
| VirginiaVirginia | — | $575.87 |
| Virgin Islands, VIUnited States Virgin Islands | — | $599.36 |
| VermontVermont | — | $566.43 |
| Rest of WashingtonWashington | — | $601.59 |
| King County, WAWashington | — | $662.20 |
| WisconsinWisconsin | — | $546.44 |
| West VirginiaWest Virginia | — | $585.89 |
| WyomingWyoming | — | $582.44 |
23532 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 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
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.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,224
- Code
- 23532
- Physician work
- 8.00
- Practice expense
- 8.18
- Malpractice
- 1.70
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.00 | × 1.000 | 8.0000 |
| Practice expense | 8.18 | × 0.861 | 7.0430 |
| Malpractice | 1.70 | × 0.739 | 1.2563 |
| Total RVUs | 16.2993 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$544.41
Facility: (8 × 1 + 8.18 × 0.861 + 1.7 × 0.739) × $33.4009 = $544.41
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
| 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 · 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.
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).
How 23532 has changed in Mississippi
23532 · 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 | $544.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $544.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $544.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $544.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $567.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $567.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $567.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $567.38 | RVU25A |
| 2024-10-01 | Not available in this setting | $578.50 | RVU24D |
| 2024-07-01 | Not available in this setting | $578.50 | RVU24C |
| 2024-04-01 | Not available in this setting | $578.50 | RVU24B |
| 2024-03-09 | Not available in this setting | $578.50 | RVU24AR |
| 2024-01-01 | Not available in this setting | $569.06 | RVU24A |
| 2023-10-01 | Not available in this setting | $579.57 | RVU23D |
| 2023-07-01 | Not available in this setting | $579.57 | RVU23C |
| 2023-04-01 | Not available in this setting | $579.57 | RVU23B |
| 2023-01-01 | Not available in this setting | $579.57 | RVU23A |
| 2022-10-01 | Not available in this setting | $579.49 | RVU22D |
| 2022-07-01 | Not available in this setting | $579.49 | RVU22C |
| 2022-04-01 | Not available in this setting | $579.49 | RVU22B |
| 2022-01-01 | Not available in this setting | $579.49 | RVU22A |
| 2021-10-01 | Not available in this setting | $580.19 | RVU21D |
| 2021-07-01 | Not available in this setting | $580.19 | RVU21C |
| 2021-04-01 | Not available in this setting | $580.19 | RVU21B |
| 2021-01-01 | Not available in this setting | $580.19 | RVU21A |
| 2020-10-01 | Not available in this setting | $579.90 | RVU20D |
| 2020-07-01 | Not available in this setting | $579.90 | RVU20C |
| 2020-04-01 | Not available in this setting | $579.90 | RVU20B |
| 2020-01-01 | Not available in this setting | $579.90 | RVU20A |
| 2019-10-01 | Not available in this setting | $572.52 | RVU19D |
| 2019-07-01 | Not available in this setting | $572.52 | RVU19C |
| 2019-04-01 | Not available in this setting | $569.72 | RVU19B |
| 2019-01-01 | Not available in this setting | $569.72 | RVU19A |
| 2018-10-01 | Not available in this setting | $571.13 | RVU18D |
| 2018-07-01 | Not available in this setting | $571.13 | RVU18C |
| 2018-04-01 | Not available in this setting | $571.13 | RVU18B |
| 2018-01-01 | Not available in this setting | $571.13 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $571.82 | RVU17D |
| 2017-07-01 | Not available in this setting | $571.82 | RVU17C |
| 2017-04-01 | Not available in this setting | $571.82 | RVU17B |
| 2017-01-01 | Not available in this setting | $571.82 | RVU17A |
| 2016-10-01 | Not available in this setting | $576.60 | RVU16D |
| 2016-07-01 | Not available in this setting | $576.60 | RVU16C |
| 2016-04-01 | Not available in this setting | $576.60 | RVU16B |
| 2016-01-01 | Not available in this setting | $576.60 | RVU16A |
| 2015-10-01 | Not available in this setting | $582.47 | RVU15D |
| 2015-07-01 | Not available in this setting | $582.47 | RVU15C |
| 2015-04-01 | Not available in this setting | $579.57 | RVU15B |
| 2015-01-01 | Not available in this setting | $579.57 | RVU15A |
| 2014-10-01 | Not available in this setting | $579.23 | RVU14D |
| 2014-07-01 | Not available in this setting | $579.23 | RVU14C |
| 2014-04-01 | Not available in this setting | $579.23 | RVU14B |
| 2014-01-01 | Not available in this setting | $579.23 | RVU14A |
| 2013-10-01 | Not available in this setting | $577.60 | RVU13D |
| 2013-07-01 | Not available in this setting | $577.60 | RVU13C |
| 2013-04-01 | Not available in this setting | $577.60 | RVU13B |
| 2013-01-01 | Not available in this setting | $577.60 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
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
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