Billing code 23675: Shoulder reductionMedicare rate & RVUs

Medicare pays $629.27 for 23675 nationally in the office and $511.03 in a hospital or facility. Local office rates run $554.04–$799.41.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 23675 covers

This service is for a shoulder fracture-dislocation involving the surgical neck of the humerus when the clinician restores alignment through closed manipulation rather than an open operation. An orthopedic surgeon commonly performs the reduction in a hospital or other acute-care setting, often with analgesia or sedation. The code distinguishes this injury from a shoulder dislocation without a fracture and from a fracture-dislocation involving the greater tuberosity.

Report it when the documentation identifies both the shoulder dislocation and surgical-neck fracture and supports the closed manipulation performed. The fracture-dislocation treatment is represented by this combined service; do not separately report closed treatment of that same fracture as though it were an independent injury. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment with modifier 50, payment is at 150%. Medicare does not pay an assistant at surgery; 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 23675 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

23675 rates by state

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

How the 23675 rate is calculated

Each of 23675’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.

Payment rules and modifiers for 23675

23675 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

23675 compared with similar codes

How to choose

23665Shoulder reduction

That code is for a dislocation associated with a greater-tuberosity fracture. This code identifies the surgical-neck fracture pattern.

23680Shoulder fracture-dislocation

Both address a shoulder dislocation with a surgical-neck fracture, but 23680 is for open treatment; this code is for closed manipulation.

23650Shoulder reduction

23650 covers closed manipulation of a shoulder dislocation without an associated fracture. Use this code when the dislocation includes a surgical-neck fracture.

Codes related to 23675

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

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

Open CMS sourceHow we calculate rates