CPT code 23545: AC joint treatment, closed, with manipulation2026 Medicare rate & RVUs in Vallejo, CA
Reports physician-performed closed reduction of an acromioclavicular joint dislocation when manipulation is used, rather than treatment without manipulation or open reconstruction.
In Vallejo, CA, Medicare pays $609.40 for 23545 in the office and $509.46 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 23545 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 23545 covers
This service treats a dislocation of the acromioclavicular joint, where the clavicle meets the acromion, by manipulating the joint to restore alignment without open repair. An orthopedic surgeon commonly performs it in an acute-care or surgical setting. The patient may then be immobilized, for example in a sling, as part of the treatment plan.
Choose this code when the physician performs manipulation as part of closed treatment; treatment without manipulation is represented by a different code. Document the dislocation, the side, the manipulation and reduction performed, and the resulting treatment plan. CMS assigns 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 is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Vallejo, CA compares for 23545
Across 109 of 109 payment localities, the office rate for 23545 runs from $437.42 in Arkansas to $661.75 in San Benito County, CA. Vallejo, CA pays $609.40. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vallejo, CA · this page$609.40
- Bakersfield, CA · California$528.12−$81.28
- Chico, CA · California$525.87−$83.53
- El Centro, CA · California$526.01−$83.39
- Fresno, CA · California$525.87−$83.53
- Hanford, CA · California$525.87−$83.53
- Los Angeles, CA · California$563.65−$45.75
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $525.87 | $442.77 |
| Merced, CACalifornia | $525.87 | $442.77 |
| Modesto, CACalifornia | $525.87 | $442.77 |
| Napa, CACalifornia | $610.75 | $510.82 |
| Oxnard, CACalifornia | $560.71 | $471.09 |
| Redding, CACalifornia | $525.87 | $442.77 |
| Rest of CaliforniaCalifornia | $525.87 | $442.77 |
| Riverside, CACalifornia | $534.77 | $451.67 |
| Sacramento, CACalifornia | $552.29 | $464.12 |
| Salinas, CACalifornia | $550.29 | $462.41 |
| San Diego, CACalifornia | $563.76 | $473.08 |
| Marin County, CACalifornia | $646.34 | $539.43 |
| San Francisco, CACalifornia | $645.39 | $538.49 |
| San Benito County, CACalifornia | $661.75 | $552.42 |
| Santa Clara County, CACalifornia | $657.90 | $548.57 |
| San Luis Obispo, CACalifornia | $541.47 | $455.11 |
| Santa Cruz, CACalifornia | $569.48 | $477.36 |
| Santa Maria, CACalifornia | $552.49 | $464.08 |
| Santa Rosa, CACalifornia | $575.20 | $482.10 |
| Stockton, CACalifornia | $525.87 | $442.77 |
| Visalia, CACalifornia | $525.87 | $442.77 |
| Yuba City, CACalifornia | $525.87 | $442.77 |
| Washington, DC areaDistrict of Columbia | $575.74 | $486.42 |
| Miami, FLFlorida | $559.28 | $480.35 |
| Chicago, ILIllinois | $540.51 | $464.31 |
| Manhattan, NYNew York | $584.16 | $496.06 |
| AlaskaAlaska | $568.93 | $488.18 |
| AlabamaAlabama | $444.64 | $378.30 |
| ArkansasArkansas | $437.42 | $372.30 |
| ArizonaArizona | $486.78 | $413.31 |
| ColoradoColorado | $520.50 | $439.83 |
| ConnecticutConnecticut | $538.00 | $456.34 |
| DelawareDelaware | $495.42 | $420.51 |
| Fort Lauderdale, FLFlorida | $529.13 | $452.33 |
| Rest of FloridaFlorida | $500.00 | $427.52 |
| Atlanta, GAGeorgia | $513.73 | $436.69 |
| Rest of GeorgiaGeorgia | $468.16 | $400.53 |
| Hawaii, Guam, HIHawaii | $540.04 | $453.83 |
| IowaIowa | $454.47 | $385.09 |
| IdahoIdaho | $458.39 | $388.63 |
| East St. Louis, ILIllinois | $501.11 | $431.35 |
| Rest of IllinoisIllinois | $486.07 | $416.84 |
| Suburban Chicago, ILIllinois | $533.99 | $456.13 |
| IndianaIndiana | $461.29 | $391.00 |
| KansasKansas | $453.44 | $384.90 |
| KentuckyKentucky | $459.40 | $391.99 |
| New Orleans, LALouisiana | $484.38 | $413.04 |
| Rest of LouisianaLouisiana | $459.14 | $392.04 |
| Metropolitan Boston, MAMassachusetts | $573.91 | $483.38 |
| Rest of MassachusettsMassachusetts | $517.40 | $437.56 |
| Baltimore area, MDMaryland | $536.85 | $455.50 |
| Rest of MarylandMaryland | $505.21 | $428.48 |
| Rest of MaineMaine | $462.52 | $392.76 |
| Southern Maine, MEMaine | $488.52 | $413.38 |
| Detroit, MIMichigan | $508.34 | $435.17 |
| Rest of MichiganMichigan | $474.03 | $404.81 |
| MinnesotaMinnesota | $493.02 | $415.00 |
| Metropolitan Kansas City, MOMissouri | $479.25 | $408.06 |
| Metropolitan St. Louis, MOMissouri | $484.66 | $412.48 |
| Rest of MissouriMissouri | $451.24 | $385.88 |
| MississippiMississippi | $444.36 | $379.08 |
| MontanaMontana | $501.96 | $426.14 |
| North CarolinaNorth Carolina | $467.70 | $396.96 |
| North DakotaNorth Dakota | $485.55 | $409.73 |
| NebraskaNebraska | $456.84 | $386.86 |
| New HampshireNew Hampshire | $513.42 | $434.49 |
| Northern New JerseyNew Jersey | $568.97 | $481.02 |
| Rest of New JerseyNew Jersey | $542.54 | $459.74 |
| New MexicoNew Mexico | $477.48 | $407.95 |
| NevadaNevada | $497.75 | $421.85 |
| NYC suburbs and Long Island, NYNew York | $601.47 | $511.32 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $547.32 | $464.29 |
| Queens, NYNew York | $587.43 | $497.81 |
| Rest of New YorkNew York | $475.65 | $403.62 |
| OhioOhio | $470.68 | $401.46 |
| OklahomaOklahoma | $457.02 | $389.31 |
| Portland, OROregon | $536.97 | $452.73 |
| Rest of OregonOregon | $492.33 | $416.81 |
| Metropolitan Philadelphia, PAPennsylvania | $524.25 | $445.32 |
| Rest of PennsylvaniaPennsylvania | $470.75 | $401.14 |
| Puerto RicoPuerto Rico | $505.59 | $428.94 |
| Rhode IslandRhode Island | $513.11 | $434.79 |
| South CarolinaSouth Carolina | $470.29 | $400.23 |
| South DakotaSouth Dakota | $483.61 | $407.79 |
| TennesseeTennessee | $456.17 | $387.25 |
| Austin, TXTexas | $520.12 | $439.90 |
| Beaumont, TXTexas | $467.40 | $398.40 |
| Brazoria, TXTexas | $493.54 | $418.41 |
| Dallas, TXTexas | $497.63 | $422.12 |
| Fort Worth, TXTexas | $494.37 | $419.61 |
| Galveston, TXTexas | $495.60 | $420.31 |
| Houston, TXTexas | $510.79 | $435.50 |
| Rest of TexasTexas | $480.83 | $408.87 |
| UtahUtah | $477.42 | $406.15 |
| VirginiaVirginia | $487.70 | $413.17 |
| Virgin Islands, VIUnited States Virgin Islands | $505.59 | $428.94 |
| VermontVermont | $484.69 | $409.63 |
| Rest of WashingtonWashington | $516.06 | $436.23 |
| King County, WAWashington | $584.86 | $491.83 |
| WisconsinWisconsin | $467.60 | $394.96 |
| West VirginiaWest Virginia | $466.45 | $400.56 |
| WyomingWyoming | $494.81 | $418.99 |
23545 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.
$437.42
$593.81
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $568.93 | 1 |
| AL | $444.64 | 1 |
| AR | $437.42 | 1 |
| AZ | $486.78 | 1 |
| CA | $525.87–$661.75 | 29 |
| CO | $520.50 | 1 |
| CT | $538.00 | 1 |
| DC | $575.74 | 1 |
| DE | $495.42 | 1 |
| FL | $500.00–$559.28 | 3 |
| GA | $468.16–$513.73 | 2 |
| GU | $540.04 | 1 |
| HI | $540.04 | 1 |
| IA | $454.47 | 1 |
| ID | $458.39 | 1 |
| IL | $486.07–$540.51 | 4 |
| IN | $461.29 | 1 |
| KS | $453.44 | 1 |
| KY | $459.40 | 1 |
| LA | $459.14–$484.38 | 2 |
| MA | $517.40–$573.91 | 2 |
| MD | $505.21–$575.74 | 3 |
| ME | $462.52–$488.52 | 2 |
| MI | $474.03–$508.34 | 2 |
| MN | $493.02 | 1 |
| MO | $451.24–$484.66 | 3 |
| MS | $444.36 | 1 |
| MT | $501.96 | 1 |
| NC | $467.70 | 1 |
| ND | $485.55 | 1 |
| NE | $456.84 | 1 |
| NH | $513.42 | 1 |
| NJ | $542.54–$568.97 | 2 |
| NM | $477.48 | 1 |
| NV | $497.75 | 1 |
| NY | $475.65–$601.47 | 5 |
| OH | $470.68 | 1 |
| OK | $457.02 | 1 |
| OR | $492.33–$536.97 | 2 |
| PA | $470.75–$524.25 | 2 |
| PR | $505.59 | 1 |
| RI | $513.11 | 1 |
| SC | $470.29 | 1 |
| SD | $483.61 | 1 |
| TN | $456.17 | 1 |
| TX | $467.40–$520.12 | 8 |
| UT | $477.42 | 1 |
| VA | $487.70–$575.74 | 2 |
| VI | $505.59 | 1 |
| VT | $484.69 | 1 |
| WA | $516.06–$584.86 | 2 |
| WI | $467.60 | 1 |
| WV | $466.45 | 1 |
| WY | $494.81 | 1 |
How the 23545 rate is calculated
Each of 23545’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 · 23545
RVUs × geographic indexes × conversion factor
Work3.34
3.34 RVUs× 1.000 GPCI
Practice expense10.86
10.86 RVUs× 1.000 GPCI
Malpractice0.83
0.83 RVUs× 1.000 GPCI
Adjusted RVUs
15.0300
Conversion factor
$33.4009
Medicare rate
$502.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vallejo, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,226
- Code
- 23545
- Physician work
- 3.34
- Practice expense
- 10.86
- Malpractice
- 0.83
GPCI2026.csv
33
- Locality
- Vallejo, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.34 | × 1.063 | 3.5504 |
| Practice expense | 10.86 | × 1.318 | 14.3135 |
| Malpractice | 0.83 | × 0.459 | 0.3810 |
| Total RVUs | 18.2449 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vallejo, CA$609.40
Office: (3.34 × 1.063 + 10.86 × 1.318 + 0.83 × 0.459) × $33.4009 = $609.40
Facility: (3.34 × 1.063 + 8.59 × 1.318 + 0.83 × 0.459) × $33.4009 = $509.46
Payment rules and modifiers for 23545
23545 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23545
AC joint treatment, closed, with manipulation
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 23545
AC joint treatment, closed, with manipulation
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
23545 without 50 · national office
$502.02
AC joint treatment, closed, with manipulation
23545-50 · Bilateral: 150%
$753.03
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 23545 has changed in Vallejo, CA
23545 · Office / nonfacility
$609.40
Effective 2026-10-01
The base rate is $172.59 higher than on 2025-10-01, moving from $436.81 to $609.40 (39.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$436.81changed to$609.40
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.43 changed to 3.34
- Practice expense RVU 7.28 changed to 10.86
- Malpractice RVU 0.72 changed to 0.83
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$443.29changed to$436.81
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.13 changed to 7.28
- Malpractice RVU 0.74 changed to 0.72
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$436.06changed to$443.29
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$431.11changed to$436.06
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.93 changed to 7.13
- Malpractice RVU 0.72 changed to 0.74
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$407.70changed to$431.11
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.42 changed to 6.93
- Malpractice RVU 0.73 changed to 0.72
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$399.66changed to$407.70
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.16 changed to 6.42
- Malpractice RVU 0.71 changed to 0.73
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$398.93changed to$399.66
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.75 changed to 6.16
- Malpractice RVU 0.68 changed to 0.71
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$408.20changed to$398.93
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.94 changed to 5.75
- Malpractice RVU 0.54 changed to 0.68
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
July 1, 2019
RVU19C
$407.87changed to$408.20
- Malpractice RVU 0.52 changed to 0.54
Held through RVU19D.
January 1, 2019
RVU19A
$402.49changed to$407.87
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.82 changed to 5.94
- Malpractice RVU 0.55 changed to 0.52
Held through RVU19B.
January 1, 2018
RVU18AR1
$394.80changed to$402.49
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.60 changed to 5.82
- Malpractice RVU 0.54 changed to 0.55
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$394.80
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $609.40 | $509.46 | RVU26D |
| 2026-07-01 | $609.40 | $509.46 | RVU26C |
| 2026-04-01 | $609.40 | $509.46 | RVU26B |
| 2026-01-01 | $609.40 | $509.46 | RVU26A |
| 2025-10-01 | $436.81 | $386.39 | RVU25D |
| 2025-07-01 | $436.81 | $386.39 | RVU25C |
| 2025-04-01 | $436.81 | $386.39 | RVU25B |
| 2025-01-01 | $436.81 | $386.39 | RVU25A |
| 2024-10-01 | $443.29 | $392.27 | RVU24D |
| 2024-07-01 | $443.29 | $392.27 | RVU24C |
| 2024-04-01 | $443.29 | $392.27 | RVU24B |
| 2024-03-09 | $443.29 | $392.27 | RVU24AR |
| 2024-01-01 | $436.06 | $385.87 | RVU24A |
| 2023-10-01 | $431.11 | $381.82 | RVU23D |
| 2023-07-01 | $431.11 | $381.82 | RVU23C |
| 2023-04-01 | $431.11 | $381.82 | RVU23B |
| 2023-01-01 | $431.11 | $381.82 | RVU23A |
| 2022-10-01 | $407.70 | $362.11 | RVU22D |
| 2022-07-01 | $407.70 | $362.11 | RVU22C |
| 2022-04-01 | $407.70 | $362.11 | RVU22B |
| 2022-01-01 | $407.70 | $362.11 | RVU22A |
| 2021-10-01 | $399.66 | $355.82 | RVU21D |
| 2021-07-01 | $399.66 | $355.82 | RVU21C |
| 2021-04-01 | $399.66 | $355.82 | RVU21B |
| 2021-01-01 | $399.66 | $355.82 | RVU21A |
| 2020-10-01 | $398.93 | $356.93 | RVU20D |
| 2020-07-01 | $398.93 | $356.93 | RVU20C |
| 2020-04-01 | $398.93 | $356.93 | RVU20B |
| 2020-01-01 | $398.93 | $356.93 | RVU20A |
| 2019-10-01 | $408.20 | $363.84 | RVU19D |
| 2019-07-01 | $408.20 | $363.84 | RVU19C |
| 2019-04-01 | $407.87 | $363.51 | RVU19B |
| 2019-01-01 | $407.87 | $363.51 | RVU19A |
| 2018-10-01 | $402.49 | $360.44 | RVU18D |
| 2018-07-01 | $402.49 | $360.44 | RVU18C |
| 2018-04-01 | $402.49 | $360.44 | RVU18B |
| 2018-01-01 | $402.49 | $360.44 | RVU18AR1 |
| 2017-10-01 | $394.80 | $356.03 | RVU17D |
| 2017-07-01 | $394.80 | $356.03 | RVU17C |
| 2017-04-01 | $394.80 | $356.03 | RVU17B |
| 2017-01-01 | $394.80 | $356.03 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Vallejo, CA rate applies
Vallejo, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Vallejo
- Allendale
- Benicia
- Dixon
- Elmira
- Fairfield
- Green Valley
- Hartley
23545 billing questions
How does this differ from 23540?
Use 23545 when manipulation is performed as part of closed treatment of the AC dislocation. Code 23540 represents closed treatment without manipulation.
When would an open-treatment code be more appropriate?
Use an open-treatment code when the surgeon treats the AC dislocation through an open approach, rather than by closed manipulation. Code 23550 covers open treatment without the graft distinction found in 23552.
What documentation supports reporting this code?
Document the AC dislocation, laterality, the manipulation performed to reduce it, and the post-treatment plan. The record should make clear that manipulation was part of the closed treatment.
How is bilateral treatment handled?
For bilateral procedures, CMS specifies modifier 50 and payment at 150%. Document the treatment performed on each side.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Related routine follow-up during that period is included in the global service.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeons or team surgery for this code.
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
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