CPT code 23540: AC joint dislocation, without manipulation2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $265.69 for 23540 in the office and $245.99 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 23540 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 23540 covers

This service covers definitive nonoperative care for an acromioclavicular (AC) joint dislocation, the separation between the distal clavicle and the acromion. An orthopedic surgeon or other qualified physician may manage a traumatic AC separation with measures such as immobilization and a treatment plan that avoids joint manipulation. The code is specific to the AC joint, not a sternoclavicular dislocation or a clavicle fracture.

Report it when the physician assumes treatment of the dislocation without manipulating it; documentation should identify the injury and side, the treatment decision, and the nonoperative plan. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral treatment reported with modifier 50, CMS pays at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this code; 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 23540

Across 109 of 109 payment localities, the office rate for 23540 runs from $242.77 in Arkansas to $358.47 in San Benito County, CA. South Dakota pays $265.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

23540 rates by state

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

See 23540 in every payment locality

How the 23540 rate is calculated

Each of 23540’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 23540

23540 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 23540

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

How 23540 has changed in South Dakota

Price 23540 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