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Billing code 23180: Clavicle excisionMedicare rate & RVUs

Reports limited removal of clavicular bone, such as for focal diseased bone, when the operative work is less extensive than claviculectomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities108 Medicare services in 2024

Medicare pays $654.99 for 23180 nationally in a facility.

Medicare rate · 23180

Clavicle excision

Swap in your local Medicare rate.

Work RVUs
8.77
Total RVUs
19.61
Global days
090

National rate · 2026

$654.99

Facility setting, before claim adjustments.

See every locality for 23180 → · 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 23180 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 23180 covers

An orthopedic surgeon removes a limited portion of the clavicle, using an approach suited to the location and extent of the abnormal bone. This may be performed for focal bone disease, including infected or nonviable bone, when the procedure is a partial bone excision rather than removal of a sequestrum alone or resection of a larger clavicular segment. The service is generally performed in an operating room, and the operative report should identify the clavicle and the portion excised.

Select this code from the work documented, not simply from the diagnosis: record the site, extent of bone removed, indication, and relevant operative findings. Distinguish a limited excision from partial or total claviculectomy and from sequestrectomy. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons require 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 23180 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

23180 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$590.54
Alaska*Unavailable$793.06
ArizonaUnavailable$636.75
ArkansasUnavailable$582.57
AtlantaUnavailable$673.16
AustinUnavailable$665.89
BakersfieldUnavailable$665.06
Baltimore/Surr. CntysUnavailable$696.30
BeaumontUnavailable$623.59
BrazoriaUnavailable$640.97

23180 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
23180 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 23180 rate is calculated

Each of 23180’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 · 23180

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.77Practice expense 8.98Malpractice 1.86

19.6100 adjusted RVUs×$33.4009 conversion factor=$654.99

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

Payment rules and modifiers for 23180

23180 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23180

Clavicle 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)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 · 23180

Clavicle 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

23180 without 50 · national facility

$654.99

Clavicle excision

23180-50 · Bilateral: 150%

$982.49

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

23180 compared with similar codes

Compare codes

23180 vs 23120 vs 23125 vs 23170 vs 23182: national Medicare rates

Swap in your local Medicare rate.

  • 23180
    Clavicle excision · 8.77 wRVU
    —
  • 23120
    Clavicle resection · 7.21 wRVU
    —
  • 23125
    Claviculectomy · 9.4 wRVU
    —
  • 23170
    Sequestrectomy · 7.03 wRVU
    —
  • 23182
    Bone excision · 8.39 wRVU
    —

How to choose

23120Clavicle resection
Both involve partial clavicle removal. Choose according to the procedure documented: limited bone excision for this code versus partial claviculectomy for 23120.
23125Claviculectomy
23125 represents removal of the entire clavicle; this code is for limited removal of clavicular bone.
23170Sequestrectomy
23170 is specific to sequestrectomy of the clavicle. This code describes partial bone excision more generally.
23182Bone excision
The procedures both involve partial bone excision, but 23182 is for the scapula and this code is for the clavicle.

Codes related to 23180

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

Codes related to 23180
CodeHow it relatesNational office range
Used instead
23120Clavicle resectionPartial claviculectomy; compare the documented extent and nature of the clavicle removal.No office rate
23125ClaviculectomyTotal claviculectomy when the operative work removes the entire clavicle.No office rate
23170SequestrectomyClavicle sequestrectomy when removal is specifically directed at a sequestrum.No office rate
Same family
23182Bone excisionPartial bone excision at the scapula rather than the clavicle.No office rate
23184Bone excisionPartial bone excision at the proximal humerus rather than the clavicle.No office rate

23180 billing questions

How is this code distinguished from partial claviculectomy?

Use this code for limited excision of clavicular bone. Compare the operative description with 23120, which represents partial claviculectomy; the documented procedure and extent determine the appropriate code.

When is clavicle sequestrectomy a better fit?

Use 23170 when the surgeon removes a sequestrum from the clavicle. This code describes partial bone excision rather than sequestrectomy specifically.

Can modifier 50 be reported for both clavicles?

Yes. CMS identifies this as a bilateral procedure; bilateral reporting with modifier 50 is paid at 150%.

Is the day-before visit included in the global period?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant-at-surgery be billed?

CMS lists a statutory restriction, so assistant-at-surgery payment is not made for this code. Co-surgeon payment requires supporting documentation.

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 23180PPRRVU2026_Oct_nonQPP.csv, line 2,180 (RVU26D)

Open CMS sourceHow we calculate rates

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