No office rate
This code describes excision or curettage of a clavicular bone cyst or benign tumor. Code 23200 describes radical tumor resection, not limited lesion treatment.
On this page
CMS RVU26D · Effective 2026-10-01
23200 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1376.04
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 23200: Radical clavicle tumor resection
Reports radical surgical removal of a tumor involving the clavicle, typically performed by an orthopedic oncologist when extensive tumor resection is required.
This service involves extensive surgical removal of a tumor involving the clavicle, rather than a limited excision or curettage. It is typically performed by an orthopedic oncologist in an operating room, often in a hospital setting, for a tumor whose extent and surgical plan call for radical resection. The operative approach and structures removed depend on the tumor’s location and extent.
Select the code based on the radical nature of the tumor resection and the clavicular site. The operative report should identify the tumor, its relationship to the clavicle, and the extent of resection; imaging and pathology records can support the clinical picture. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, 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-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 23200
- 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 RVU22.14 · 54%
- Practice expense (office) RVU14.01 · 34%
- Malpractice RVU4.73 · 12%
20
Medicare services in 2024 · #5909 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.
23200 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
This code describes partial clavicle removal. Use 23200 when the operation is a radical resection for a tumor, rather than a partial claviculectomy.
No office rate
Both are radical tumor resection codes; 23210 applies when the tumor involves the scapula, while 23200 applies to the clavicle.
No office rate
Both are radical tumor resection codes; 23220 applies when the tumor involves the proximal humerus, while 23200 applies to the clavicle.
The same code, a different location
How does Austin compare?
23200 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 · 23200
Office
Unavailable
Facility
$1326.24
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 23200
Office
Unavailable
Facility
$1428.30
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23200
Office
Unavailable
Facility
$1506.51
No comparable office rate is available.
Miami
Florida · 23200
Office
Unavailable
Facility
$1626.18
No comparable office rate is available.
Chicago
Illinois · 23200
Office
Unavailable
Facility
$1577.54
No comparable office rate is available.
Manhattan
New York · 23200
Office
Unavailable
Facility
$1581.14
No comparable office rate is available.
Alaska*
Alaska · 23200
Office
Unavailable
Facility
$1694.66
No comparable office rate is available.
Alabama
Alabama · 23200
Office
Unavailable
Facility
$1238.37
No comparable office rate is available.
Arkansas
Arkansas · 23200
Office
Unavailable
Facility
$1222.82
No comparable office rate is available.
Arizona
Arizona · 23200
Office
Unavailable
Facility
$1328.17
No comparable office rate is available.
Bakersfield
California · 23200
Office
Unavailable
Facility
$1362.63
No comparable office rate is available.
Chico
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
El Centro
California · 23200
Office
Unavailable
Facility
$1350.41
No comparable office rate is available.
Fresno
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Hanford-Corcoran
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Madera
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Merced
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Modesto
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Napa
California · 23200
Office
Unavailable
Facility
$1483.09
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23200
Office
Unavailable
Facility
$1411.74
No comparable office rate is available.
Redding
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Rest Of California
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23200
Office
Unavailable
Facility
$1400.44
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23200
Office
Unavailable
Facility
$1395.02
No comparable office rate is available.
Salinas
California · 23200
Office
Unavailable
Facility
$1389.45
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23200
Office
Unavailable
Facility
$1406.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23200
Office
Unavailable
Facility
$1542.07
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23200
Office
Unavailable
Facility
$1536.70
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23200
Office
Unavailable
Facility
$1580.30
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23200
Office
Unavailable
Facility
$1558.34
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23200
Office
Unavailable
Facility
$1369.74
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23200
Office
Unavailable
Facility
$1408.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23200
Office
Unavailable
Facility
$1390.51
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23200
Office
Unavailable
Facility
$1421.00
No comparable office rate is available.
Stockton
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Vallejo
California · 23200
Office
Unavailable
Facility
$1475.35
No comparable office rate is available.
Visalia
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Yuba City
California · 23200
Office
Unavailable
Facility
$1349.62
No comparable office rate is available.
Colorado
Colorado · 23200
Office
Unavailable
Facility
$1369.65
No comparable office rate is available.
Connecticut
Connecticut · 23200
Office
Unavailable
Facility
$1449.43
No comparable office rate is available.
Delaware
Delaware · 23200
Office
Unavailable
Facility
$1347.55
No comparable office rate is available.
Fort Lauderdale
Florida · 23200
Office
Unavailable
Facility
$1499.16
No comparable office rate is available.
Rest Of Florida
Florida · 23200
Office
Unavailable
Facility
$1424.31
No comparable office rate is available.
Atlanta
Georgia · 23200
Office
Unavailable
Facility
$1406.89
No comparable office rate is available.
Rest Of Georgia
Georgia · 23200
Office
Unavailable
Facility
$1345.22
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23200
Office
Unavailable
Facility
$1363.03
No comparable office rate is available.
Iowa
Iowa · 23200
Office
Unavailable
Facility
$1230.39
No comparable office rate is available.
Idaho
Idaho · 23200
Office
Unavailable
Facility
$1244.73
No comparable office rate is available.
East St. Louis
Illinois · 23200
Office
Unavailable
Facility
$1488.19
No comparable office rate is available.
Rest Of Illinois
Illinois · 23200
Office
Unavailable
Facility
$1413.66
No comparable office rate is available.
Suburban Chicago
Illinois · 23200
Office
Unavailable
Facility
$1505.21
No comparable office rate is available.
Indiana
Indiana · 23200
Office
Unavailable
Facility
$1250.06
No comparable office rate is available.
Kansas
Kansas · 23200
Office
Unavailable
Facility
$1242.14
No comparable office rate is available.
Kentucky
Kentucky · 23200
Office
Unavailable
Facility
$1300.06
No comparable office rate is available.
New Orleans
Louisiana · 23200
Office
Unavailable
Facility
$1359.31
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23200
Office
Unavailable
Facility
$1304.98
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23200
Office
Unavailable
Facility
$1469.15
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23200
Office
Unavailable
Facility
$1369.99
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23200
Office
Unavailable
Facility
$1448.86
No comparable office rate is available.
Rest Of Maryland
Maryland · 23200
Office
Unavailable
Facility
$1365.48
No comparable office rate is available.
Rest Of Maine
Maine · 23200
Office
Unavailable
Facility
$1268.27
No comparable office rate is available.
Southern Maine
Maine · 23200
Office
Unavailable
Facility
$1302.92
No comparable office rate is available.
Detroit
Michigan · 23200
Office
Unavailable
Facility
$1457.43
No comparable office rate is available.
Rest Of Michigan
Michigan · 23200
Office
Unavailable
Facility
$1345.10
No comparable office rate is available.
Minnesota
Minnesota · 23200
Office
Unavailable
Facility
$1267.78
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23200
Office
Unavailable
Facility
$1333.25
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23200
Office
Unavailable
Facility
$1343.28
No comparable office rate is available.
Rest Of Missouri
Missouri · 23200
Office
Unavailable
Facility
$1296.74
No comparable office rate is available.
Mississippi
Mississippi · 23200
Office
Unavailable
Facility
$1259.15
No comparable office rate is available.
Montana**
Montana · 23200
Office
Unavailable
Facility
$1365.11
No comparable office rate is available.
North Carolina
North Carolina · 23200
Office
Unavailable
Facility
$1277.04
No comparable office rate is available.
North Dakota**
North Dakota · 23200
Office
Unavailable
Facility
$1271.58
No comparable office rate is available.
Nebraska
Nebraska · 23200
Office
Unavailable
Facility
$1231.13
No comparable office rate is available.
New Hampshire
New Hampshire · 23200
Office
Unavailable
Facility
$1364.87
No comparable office rate is available.
Northern Nj
New Jersey · 23200
Office
Unavailable
Facility
$1497.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23200
Office
Unavailable
Facility
$1453.38
No comparable office rate is available.
New Mexico
New Mexico · 23200
Office
Unavailable
Facility
$1358.34
No comparable office rate is available.
Nevada**
Nevada · 23200
Office
Unavailable
Facility
$1339.51
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23200
Office
Unavailable
Facility
$1636.59
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23200
Office
Unavailable
Facility
$1476.34
No comparable office rate is available.
Queens
New York · 23200
Office
Unavailable
Facility
$1567.75
No comparable office rate is available.
Rest Of New York
New York · 23200
Office
Unavailable
Facility
$1295.11
No comparable office rate is available.
Ohio
Ohio · 23200
Office
Unavailable
Facility
$1325.98
No comparable office rate is available.
Oklahoma
Oklahoma · 23200
Office
Unavailable
Facility
$1280.13
No comparable office rate is available.
Portland
Oregon · 23200
Office
Unavailable
Facility
$1388.76
No comparable office rate is available.
Rest Of Oregon
Oregon · 23200
Office
Unavailable
Facility
$1316.64
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23200
Office
Unavailable
Facility
$1428.42
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23200
Office
Unavailable
Facility
$1318.37
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23200
Office
Unavailable
Facility
$1368.21
No comparable office rate is available.
Rhode Island
Rhode Island · 23200
Office
Unavailable
Facility
$1377.86
No comparable office rate is available.
South Carolina
South Carolina · 23200
Office
Unavailable
Facility
$1306.17
No comparable office rate is available.
South Dakota**
South Dakota · 23200
Office
Unavailable
Facility
$1260.53
No comparable office rate is available.
Tennessee
Tennessee · 23200
Office
Unavailable
Facility
$1249.70
No comparable office rate is available.
Utah
Utah · 23200
Office
Unavailable
Facility
$1321.24
No comparable office rate is available.
Virginia
Virginia · 23200
Office
Unavailable
Facility
$1311.03
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23200
Office
Unavailable
Facility
$1368.21
No comparable office rate is available.
Vermont
Vermont · 23200
Office
Unavailable
Facility
$1282.70
No comparable office rate is available.
Rest Of Washington
Washington · 23200
Office
Unavailable
Facility
$1362.08
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23200
Office
Unavailable
Facility
$1479.72
No comparable office rate is available.
Wisconsin
Wisconsin · 23200
Office
Unavailable
Facility
$1236.45
No comparable office rate is available.
West Virginia
West Virginia · 23200
Office
Unavailable
Facility
$1372.22
No comparable office rate is available.
Wyoming**
Wyoming · 23200
Office
Unavailable
Facility
$1324.35
No comparable office rate is available.
See how rates vary across the country
23200 · 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.
- 23200 in Austin
Multiple payment areas
- 23200 in Barton Creek
- 23200 in Bee Cave
- 23200 in Briarcliff
- 23200 in Cedar Park
Multiple payment areas
- 23200 in Creedmoor
Multiple payment areas
- 23200 in Elgin
Multiple payment areas
- 23200 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 23200 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1513.64
$1376.04 × 110% = $1513.64
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 23200 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,185
- Code
- 23200
- Physician work
- 22.14
- Practice expense
- 14.01
- Malpractice
- 4.73
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.14 | × 1.002 | 22.1843 |
| Practice expense | 14.01 | × 1.058 | 14.8226 |
| Malpractice | 4.73 | × 0.886 | 4.1908 |
| Total RVUs | 41.1976 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$1376.04
Open 23200 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.14 | 1.002 |
| Practice expense | 14.01 | 1.058 |
| Malpractice | 4.73 | 0.886 |
(22.14 × 1.002 + 14.01 × 1.058 + 4.73 × 0.886) × $33.4009 = $1376.04
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
23200 · 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 | $1376.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $1376.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $1376.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $1376.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $1490.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $1490.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $1490.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $1490.31 | RVU25A |
23200 billing questions
How is this distinguished from clavicle excision or curettage?
This code is for radical tumor resection. A limited excision or curettage of a benign bone lesion is a different service; use the code that matches the documented procedure and extent.
Does the 90-day global period include related postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is the code paid when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures subject to the multiple-procedure rule are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How is bilateral clavicle surgery reported?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS rule for this code.
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.
2,18223184,,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
2,18323190,,Ostectomy scapula partial,A,,7.28,7.60,NA,7.60,,1.54,16.42,16.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18423195,,Resection humeral head,A,,10.10,9.00,NA,9.00,,2.15,21.25,21.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18523200,,Radical rescj tumor clavicle,A,,22.14,14.01,NA,14.01,,4.73,40.88,40.88,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18623210,,Radical rescj tumor scapula,A,,26.53,15.41,NA,15.41,,5.64,47.58,47.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18723220,,Radical rescj tumor prox hum,A,,29.45,16.31,NA,16.31,,6.26,52.02,52.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18823330,,Remove shoulder foreign body,A,,1.85,7.58,,2.73,,0.40,9.83,4.98,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,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