No office rate
This code is for removal of a sequestrum from a specified humeral site. Code 23184 describes partial excision of proximal humeral bone, so the operative extent determines the choice.
On this page
CMS RVU26D · Effective 2026-10-01
23174 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$736.50
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 23174: Humeral head or neck sequestrectomy
Reports operative removal of a sequestrum from the humeral head or surgical neck, typically to address devitalized bone associated with osteomyelitis.
An orthopedic surgeon uses this procedure to remove a sequestrum, a fragment of dead bone, from the humeral head or surgical neck. It is typically performed in an operating room when diseased bone requires operative treatment, such as in a case of chronic bone infection. The operative report should identify the humeral site and describe removal of the sequestrum rather than a broader bone resection or excision of a bone lesion.
Report the code when the documented procedure matches that site and scope; the operative note should support the diagnosis, location, and bone removed. Medicare treats it as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple 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%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23174
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.80 · 45%
- Practice expense (office) RVU9.81 · 45%
- Malpractice RVU2.09 · 10%
32
Medicare services in 2024 · #5612 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.
23174 compared with similar codes
Office rates for Austin, from the same CMS release.
23195
No office rateHumeral head resection
Code 23195 describes resection of the humeral head. Choose this code when the documented work is sequestrectomy at the humeral head or surgical neck, not a broader head resection.
No office rate
Both codes describe sequestrectomy, but 23172 is for the scapula; this code is for the humeral head or surgical neck.
No office rate
Code 23150 is a humeral bone-lesion removal code. This code is specific to removing a sequestrum from the humeral head or surgical neck.
The same code, a different location
How does Austin compare?
23174 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
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 · 23174
Office
Unavailable
Facility
$701.32
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 23174
Office
Unavailable
Facility
$774.73
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23174
Office
Unavailable
Facility
$808.69
No comparable office rate is available.
Miami
Florida · 23174
Office
Unavailable
Facility
$844.97
No comparable office rate is available.
Chicago
Illinois · 23174
Office
Unavailable
Facility
$819.13
No comparable office rate is available.
Manhattan
New York · 23174
Office
Unavailable
Facility
$839.74
No comparable office rate is available.
Alaska*
Alaska · 23174
Office
Unavailable
Facility
$878.42
No comparable office rate is available.
Alabama
Alabama · 23174
Office
Unavailable
Facility
$653.55
No comparable office rate is available.
Arkansas
Arkansas · 23174
Office
Unavailable
Facility
$644.74
No comparable office rate is available.
Arizona
Arizona · 23174
Office
Unavailable
Facility
$704.59
No comparable office rate is available.
Bakersfield
California · 23174
Office
Unavailable
Facility
$735.18
No comparable office rate is available.
Chico
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
El Centro
California · 23174
Office
Unavailable
Facility
$729.78
No comparable office rate is available.
Fresno
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Hanford-Corcoran
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Madera
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Merced
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Modesto
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Napa
California · 23174
Office
Unavailable
Facility
$815.27
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23174
Office
Unavailable
Facility
$767.28
No comparable office rate is available.
Redding
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Rest Of California
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23174
Office
Unavailable
Facility
$751.89
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23174
Office
Unavailable
Facility
$757.60
No comparable office rate is available.
Salinas
California · 23174
Office
Unavailable
Facility
$754.65
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23174
Office
Unavailable
Facility
$766.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23174
Office
Unavailable
Facility
$852.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23174
Office
Unavailable
Facility
$850.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23174
Office
Unavailable
Facility
$873.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23174
Office
Unavailable
Facility
$863.54
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23174
Office
Unavailable
Facility
$743.52
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23174
Office
Unavailable
Facility
$769.73
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23174
Office
Unavailable
Facility
$755.97
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23174
Office
Unavailable
Facility
$776.94
No comparable office rate is available.
Stockton
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Vallejo
California · 23174
Office
Unavailable
Facility
$811.85
No comparable office rate is available.
Visalia
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Yuba City
California · 23174
Office
Unavailable
Facility
$729.43
No comparable office rate is available.
Colorado
Colorado · 23174
Office
Unavailable
Facility
$734.41
No comparable office rate is available.
Connecticut
Connecticut · 23174
Office
Unavailable
Facility
$771.24
No comparable office rate is available.
Delaware
Delaware · 23174
Office
Unavailable
Facility
$715.45
No comparable office rate is available.
Fort Lauderdale
Florida · 23174
Office
Unavailable
Facility
$785.46
No comparable office rate is available.
Rest Of Florida
Florida · 23174
Office
Unavailable
Facility
$745.50
No comparable office rate is available.
Atlanta
Georgia · 23174
Office
Unavailable
Facility
$745.06
No comparable office rate is available.
Rest Of Georgia
Georgia · 23174
Office
Unavailable
Facility
$702.82
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23174
Office
Unavailable
Facility
$740.30
No comparable office rate is available.
Iowa
Iowa · 23174
Office
Unavailable
Facility
$654.85
No comparable office rate is available.
Idaho
Idaho · 23174
Office
Unavailable
Facility
$661.80
No comparable office rate is available.
East St. Louis
Illinois · 23174
Office
Unavailable
Facility
$769.37
No comparable office rate is available.
Rest Of Illinois
Illinois · 23174
Office
Unavailable
Facility
$735.59
No comparable office rate is available.
Suburban Chicago
Illinois · 23174
Office
Unavailable
Facility
$789.83
No comparable office rate is available.
Indiana
Indiana · 23174
Office
Unavailable
Facility
$665.00
No comparable office rate is available.
Kansas
Kansas · 23174
Office
Unavailable
Facility
$658.72
No comparable office rate is available.
Kentucky
Kentucky · 23174
Office
Unavailable
Facility
$682.50
No comparable office rate is available.
New Orleans
Louisiana · 23174
Office
Unavailable
Facility
$714.96
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23174
Office
Unavailable
Facility
$684.19
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23174
Office
Unavailable
Facility
$794.11
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23174
Office
Unavailable
Facility
$733.23
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23174
Office
Unavailable
Facility
$770.50
No comparable office rate is available.
Rest Of Maryland
Maryland · 23174
Office
Unavailable
Facility
$726.28
No comparable office rate is available.
Rest Of Maine
Maine · 23174
Office
Unavailable
Facility
$672.20
No comparable office rate is available.
Southern Maine
Maine · 23174
Office
Unavailable
Facility
$696.09
No comparable office rate is available.
Detroit
Michigan · 23174
Office
Unavailable
Facility
$761.22
No comparable office rate is available.
Rest Of Michigan
Michigan · 23174
Office
Unavailable
Facility
$705.30
No comparable office rate is available.
Minnesota
Minnesota · 23174
Office
Unavailable
Facility
$685.16
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23174
Office
Unavailable
Facility
$703.21
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23174
Office
Unavailable
Facility
$709.21
No comparable office rate is available.
Rest Of Missouri
Missouri · 23174
Office
Unavailable
Facility
$677.77
No comparable office rate is available.
Mississippi
Mississippi · 23174
Office
Unavailable
Facility
$661.03
No comparable office rate is available.
Montana**
Montana · 23174
Office
Unavailable
Facility
$724.66
No comparable office rate is available.
North Carolina
North Carolina · 23174
Office
Unavailable
Facility
$677.65
No comparable office rate is available.
North Dakota**
North Dakota · 23174
Office
Unavailable
Facility
$683.33
No comparable office rate is available.
Nebraska
Nebraska · 23174
Office
Unavailable
Facility
$656.15
No comparable office rate is available.
New Hampshire
New Hampshire · 23174
Office
Unavailable
Facility
$729.51
No comparable office rate is available.
Northern Nj
New Jersey · 23174
Office
Unavailable
Facility
$802.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23174
Office
Unavailable
Facility
$774.81
No comparable office rate is available.
New Mexico
New Mexico · 23174
Office
Unavailable
Facility
$711.63
No comparable office rate is available.
Nevada**
Nevada · 23174
Office
Unavailable
Facility
$713.47
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23174
Office
Unavailable
Facility
$867.50
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23174
Office
Unavailable
Facility
$785.32
No comparable office rate is available.
Queens
New York · 23174
Office
Unavailable
Facility
$836.24
No comparable office rate is available.
Rest Of New York
New York · 23174
Office
Unavailable
Facility
$687.68
No comparable office rate is available.
Ohio
Ohio · 23174
Office
Unavailable
Facility
$696.85
No comparable office rate is available.
Oklahoma
Oklahoma · 23174
Office
Unavailable
Facility
$674.17
No comparable office rate is available.
Portland
Oregon · 23174
Office
Unavailable
Facility
$748.54
No comparable office rate is available.
Rest Of Oregon
Oregon · 23174
Office
Unavailable
Facility
$702.76
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23174
Office
Unavailable
Facility
$757.60
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23174
Office
Unavailable
Facility
$694.09
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23174
Office
Unavailable
Facility
$727.36
No comparable office rate is available.
Rhode Island
Rhode Island · 23174
Office
Unavailable
Facility
$734.29
No comparable office rate is available.
South Carolina
South Carolina · 23174
Office
Unavailable
Facility
$689.43
No comparable office rate is available.
South Dakota**
South Dakota · 23174
Office
Unavailable
Facility
$678.45
No comparable office rate is available.
Tennessee
Tennessee · 23174
Office
Unavailable
Facility
$662.66
No comparable office rate is available.
Utah
Utah · 23174
Office
Unavailable
Facility
$698.02
No comparable office rate is available.
Virginia
Virginia · 23174
Office
Unavailable
Facility
$698.71
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23174
Office
Unavailable
Facility
$727.36
No comparable office rate is available.
Vermont
Vermont · 23174
Office
Unavailable
Facility
$687.04
No comparable office rate is available.
Rest Of Washington
Washington · 23174
Office
Unavailable
Facility
$729.74
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23174
Office
Unavailable
Facility
$802.77
No comparable office rate is available.
Wisconsin
Wisconsin · 23174
Office
Unavailable
Facility
$662.73
No comparable office rate is available.
West Virginia
West Virginia · 23174
Office
Unavailable
Facility
$711.96
No comparable office rate is available.
Wyoming**
Wyoming · 23174
Office
Unavailable
Facility
$706.65
No comparable office rate is available.
See how rates vary across the country
23174 · 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 / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
- 23174 in Austin
Multiple payment areas
- 23174 in Barton Creek
- 23174 in Bee Cave
- 23174 in Briarcliff
- 23174 in Cedar Park
Multiple payment areas
- 23174 in Creedmoor
Multiple payment areas
- 23174 in Elgin
Multiple payment areas
- 23174 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 23174 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$810.15
$736.50 × 110% = $810.15
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.
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 23174 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,179
- Code
- 23174
- Physician work
- 9.80
- Practice expense
- 9.81
- Malpractice
- 2.09
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.80 | × 1.002 | 9.8196 |
| Practice expense | 9.81 | × 1.058 | 10.3790 |
| Malpractice | 2.09 | × 0.886 | 1.8517 |
| Total RVUs | 22.0503 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$736.50
Open 23174 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1.002 |
| Practice expense | 9.81 | 1.058 |
| Malpractice | 2.09 | 0.886 |
(9.8 × 1.002 + 9.81 × 1.058 + 2.09 × 0.886) × $33.4009 = $736.50
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
23174 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $736.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $736.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $736.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $736.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $771.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $771.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $771.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $771.70 | RVU25A |
23174 billing questions
When should this code be chosen instead of a proximal humerus partial excision code?
Use this code when the operative work is removal of a sequestrum from the humeral head or surgical neck. A broader removal of proximal humeral bone may point to a different procedure code.
How does this differ from a humeral head resection?
This code describes removal of devitalized bone at the humeral head or surgical neck. A humeral head resection represents a broader resection rather than removal of a sequestrum.
What documentation supports reporting this procedure?
The operative report should identify the humeral head or surgical neck and describe removal of the sequestrum. Documentation should distinguish that work from removal of a bone lesion or a larger bone segment.
What is included in the Medicare global period?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral procedures and other same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is 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.
2,17623156,,Removal of humerus lesion,A,,8.88,8.46,NA,8.46,,1.90,19.24,19.24,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17723170,,Sequestrectomy clavicle,A,,7.03,7.68,NA,7.68,,1.48,16.19,16.19,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17823172,,Sequestrectomy scapula,A,,7.13,7.71,NA,7.71,,1.50,16.34,16.34,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17923174,,Sqstrctmy humrl head srg nck,A,,9.80,9.81,NA,9.81,,2.09,21.70,21.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18023180,,Prtl excision bone clavicle,A,,8.77,8.98,NA,8.98,,1.86,19.61,19.61,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18123182,,Prtl excision bone scapula,A,,8.39,9.02,NA,9.02,,1.78,19.19,19.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18223184,,Prtl excision bone prox hum,A,,9.65,9.16,NA,9.16,,2.04,20.85,20.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858