No office rate
Use 23405 for one tendon in the shoulder area; 23406 covers multiple tendons or muscles.
On this page
CMS RVU26D · Effective 2026-10-01
23405 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$583.27
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 23405: Single-tendon shoulder tenotomy
Reports surgical division of one tendon in the shoulder area, such as a tendon release performed to address shoulder pain or restricted movement.
This procedure surgically divides one tendon in the shoulder area. An orthopedic surgeon or other qualified surgeon may perform it to release a tendon contributing to pain or restricted shoulder motion. A tenotomy may also be part of operative treatment for shoulder tendon disease, including treatment involving the long head of the biceps. The operative report should identify the tendon and describe the division performed.
Report this code when the procedure involves one tendon; the code for multiple tendons or muscles is a distinct choice. Documentation should support the shoulder location, the tendon treated, and the operative work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23405
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU8.33 · 48%
- Practice expense (office) RVU7.31 · 43%
- Malpractice RVU1.56 · 9%
3.6K
Medicare services in 2024 · #2067 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.
23405 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
23405 represents tendon division. 23430 is used when the biceps tendon is repaired by tenodesis rather than simply divided.
No office rate
23415 addresses release of a shoulder ligament, not division of a tendon.
No office rate
23412 describes repair of a chronic rotator cuff tear. It is not a substitute for reporting a distinct single-tendon division.
The same code, a different location
How does Austin compare?
23405 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 · 23405
Office
Unavailable
Facility
$556.99
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 23405
Office
Unavailable
Facility
$613.08
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23405
Office
Unavailable
Facility
$638.87
No comparable office rate is available.
Miami
Florida · 23405
Office
Unavailable
Facility
$664.18
No comparable office rate is available.
Chicago
Illinois · 23405
Office
Unavailable
Facility
$645.14
No comparable office rate is available.
Manhattan
New York · 23405
Office
Unavailable
Facility
$662.39
No comparable office rate is available.
Alaska*
Alaska · 23405
Office
Unavailable
Facility
$706.09
No comparable office rate is available.
Alabama
Alabama · 23405
Office
Unavailable
Facility
$521.36
No comparable office rate is available.
Arkansas
Arkansas · 23405
Office
Unavailable
Facility
$514.80
No comparable office rate is available.
Arizona
Arizona · 23405
Office
Unavailable
Facility
$559.42
No comparable office rate is available.
Bakersfield
California · 23405
Office
Unavailable
Facility
$582.85
No comparable office rate is available.
Chico
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
El Centro
California · 23405
Office
Unavailable
Facility
$578.75
No comparable office rate is available.
Fresno
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Hanford-Corcoran
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Madera
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Merced
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Modesto
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Napa
California · 23405
Office
Unavailable
Facility
$644.03
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23405
Office
Unavailable
Facility
$607.08
No comparable office rate is available.
Redding
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Rest Of California
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23405
Office
Unavailable
Facility
$595.28
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23405
Office
Unavailable
Facility
$600.13
No comparable office rate is available.
Salinas
California · 23405
Office
Unavailable
Facility
$597.77
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23405
Office
Unavailable
Facility
$606.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23405
Office
Unavailable
Facility
$672.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23405
Office
Unavailable
Facility
$671.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23405
Office
Unavailable
Facility
$688.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23405
Office
Unavailable
Facility
$681.60
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23405
Office
Unavailable
Facility
$588.99
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23405
Office
Unavailable
Facility
$608.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23405
Office
Unavailable
Facility
$598.64
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23405
Office
Unavailable
Facility
$614.33
No comparable office rate is available.
Stockton
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Vallejo
California · 23405
Office
Unavailable
Facility
$641.48
No comparable office rate is available.
Visalia
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Yuba City
California · 23405
Office
Unavailable
Facility
$578.49
No comparable office rate is available.
Colorado
Colorado · 23405
Office
Unavailable
Facility
$582.05
No comparable office rate is available.
Connecticut
Connecticut · 23405
Office
Unavailable
Facility
$609.80
No comparable office rate is available.
Delaware
Delaware · 23405
Office
Unavailable
Facility
$567.69
No comparable office rate is available.
Fort Lauderdale
Florida · 23405
Office
Unavailable
Facility
$619.77
No comparable office rate is available.
Rest Of Florida
Florida · 23405
Office
Unavailable
Facility
$589.96
No comparable office rate is available.
Atlanta
Georgia · 23405
Office
Unavailable
Facility
$589.71
No comparable office rate is available.
Rest Of Georgia
Georgia · 23405
Office
Unavailable
Facility
$558.13
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23405
Office
Unavailable
Facility
$586.01
No comparable office rate is available.
Iowa
Iowa · 23405
Office
Unavailable
Facility
$522.32
No comparable office rate is available.
Idaho
Idaho · 23405
Office
Unavailable
Facility
$527.50
No comparable office rate is available.
East St. Louis
Illinois · 23405
Office
Unavailable
Facility
$607.80
No comparable office rate is available.
Rest Of Illinois
Illinois · 23405
Office
Unavailable
Facility
$582.59
No comparable office rate is available.
Suburban Chicago
Illinois · 23405
Office
Unavailable
Facility
$623.26
No comparable office rate is available.
Indiana
Indiana · 23405
Office
Unavailable
Facility
$529.89
No comparable office rate is available.
Kansas
Kansas · 23405
Office
Unavailable
Facility
$525.21
No comparable office rate is available.
Kentucky
Kentucky · 23405
Office
Unavailable
Facility
$542.96
No comparable office rate is available.
New Orleans
Louisiana · 23405
Office
Unavailable
Facility
$567.18
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23405
Office
Unavailable
Facility
$544.23
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23405
Office
Unavailable
Facility
$627.54
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23405
Office
Unavailable
Facility
$581.31
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23405
Office
Unavailable
Facility
$609.12
No comparable office rate is available.
Rest Of Maryland
Maryland · 23405
Office
Unavailable
Facility
$575.94
No comparable office rate is available.
Rest Of Maine
Maine · 23405
Office
Unavailable
Facility
$535.27
No comparable office rate is available.
Southern Maine
Maine · 23405
Office
Unavailable
Facility
$553.07
No comparable office rate is available.
Detroit
Michigan · 23405
Office
Unavailable
Facility
$601.69
No comparable office rate is available.
Rest Of Michigan
Michigan · 23405
Office
Unavailable
Facility
$559.98
No comparable office rate is available.
Minnesota
Minnesota · 23405
Office
Unavailable
Facility
$544.89
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23405
Office
Unavailable
Facility
$558.40
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23405
Office
Unavailable
Facility
$562.88
No comparable office rate is available.
Rest Of Missouri
Missouri · 23405
Office
Unavailable
Facility
$539.45
No comparable office rate is available.
Mississippi
Mississippi · 23405
Office
Unavailable
Facility
$526.96
No comparable office rate is available.
Montana**
Montana · 23405
Office
Unavailable
Facility
$574.39
No comparable office rate is available.
North Carolina
North Carolina · 23405
Office
Unavailable
Facility
$539.33
No comparable office rate is available.
North Dakota**
North Dakota · 23405
Office
Unavailable
Facility
$543.54
No comparable office rate is available.
Nebraska
Nebraska · 23405
Office
Unavailable
Facility
$523.29
No comparable office rate is available.
New Hampshire
New Hampshire · 23405
Office
Unavailable
Facility
$577.99
No comparable office rate is available.
Northern Nj
New Jersey · 23405
Office
Unavailable
Facility
$634.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23405
Office
Unavailable
Facility
$613.14
No comparable office rate is available.
New Mexico
New Mexico · 23405
Office
Unavailable
Facility
$564.70
No comparable office rate is available.
Nevada**
Nevada · 23405
Office
Unavailable
Facility
$566.04
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23405
Office
Unavailable
Facility
$683.10
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23405
Office
Unavailable
Facility
$621.15
No comparable office rate is available.
Queens
New York · 23405
Office
Unavailable
Facility
$659.77
No comparable office rate is available.
Rest Of New York
New York · 23405
Office
Unavailable
Facility
$546.81
No comparable office rate is available.
Ohio
Ohio · 23405
Office
Unavailable
Facility
$553.67
No comparable office rate is available.
Oklahoma
Oklahoma · 23405
Office
Unavailable
Facility
$536.75
No comparable office rate is available.
Portland
Oregon · 23405
Office
Unavailable
Facility
$592.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 23405
Office
Unavailable
Facility
$558.04
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23405
Office
Unavailable
Facility
$599.57
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23405
Office
Unavailable
Facility
$551.61
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23405
Office
Unavailable
Facility
$576.40
No comparable office rate is available.
Rhode Island
Rhode Island · 23405
Office
Unavailable
Facility
$582.21
No comparable office rate is available.
South Carolina
South Carolina · 23405
Office
Unavailable
Facility
$548.12
No comparable office rate is available.
South Dakota**
South Dakota · 23405
Office
Unavailable
Facility
$539.90
No comparable office rate is available.
Tennessee
Tennessee · 23405
Office
Unavailable
Facility
$528.15
No comparable office rate is available.
Utah
Utah · 23405
Office
Unavailable
Facility
$554.53
No comparable office rate is available.
Virginia
Virginia · 23405
Office
Unavailable
Facility
$555.03
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23405
Office
Unavailable
Facility
$576.40
No comparable office rate is available.
Vermont
Vermont · 23405
Office
Unavailable
Facility
$546.31
No comparable office rate is available.
Rest Of Washington
Washington · 23405
Office
Unavailable
Facility
$578.60
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23405
Office
Unavailable
Facility
$634.30
No comparable office rate is available.
Wisconsin
Wisconsin · 23405
Office
Unavailable
Facility
$528.18
No comparable office rate is available.
West Virginia
West Virginia · 23405
Office
Unavailable
Facility
$564.97
No comparable office rate is available.
Wyoming**
Wyoming · 23405
Office
Unavailable
Facility
$560.95
No comparable office rate is available.
See how rates vary across the country
23405 · 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.
- 23405 in Austin
Multiple payment areas
- 23405 in Barton Creek
- 23405 in Bee Cave
- 23405 in Briarcliff
- 23405 in Cedar Park
Multiple payment areas
- 23405 in Creedmoor
Multiple payment areas
- 23405 in Elgin
Multiple payment areas
- 23405 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 23405 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$641.60
$583.27 × 110% = $641.60
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 23405 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,196
- Code
- 23405
- Physician work
- 8.33
- Practice expense
- 7.31
- Malpractice
- 1.56
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.33 | × 1.002 | 8.3467 |
| Practice expense | 7.31 | × 1.058 | 7.7340 |
| Malpractice | 1.56 | × 0.886 | 1.3822 |
| Total RVUs | 17.4628 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$583.27
Open 23405 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.33 | 1.002 |
| Practice expense | 7.31 | 1.058 |
| Malpractice | 1.56 | 0.886 |
(8.33 × 1.002 + 7.31 × 1.058 + 1.56 × 0.886) × $33.4009 = $583.27
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
23405 · 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 | $583.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $583.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $583.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $583.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $617.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $617.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $617.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $617.19 | RVU25A |
23405 billing questions
When should I report this instead of 23406?
Report 23405 for division of a single tendon in the shoulder area. The multiple-tendon or muscle procedure is represented by 23406.
Can this code describe a biceps tenotomy?
It may describe surgical division of a single tendon in the shoulder area, including the long head of the biceps. The operative note should identify the tendon and the work performed.
Is modifier 50 appropriate for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
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.
2,19323395,,Muscle transfer shoulder/arm,A,,18.08,13.46,NA,13.46,,3.72,35.26,35.26,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19423397,,Muscle transfers,A,,16.34,11.40,NA,11.40,,3.48,31.22,31.22,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19523400,,Fixation of shoulder blade,A,,13.52,10.50,NA,10.50,,2.89,26.91,26.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19623405,,Incision of tendon & muscle,A,,8.33,7.31,NA,7.31,,1.56,17.20,17.20,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19723406,,Incise tendon(s) & muscle(s),A,,10.73,7.97,NA,7.97,,1.48,20.18,20.18,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19823410,,Repair rotator cuff acute,A,,11.11,9.49,NA,9.49,,2.30,22.90,22.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19923412,,Repair rotator cuff chronic,A,,11.63,9.66,NA,9.66,,2.41,23.70,23.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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