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CMS RVU26D · Effective 2026-10-01

23073 in Austin

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$665.35

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Orthopedic surgery

About 23073: Deep shoulder soft-tissue tumor excision, 5 cm or larger

Reports surgical removal of a deep soft-tissue tumor in the shoulder region measuring at least 5 cm, rather than a superficial or radical resection.

Code 23073 describes operative removal of a soft-tissue tumor in the shoulder region when the lesion lies beneath the superficial fascia, such as within muscle, and measures at least 5 cm. Orthopedic surgeons and orthopedic oncologists commonly perform the procedure in an operating room; it may also be performed in an appropriately equipped outpatient surgical setting. The code concerns the tumor’s location and depth, not removal from the shoulder joint itself.

Select this code when the operative report supports the shoulder-region site, deep tissue plane, lesion size, and excision performed. Distinguish a deep lesion under 5 cm from one at least 5 cm, and distinguish excision from radical resection. CMS assigns 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 procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 23073

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU9.88 · 50%
  • Practice expense (office) RVU7.57 · 38%
  • Malpractice RVU2.27 · 12%

1.2K

Medicare services in 2024 · #2831 by national volume

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.

23073 compared with similar codes

Office rates for Austin, from the same CMS release.

23076

Shoulder tumor excision

Deep, under 5 cm

No office rate

Both involve deep shoulder-region tumor excision; the size distinction is under 5 cm for 23076 versus at least 5 cm for 23073.

23071

Shoulder mass excision

Subcutaneous, 3 cm or larger

No office rate

23071 applies to a subcutaneous lesion measuring 3 cm or larger. Code 23073 requires a deep lesion measuring at least 5 cm.

23078

Shoulder tumor resection

Radical resection, 5 cm or larger

No office rate

23078 describes radical resection of a shoulder-region tumor at least 5 cm. Code 23073 describes excision, not radical resection.

23066

Shoulder biopsy

Deep tissue

$648.76

23066 is for biopsy of deep shoulder-region tissue; 23073 is for excision of a deep tumor at least 5 cm.

The same code, a different location

How does Austin compare?

23073 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    Unavailable

  2. Beaumont

    Unavailable

    No comparable rate is available in this setting.

  3. Brazoria

    Unavailable

    No comparable rate is available in this setting.

  4. Dallas

    Unavailable

    No comparable rate is available in this setting.

  5. Fort Worth

    Unavailable

    No comparable rate is available in this setting.

  6. Galveston

    Unavailable

    No comparable rate is available in this setting.

  7. Houston

    Unavailable

    No comparable rate is available in this setting.

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 23073

    Office

    Unavailable

    Facility

    $638.42

    No comparable office rate is available.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 23073

    Office

    Unavailable

    Facility

    $692.99

    No comparable office rate is available.

  • Dc + Md/Va Suburbs

    District of Columbia · 23073

    Office

    Unavailable

    Facility

    $730.06

    No comparable office rate is available.

  • Miami

    Florida · 23073

    Office

    Unavailable

    Facility

    $784.96

    No comparable office rate is available.

  • Chicago

    Illinois · 23073

    Office

    Unavailable

    Facility

    $760.43

    No comparable office rate is available.

  • Manhattan

    New York · 23073

    Office

    Unavailable

    Facility

    $765.18

    No comparable office rate is available.

  • Alaska*

    Alaska · 23073

    Office

    Unavailable

    Facility

    $806.06

    No comparable office rate is available.

  • Alabama

    Alabama · 23073

    Office

    Unavailable

    Facility

    $594.15

    No comparable office rate is available.

  • Arkansas

    Arkansas · 23073

    Office

    Unavailable

    Facility

    $586.24

    No comparable office rate is available.

  • Arizona

    Arizona · 23073

    Office

    Unavailable

    Facility

    $639.91

    No comparable office rate is available.

  • Bakersfield

    California · 23073

    Office

    Unavailable

    Facility

    $659.56

    No comparable office rate is available.

  • Chico

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • El Centro

    California · 23073

    Office

    Unavailable

    Facility

    $653.75

    No comparable office rate is available.

  • Fresno

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Hanford-Corcoran

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Madera

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Merced

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Modesto

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Napa

    California · 23073

    Office

    Unavailable

    Facility

    $722.56

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 23073

    Office

    Unavailable

    Facility

    $685.34

    No comparable office rate is available.

  • Redding

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Rest Of California

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 23073

    Office

    Unavailable

    Facility

    $677.73

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 23073

    Office

    Unavailable

    Facility

    $676.58

    No comparable office rate is available.

  • Salinas

    California · 23073

    Office

    Unavailable

    Facility

    $673.92

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 23073

    Office

    Unavailable

    Facility

    $683.40

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 23073

    Office

    Unavailable

    Facility

    $752.66

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 23073

    Office

    Unavailable

    Facility

    $750.09

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 23073

    Office

    Unavailable

    Facility

    $771.54

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 23073

    Office

    Unavailable

    Facility

    $761.00

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 23073

    Office

    Unavailable

    Facility

    $664.24

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 23073

    Office

    Unavailable

    Facility

    $684.78

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 23073

    Office

    Unavailable

    Facility

    $674.70

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 23073

    Office

    Unavailable

    Facility

    $691.03

    No comparable office rate is available.

  • Stockton

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Vallejo

    California · 23073

    Office

    Unavailable

    Facility

    $718.84

    No comparable office rate is available.

  • Visalia

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Yuba City

    California · 23073

    Office

    Unavailable

    Facility

    $653.37

    No comparable office rate is available.

  • Colorado

    Colorado · 23073

    Office

    Unavailable

    Facility

    $662.20

    No comparable office rate is available.

  • Connecticut

    Connecticut · 23073

    Office

    Unavailable

    Facility

    $700.66

    No comparable office rate is available.

  • Delaware

    Delaware · 23073

    Office

    Unavailable

    Facility

    $649.62

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 23073

    Office

    Unavailable

    Facility

    $723.22

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 23073

    Office

    Unavailable

    Facility

    $685.68

    No comparable office rate is available.

  • Atlanta

    Georgia · 23073

    Office

    Unavailable

    Facility

    $678.94

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 23073

    Office

    Unavailable

    Facility

    $645.92

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 23073

    Office

    Unavailable

    Facility

    $661.39

    No comparable office rate is available.

  • Iowa

    Iowa · 23073

    Office

    Unavailable

    Facility

    $591.45

    No comparable office rate is available.

  • Idaho

    Idaho · 23073

    Office

    Unavailable

    Facility

    $598.48

    No comparable office rate is available.

  • East St. Louis

    Illinois · 23073

    Office

    Unavailable

    Facility

    $715.32

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 23073

    Office

    Unavailable

    Facility

    $679.35

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 23073

    Office

    Unavailable

    Facility

    $726.34

    No comparable office rate is available.

  • Indiana

    Indiana · 23073

    Office

    Unavailable

    Facility

    $601.24

    No comparable office rate is available.

  • Kansas

    Kansas · 23073

    Office

    Unavailable

    Facility

    $596.79

    No comparable office rate is available.

  • Kentucky

    Kentucky · 23073

    Office

    Unavailable

    Facility

    $624.16

    No comparable office rate is available.

  • New Orleans

    Louisiana · 23073

    Office

    Unavailable

    Facility

    $654.06

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 23073

    Office

    Unavailable

    Facility

    $626.40

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 23073

    Office

    Unavailable

    Facility

    $712.91

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 23073

    Office

    Unavailable

    Facility

    $661.96

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 23073

    Office

    Unavailable

    Facility

    $700.37

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 23073

    Office

    Unavailable

    Facility

    $658.78

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 23073

    Office

    Unavailable

    Facility

    $609.78

    No comparable office rate is available.

  • Southern Maine

    Maine · 23073

    Office

    Unavailable

    Facility

    $628.41

    No comparable office rate is available.

  • Detroit

    Michigan · 23073

    Office

    Unavailable

    Facility

    $701.83

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 23073

    Office

    Unavailable

    Facility

    $646.45

    No comparable office rate is available.

  • Minnesota

    Minnesota · 23073

    Office

    Unavailable

    Facility

    $612.62

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 23073

    Office

    Unavailable

    Facility

    $641.50

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 23073

    Office

    Unavailable

    Facility

    $646.68

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 23073

    Office

    Unavailable

    Facility

    $621.80

    No comparable office rate is available.

  • Mississippi

    Mississippi · 23073

    Office

    Unavailable

    Facility

    $603.73

    No comparable office rate is available.

  • Montana**

    Montana · 23073

    Office

    Unavailable

    Facility

    $658.51

    No comparable office rate is available.

  • North Carolina

    North Carolina · 23073

    Office

    Unavailable

    Facility

    $614.35

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 23073

    Office

    Unavailable

    Facility

    $613.63

    No comparable office rate is available.

  • Nebraska

    Nebraska · 23073

    Office

    Unavailable

    Facility

    $592.04

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 23073

    Office

    Unavailable

    Facility

    $659.55

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 23073

    Office

    Unavailable

    Facility

    $725.07

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 23073

    Office

    Unavailable

    Facility

    $702.48

    No comparable office rate is available.

  • New Mexico

    New Mexico · 23073

    Office

    Unavailable

    Facility

    $652.92

    No comparable office rate is available.

  • Nevada**

    Nevada · 23073

    Office

    Unavailable

    Facility

    $646.26

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 23073

    Office

    Unavailable

    Facility

    $792.55

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 23073

    Office

    Unavailable

    Facility

    $713.46

    No comparable office rate is available.

  • Queens

    New York · 23073

    Office

    Unavailable

    Facility

    $759.32

    No comparable office rate is available.

  • Rest Of New York

    New York · 23073

    Office

    Unavailable

    Facility

    $623.50

    No comparable office rate is available.

  • Ohio

    Ohio · 23073

    Office

    Unavailable

    Facility

    $637.27

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 23073

    Office

    Unavailable

    Facility

    $614.70

    No comparable office rate is available.

  • Portland

    Oregon · 23073

    Office

    Unavailable

    Facility

    $672.60

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 23073

    Office

    Unavailable

    Facility

    $635.14

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 23073

    Office

    Unavailable

    Facility

    $689.61

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 23073

    Office

    Unavailable

    Facility

    $633.76

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 23073

    Office

    Unavailable

    Facility

    $660.31

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 23073

    Office

    Unavailable

    Facility

    $665.09

    No comparable office rate is available.

  • South Carolina

    South Carolina · 23073

    Office

    Unavailable

    Facility

    $628.08

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 23073

    Office

    Unavailable

    Facility

    $608.32

    No comparable office rate is available.

  • Tennessee

    Tennessee · 23073

    Office

    Unavailable

    Facility

    $600.55

    No comparable office rate is available.

  • Utah

    Utah · 23073

    Office

    Unavailable

    Facility

    $635.76

    No comparable office rate is available.

  • Virginia

    Virginia · 23073

    Office

    Unavailable

    Facility

    $632.08

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 23073

    Office

    Unavailable

    Facility

    $660.31

    No comparable office rate is available.

  • Vermont

    Vermont · 23073

    Office

    Unavailable

    Facility

    $618.68

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 23073

    Office

    Unavailable

    Facility

    $658.24

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 23073

    Office

    Unavailable

    Facility

    $718.69

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 23073

    Office

    Unavailable

    Facility

    $595.58

    No comparable office rate is available.

  • West Virginia

    West Virginia · 23073

    Office

    Unavailable

    Facility

    $658.22

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 23073

    Office

    Unavailable

    Facility

    $638.95

    No comparable office rate is available.

See how rates vary across the country

23073 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View all state and territory rates as a table
State / territoryRate 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

Explore 23073 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 23073 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$731.89

$665.35 × 110% = $731.89

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 23073 in Austin.

PPRRVU2026_Oct_nonQPP.csv

2,158

Code
23073
Physician work
9.88
Practice expense
7.57
Malpractice
2.27

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Facility calculation for 23073 in Austin
ComponentRVULocality factorAdjusted
Physician work9.88× 1.0029.8998
Practice expense7.57× 1.0588.0091
Malpractice2.27× 0.8862.0112
Total RVUs19.9200
Conversion factor× 33.4009

Facility rate, Austin$665.35

Open 23073 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.881.002
Practice expense7.571.058
Malpractice2.270.886

(9.88 × 1.002 + 7.57 × 1.058 + 2.27 × 0.886) × $33.4009 = $665.35

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

23073 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01Not available in this setting$665.35RVU26D
2026-07-01Not available in this setting$665.35RVU26C
2026-04-01Not available in this setting$665.35RVU26B
2026-01-01Not available in this setting$665.35RVU26A
2025-10-01Not available in this setting$695.02RVU25D
2025-07-01Not available in this setting$695.02RVU25C
2025-04-01Not available in this setting$695.02RVU25B
2025-01-01Not available in this setting$695.02RVU25A

23073 billing questions

How does 23073 differ from 23076?

Both describe removal of a deep shoulder-region soft-tissue tumor. Use 23073 for a lesion measuring at least 5 cm and 23076 for one under 5 cm.

How does 23073 differ from 23071?

23073 is for a deep lesion measuring at least 5 cm. Code 23071 addresses a subcutaneous shoulder-region lesion measuring 3 cm or larger.

When is radical resection coded instead?

Use 23077 or 23078 when the surgeon performs a radical resection, rather than the excision represented by 23073. The radical-resection code selection also depends on whether the tumor is under 5 cm or at least 5 cm.

What documentation supports reporting 23073?

The operative report should identify the shoulder-region site, show that the tumor was deep to the superficial fascia, document its size as at least 5 cm, and describe the removal performed.

Can modifier 50 be used for tumors on both shoulders?

CMS lists this as a bilateral procedure. When bilateral reporting is appropriate, modifier 50 is paid at 150% under the CMS rule.

Can an assistant surgeon be reported?

CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 23073PPRRVU2026_Oct_nonQPP.csv, line 2,158 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)