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Billing code 23130: AcromioplastyMedicare rate & RVUs

Reports partial removal or reshaping of the acromion, typically as an open subacromial decompression for shoulder impingement, with or without ligament release.

CMS RVU26DEffective Oct 1, 2026109 payment localities767 Medicare services in 2024

Medicare pays $590.86 for 23130 nationally in a facility.

Medicare rate · 23130

Acromioplasty

Swap in your local Medicare rate.

Work RVUs
7.58
Total RVUs
17.69
Global days
090

National rate · 2026

$590.86

Facility setting, before claim adjustments.

See every locality for 23130 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 23130 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 23130 covers

The surgeon removes or reshapes part of the acromion, commonly its prominent undersurface, to relieve narrowing in the subacromial space. Orthopedic surgeons typically perform this operation in a hospital or ambulatory surgical setting for a patient with symptomatic shoulder impingement. It may be performed with a rotator cuff repair when the operative plan includes both procedures. The work may include release of the coracoacromial ligament.

Report 23130 when the operative note documents partial acromial resection or reshaping, not merely inspection of the shoulder or treatment of a separate structure. Document the approach, the portion of acromion treated, and the clinical reason for decompression. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is 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 23130 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

23130 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$532.24
Alaska*Unavailable$712.10
ArizonaUnavailable$574.39
ArkansasUnavailable$524.98
AtlantaUnavailable$606.85
AustinUnavailable$601.82
BakersfieldUnavailable$602.23
Baltimore/Surr. CntysUnavailable$628.27
BeaumontUnavailable$561.48
BrazoriaUnavailable$578.64

23130 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
23130 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 23130 rate is calculated

Each of 23130’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 · 23130

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.58Practice expense 8.52Malpractice 1.59

17.6900 adjusted RVUs×$33.4009 conversion factor=$590.86

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

Payment rules and modifiers for 23130

23130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23130

Acromioplasty

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)1Permitted with supporting documentation.
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 · 23130

Acromioplasty

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

23130 without 50 · national facility

$590.86

Acromioplasty

23130-50 · Bilateral: 150%

$886.29

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

23130 compared with similar codes

Compare codes

23130 vs 29826 vs 23120 vs 23412: national Medicare rates

Swap in your local Medicare rate.

  • 23130
    Acromioplasty · 7.58 wRVU
    —
  • 29826
    Shoulder decompression · 2.93 wRVU
    —
  • 23120
    Clavicle resection · 7.21 wRVU
    —
  • 23412
    Rotator cuff repair · 11.63 wRVU
    —

How to choose

29826Shoulder decompression
Use 23130 for open partial acromial resection. Code 29826 describes arthroscopic subacromial decompression and is reported as an add-on to an eligible primary shoulder arthroscopy code.
23120Clavicle resection
23120 removes part of the clavicle at the acromioclavicular joint; 23130 reshapes or removes part of the acromion for subacromial decompression.
23412Rotator cuff repair
23412 reports repair of a chronic rotator cuff tear. It does not describe acromial resection, which may be separately reported when independently performed and documented.

Codes related to 23130

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

Codes related to 23130
CodeHow it relatesNational office range
Used instead
29826Shoulder decompressionArthroscopic subacromial decompression option; used for an arthroscopic rather than open approach.No office rate
Often billed with
23410Rotator cuff repairAcute rotator cuff repair may be performed in the same session when both procedures are documented.No office rate
23412Rotator cuff repairChronic rotator cuff repair may accompany separately documented acromial resection.No office rate
23120Clavicle resectionPartial clavicle excision may be performed for separate acromioclavicular-joint disease.No office rate

23130 billing questions

How is 23130 different from arthroscopic subacromial decompression?

23130 describes partial acromial resection performed through an open approach. Arthroscopic decompression is reported with the applicable arthroscopy coding, including 29826 when its requirements are met.

Can 23130 be reported with a rotator cuff repair?

It may be reported in the same session when the surgeon performs and documents acromial resection as distinct work in addition to the cuff repair. The multiple-procedure reduction applies when procedures are performed in the same session.

Does 23130 include distal clavicle excision?

No. Acromial resection treats the acromion; distal clavicle excision treats the clavicle at the acromioclavicular joint. Report each only when the corresponding work is performed and documented.

What should the operative note document?

Document the acromial portion removed or reshaped, the decompression performed, and the reason for the procedure. If a cuff repair or clavicle procedure is also reported, describe its distinct operative work.

How does Medicare handle bilateral reporting and assistants?

Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code.

What are the co-surgeon and team-surgery rules?

Co-surgeons are paid only when supporting documentation is provided. Team surgery is 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 23130PPRRVU2026_Oct_nonQPP.csv, line 2,170 (RVU26D)

Open CMS sourceHow we calculate rates

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