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Billing code 23462: Shoulder stabilizationMedicare rate & RVUs

Open anterior shoulder stabilization with transfer of the coracoid process is reported for recurrent instability requiring this specific bony augmentation.

CMS RVU26DEffective Oct 1, 2026109 payment localities55 Medicare services in 2024

Medicare pays $977.31 for 23462 nationally in a facility.

Medicare rate · 23462

Shoulder stabilization

Swap in your local Medicare rate.

Work RVUs
15.33
Total RVUs
29.26
Global days
090

National rate · 2026

$977.31

Facility setting, before claim adjustments.

See every locality for 23462 → · 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 23462 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 23462 covers

This open operation stabilizes an unstable shoulder by moving the coracoid process, with its attached tendon, to the front of the glenoid and securing it there. Orthopedic surgeons typically perform it for recurrent anterior shoulder dislocations or instability when the operative plan calls for coracoid transfer as part of the stabilization. It is distinct from capsular repair alone and from procedures using a different bone-block method.

Report the code when the operative documentation supports both anterior stabilization and coracoid transfer; the transfer is part of the coded service, not a separate procedure to report again. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 23462 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

23462 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$885.50
Alaska*Unavailable$1,207.60
ArizonaUnavailable$950.58
ArkansasUnavailable$874.25
AtlantaUnavailable$1,006.43
AustinUnavailable$986.59
BakersfieldUnavailable$978.68
Baltimore/Surr. CntysUnavailable$1,037.33
BeaumontUnavailable$937.50
BrazoriaUnavailable$954.24

23462 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.

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23462 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 23462 rate is calculated

Each of 23462’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 · 23462

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.33Practice expense 10.67Malpractice 3.26

29.2600 adjusted RVUs×$33.4009 conversion factor=$977.31

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

Payment rules and modifiers for 23462

23462 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23462

Shoulder stabilization

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 · 23462

Shoulder stabilization

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

23462 without 50 · national facility

$977.31

Shoulder stabilization

23462-50 · Bilateral: 150%

$1,465.97

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

23462 compared with similar codes

Compare codes

23462 vs 23450 vs 23455 vs 23460 vs 23465: national Medicare rates

Swap in your local Medicare rate.

  • 23462
    Shoulder stabilization · 15.33 wRVU
    —
  • 23450
    Shoulder stabilization · 13.36 wRVU
    —
  • 23455
    Shoulder stabilization · 14.3 wRVU
    —
  • 23460
    Shoulder stabilization · 15.42 wRVU
    —
  • 23465
    Shoulder capsule repair · 15.89 wRVU
    —

How to choose

23450Shoulder stabilization
Choose 23462 when the operative stabilization includes coracoid transfer. Choose 23450 for anterior capsular stabilization without that transfer.
23455Shoulder stabilization
23455 is the relevant choice when anterior stabilization includes labral repair but not coracoid transfer; 23462 describes the coracoid-transfer approach.
23460Shoulder stabilization
Both address anterior shoulder stabilization with bony augmentation, but 23462 specifies transfer of the coracoid process; 23460 describes a different bone-block approach.
23465Shoulder capsule repair
23465 addresses posterior capsular stabilization. Use 23462 for anterior stabilization involving coracoid transfer.

Codes related to 23462

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

Codes related to 23462
CodeHow it relatesNational office range
Same family
23450Shoulder stabilizationAnterior capsular stabilization without the coracoid transfer described by this code.No office rate
23455Shoulder stabilizationAnterior stabilization with labral repair, rather than coracoid transfer.No office rate
23460Shoulder stabilizationAnterior stabilization using a bone block instead of the coracoid transfer.No office rate
23465Shoulder capsule repairCapsular stabilization for posterior shoulder instability.No office rate
23466Shoulder stabilizationCapsular stabilization for multidirectional shoulder instability.No office rate

23462 billing questions

When should this code be chosen over a shoulder capsular repair code?

Use it when the documented stabilization includes transfer of the coracoid process. A capsular repair without that transfer is not this service.

Is the coracoid transfer separately billable?

No. The transfer is included in this shoulder stabilization service and should not be reported a second time as a separate procedure.

What documentation supports reporting this code?

The operative report should describe anterior stabilization and the coracoid process transfer, including the transfer’s role in the reconstruction.

How is bilateral reporting handled?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What postoperative care is included?

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

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 23462PPRRVU2026_Oct_nonQPP.csv, line 2,207 (RVU26D)

Open CMS sourceHow we calculate rates

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