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Billing code 23410: Rotator cuff repairMedicare rate & RVUs

Reports open surgical repair of an acute rotator cuff rupture, with selection based on the tear’s acute presentation and operative findings.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.5K Medicare services in 2024

Medicare pays $764.88 for 23410 nationally in a facility.

Medicare rate · 23410

Rotator cuff repair

Swap in your local Medicare rate.

Work RVUs
11.11
Total RVUs
22.90
Global days
090

National rate · 2026

$764.88

Facility setting, before claim adjustments.

See every locality for 23410 → · 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 23410 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 23410 covers

An orthopedic surgeon uses this code for open repair of an acutely ruptured rotator cuff, reattaching torn tendon tissue to the humerus as needed to restore the cuff. The procedure is generally performed in an operating room, most often in a hospital or ambulatory surgery center. The operative report should describe the acute tear and the repair performed.

Choose this code for an acute rupture rather than the chronic-tear repair code; document the clinical history and operative findings that support the acute classification. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same 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%. Assistant-at-surgery services may be paid; co-surgeons are paid only with 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 23410 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

23410 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$691.92
Alaska*Unavailable$936.53
ArizonaUnavailable$743.99
ArkansasUnavailable$682.93
AtlantaUnavailable$786.51
AustinUnavailable$775.25
BakersfieldUnavailable$772.32
Baltimore/Surr. CntysUnavailable$812.16
BeaumontUnavailable$730.90
BrazoriaUnavailable$748.10

23410 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
23410 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 23410 rate is calculated

Each of 23410’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 · 23410

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.11Practice expense 9.49Malpractice 2.30

22.9000 adjusted RVUs×$33.4009 conversion factor=$764.88

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

Payment rules and modifiers for 23410

23410 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23410

Rotator cuff repair

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)2Paid.
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 · 23410

Rotator cuff repair

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

23410 without 50 · national facility

$764.88

Rotator cuff repair

23410-50 · Bilateral: 150%

$1,147.32

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

23410 compared with similar codes

Compare codes

23410 vs 23412 vs 29827 vs 23420: national Medicare rates

Swap in your local Medicare rate.

  • 23410
    Rotator cuff repair · 11.11 wRVU
    —
  • 23412
    Rotator cuff repair · 11.63 wRVU
    —
  • 29827
    Rotator cuff repair · 15.2 wRVU
    —
  • 23420
    Rotator cuff surgery · 13.2 wRVU
    —

How to choose

23412Rotator cuff repair
Use 23410 for an acute cuff rupture and 23412 for a chronic rupture. Documentation should support the clinical classification rather than relying on the code number alone.
29827Rotator cuff repair
Use 23410 for open repair of an acute cuff rupture; 29827 describes arthroscopic rotator cuff repair.
23420Rotator cuff surgery
23420 is for reconstruction of a chronic, complete cuff avulsion, not the acute cuff repair described by 23410.

Codes related to 23410

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

Codes related to 23410
CodeHow it relatesNational office range
Same family
23412Rotator cuff repairRepair of a chronic rotator cuff rupture; distinguish by acute versus chronic presentation.No office rate
Used instead
29827Rotator cuff repairArthroscopic rotator cuff repair, rather than the open repair reported with 23410.No office rate
23420Rotator cuff surgeryUsed for reconstruction of a chronic, complete rotator cuff avulsion.No office rate

23410 billing questions

How does 23410 differ from 23412?

23410 is for repair of an acute rotator cuff rupture; 23412 is for a chronic rupture. Use the clinical history and operative findings to support the acute-versus-chronic choice.

Is 23410 the code for arthroscopic cuff repair?

No. 23410 describes open repair. billing code 29827 is the arthroscopic rotator cuff repair code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.

How is bilateral repair reported?

For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 23410PPRRVU2026_Oct_nonQPP.csv, line 2,198 (RVU26D)

Open CMS sourceHow we calculate rates

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