FeeBase
Log inGet started
Menu

CPT 23076: Shoulder tumor excisionMedicare rate & RVUs

Open excision of a deep soft-tissue tumor in the shoulder area measuring under 5 cm, such as an intramuscular mass, is reported with this code.

CMS RVU26DEffective Oct 1, 2026109 payment localities719 Medicare services in 2024

Medicare pays $523.39 for 23076 nationally in a facility.

Medicare rate · 23076

Shoulder tumor excision

Swap in your local Medicare rate.

Work RVUs
7.22
Total RVUs
15.67
Global days
090

National rate · 2026

$523.39

Facility setting, before claim adjustments.

See every locality for 23076 →

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 10 sections
  1. Medicare rate
  2. What 23076 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 23076 covers

This service involves surgically removing a soft-tissue tumor beneath the superficial fascia in the shoulder area, including a mass located within muscle. An orthopedic surgeon or another surgeon may perform it in a hospital or outpatient surgical setting. A deep lipomatous mass is one typical clinical example; the code is based on the tumor’s depth and size, not simply the length of the incision.

Select this code when the tumor is deep and measures less than 5 cm; document its location, depth, and size, along with the excision performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid, and 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 23076 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

23076 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$471.29
Alaska*Unavailable$634.33
ArizonaUnavailable$508.49
ArkansasUnavailable$464.87
AtlantaUnavailable$538.70
AustinUnavailable$530.88
BakersfieldUnavailable$528.55
Baltimore/Surr. CntysUnavailable$556.78
BeaumontUnavailable$499.03
BrazoriaUnavailable$511.29

23076 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
23076 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 23076 rate is calculated

Each of 23076’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 · 23076

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.22Practice expense 6.82Malpractice 1.63

15.6700 adjusted RVUs×$33.4009 conversion factor=$523.39

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 23076

23076 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23076

Shoulder tumor excision

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)1Not paid (statutory restriction).
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 · 23076

Shoulder tumor excision

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

23076 without 50 · national facility

$523.39

Shoulder tumor excision

23076-50 · Bilateral: 150%

$785.09

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

23076 compared with similar codes

Compare codes

23076 vs 23073 vs 23071 vs 23075 vs 23077: national Medicare rates

Swap in your local Medicare rate.

  • 23076
    Shoulder tumor excision · 7.22 wRVU
    —
  • 23073
    Shoulder tumor excision · 9.88 wRVU
    —
  • 23071
    Shoulder mass excision · 5.76 wRVU
    —
  • 23075
    Shoulder excision · 4.1 wRVU
    $554.79
  • 23077
    Shoulder tumor surgery · 17.22 wRVU
    —

How to choose

23073Shoulder tumor excision
Use 23073 for a deep shoulder tumor measuring 5 cm or larger; this code is for a deep tumor under 5 cm.
23071Shoulder mass excision
23071 describes excision of a superficial shoulder lesion measuring 3 cm or larger. Choose this code for a deep tumor under 5 cm.
23075Shoulder excision
23075 is for a superficial shoulder lesion under 3 cm. Depth distinguishes it from this code, which covers a deep tumor under 5 cm.
23077Shoulder tumor surgery
23077 describes radical resection of a shoulder tumor under 5 cm. This code describes deep tumor excision without that radical-resection distinction.

Codes related to 23076

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

Codes related to 23076
CodeHow it relatesNational office range
Same family
23073Shoulder tumor excisionDeep shoulder tumor excision for tumors measuring 5 cm or larger.No office rate
23071Shoulder mass excisionSuperficial shoulder lesion excision for lesions measuring 3 cm or larger.No office rate
23075Shoulder excisionSuperficial shoulder lesion excision for lesions under 3 cm.$485.30–$726.70
Used instead
23077Shoulder tumor surgeryRadical resection of a shoulder tumor under 5 cm, rather than the excision described here.No office rate

23076 billing questions

How does this differ from 23073?

Both describe deep shoulder tumor excision. Use 23076 for a tumor under 5 cm and 23073 for one measuring 5 cm or larger.

How does this differ from 23071 or 23075?

Those codes describe superficial shoulder lesion excision. This code is for a tumor beneath the superficial fascia, including an intramuscular tumor.

When would 23077 be considered instead?

23077 describes radical resection of a shoulder tumor under 5 cm. The distinction is the radical resection described by that code, not tumor size alone.

What documentation supports selecting this code?

Document the shoulder-area location, the tumor’s depth relative to the superficial fascia, its size, and the excision performed. The incision length alone does not establish the tumor size.

How are bilateral cases and other same-session procedures handled?

Modifier 50 identifies a bilateral procedure and CMS payment is 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported for this operation?

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

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 23076PPRRVU2026_Oct_nonQPP.csv, line 2,160 (RVU26D)

Open CMS sourceHow we calculate rates

Fee sheets

Put 23076 and the rest of your codes on one sheet

Current Medicare rates for every code you bill at your locality, with what changed since last quarter.

Get a fee sheetOr price your code list free →