No office rate
Choose 23485 when bone graft is used with the clavicular osteotomy. Choose 23480 for the osteotomy without that graft distinction.
On this page
CMS RVU26D · Effective 2026-10-01
23485 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$880.75
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 23485: Clavicle osteotomy with bone graft
Report this service when a surgeon corrects clavicular alignment with an osteotomy and uses bone graft as part of the reconstruction.
An orthopedic surgeon uses this service to correct a clavicle deformity or difficult healing problem by cutting and repositioning the bone and incorporating bone graft. A typical setting is the operating room, such as surgery to address a symptomatic clavicle malunion where correction requires graft support. The operative record should make clear that the clavicle was osteotomized and bone graft was used; a graft-only procedure or reinforcement without corrective osteotomy is a different service.
Select this code when the documented work includes both the clavicular osteotomy and graft, rather than the osteotomy service without graft. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. Modifier 50 identifies bilateral work, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. CMS does not permit team-surgery payment for this service.
CMS billing rules for 23485
- 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 RVU13.56 · 52%
- Practice expense (office) RVU9.77 · 37%
- Malpractice RVU2.76 · 11%
150
Medicare services in 2024 · #4561 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.
23485 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
23490 describes reinforcement of the clavicle. This code represents corrective clavicular osteotomy with bone graft, not reinforcement alone.
No office rate
23491 concerns reinforcement of shoulder bones. Use 23485 when the documented service is a clavicular osteotomy performed with bone graft.
The same code, a different location
How does Austin compare?
23485 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 · 23485
Office
Unavailable
Facility
$845.84
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 23485
Office
Unavailable
Facility
$918.74
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23485
Office
Unavailable
Facility
$964.39
No comparable office rate is available.
Miami
Florida · 23485
Office
Unavailable
Facility
$1025.76
No comparable office rate is available.
Chicago
Illinois · 23485
Office
Unavailable
Facility
$995.61
No comparable office rate is available.
Manhattan
New York · 23485
Office
Unavailable
Facility
$1007.30
No comparable office rate is available.
Alaska*
Alaska · 23485
Office
Unavailable
Facility
$1077.71
No comparable office rate is available.
Alabama
Alabama · 23485
Office
Unavailable
Facility
$790.63
No comparable office rate is available.
Arkansas
Arkansas · 23485
Office
Unavailable
Facility
$780.71
No comparable office rate is available.
Arizona
Arizona · 23485
Office
Unavailable
Facility
$848.04
No comparable office rate is available.
Bakersfield
California · 23485
Office
Unavailable
Facility
$875.32
No comparable office rate is available.
Chico
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
El Centro
California · 23485
Office
Unavailable
Facility
$868.14
No comparable office rate is available.
Fresno
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Hanford-Corcoran
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Madera
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Merced
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Modesto
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Napa
California · 23485
Office
Unavailable
Facility
$958.38
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23485
Office
Unavailable
Facility
$908.75
No comparable office rate is available.
Redding
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Rest Of California
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23485
Office
Unavailable
Facility
$897.36
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23485
Office
Unavailable
Facility
$898.15
No comparable office rate is available.
Salinas
California · 23485
Office
Unavailable
Facility
$894.58
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23485
Office
Unavailable
Facility
$906.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23485
Office
Unavailable
Facility
$998.38
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23485
Office
Unavailable
Facility
$995.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23485
Office
Unavailable
Facility
$1022.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23485
Office
Unavailable
Facility
$1009.90
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23485
Office
Unavailable
Facility
$881.71
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23485
Office
Unavailable
Facility
$908.33
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23485
Office
Unavailable
Facility
$895.51
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23485
Office
Unavailable
Facility
$916.64
No comparable office rate is available.
Stockton
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Vallejo
California · 23485
Office
Unavailable
Facility
$953.86
No comparable office rate is available.
Visalia
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Yuba City
California · 23485
Office
Unavailable
Facility
$867.68
No comparable office rate is available.
Colorado
Colorado · 23485
Office
Unavailable
Facility
$877.56
No comparable office rate is available.
Connecticut
Connecticut · 23485
Office
Unavailable
Facility
$924.97
No comparable office rate is available.
Delaware
Delaware · 23485
Office
Unavailable
Facility
$860.47
No comparable office rate is available.
Fort Lauderdale
Florida · 23485
Office
Unavailable
Facility
$950.16
No comparable office rate is available.
Rest Of Florida
Florida · 23485
Office
Unavailable
Facility
$903.44
No comparable office rate is available.
Atlanta
Georgia · 23485
Office
Unavailable
Facility
$896.54
No comparable office rate is available.
Rest Of Georgia
Georgia · 23485
Office
Unavailable
Facility
$853.89
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23485
Office
Unavailable
Facility
$877.33
No comparable office rate is available.
Iowa
Iowa · 23485
Office
Unavailable
Facility
$788.10
No comparable office rate is available.
Idaho
Idaho · 23485
Office
Unavailable
Facility
$796.74
No comparable office rate is available.
East St. Louis
Illinois · 23485
Office
Unavailable
Facility
$938.80
No comparable office rate is available.
Rest Of Illinois
Illinois · 23485
Office
Unavailable
Facility
$894.94
No comparable office rate is available.
Suburban Chicago
Illinois · 23485
Office
Unavailable
Facility
$954.58
No comparable office rate is available.
Indiana
Indiana · 23485
Office
Unavailable
Facility
$800.22
No comparable office rate is available.
Kansas
Kansas · 23485
Office
Unavailable
Facility
$794.38
No comparable office rate is available.
Kentucky
Kentucky · 23485
Office
Unavailable
Facility
$827.37
No comparable office rate is available.
New Orleans
Louisiana · 23485
Office
Unavailable
Facility
$864.71
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23485
Office
Unavailable
Facility
$830.03
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23485
Office
Unavailable
Facility
$943.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23485
Office
Unavailable
Facility
$877.26
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23485
Office
Unavailable
Facility
$924.35
No comparable office rate is available.
Rest Of Maryland
Maryland · 23485
Office
Unavailable
Facility
$872.32
No comparable office rate is available.
Rest Of Maine
Maine · 23485
Office
Unavailable
Facility
$810.48
No comparable office rate is available.
Southern Maine
Maine · 23485
Office
Unavailable
Facility
$834.48
No comparable office rate is available.
Detroit
Michigan · 23485
Office
Unavailable
Facility
$923.25
No comparable office rate is available.
Rest Of Michigan
Michigan · 23485
Office
Unavailable
Facility
$854.93
No comparable office rate is available.
Minnesota
Minnesota · 23485
Office
Unavailable
Facility
$815.99
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23485
Office
Unavailable
Facility
$849.40
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23485
Office
Unavailable
Facility
$855.95
No comparable office rate is available.
Rest Of Missouri
Missouri · 23485
Office
Unavailable
Facility
$824.00
No comparable office rate is available.
Mississippi
Mississippi · 23485
Office
Unavailable
Facility
$802.01
No comparable office rate is available.
Montana**
Montana · 23485
Office
Unavailable
Facility
$871.25
No comparable office rate is available.
North Carolina
North Carolina · 23485
Office
Unavailable
Facility
$816.29
No comparable office rate is available.
North Dakota**
North Dakota · 23485
Office
Unavailable
Facility
$816.67
No comparable office rate is available.
Nebraska
Nebraska · 23485
Office
Unavailable
Facility
$788.96
No comparable office rate is available.
New Hampshire
New Hampshire · 23485
Office
Unavailable
Facility
$873.29
No comparable office rate is available.
Northern Nj
New Jersey · 23485
Office
Unavailable
Facility
$958.44
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23485
Office
Unavailable
Facility
$928.51
No comparable office rate is available.
New Mexico
New Mexico · 23485
Office
Unavailable
Facility
$862.87
No comparable office rate is available.
Nevada**
Nevada · 23485
Office
Unavailable
Facility
$856.36
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23485
Office
Unavailable
Facility
$1041.10
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23485
Office
Unavailable
Facility
$942.17
No comparable office rate is available.
Queens
New York · 23485
Office
Unavailable
Facility
$1000.55
No comparable office rate is available.
Rest Of New York
New York · 23485
Office
Unavailable
Facility
$827.73
No comparable office rate is available.
Ohio
Ohio · 23485
Office
Unavailable
Facility
$843.78
No comparable office rate is available.
Oklahoma
Oklahoma · 23485
Office
Unavailable
Facility
$815.95
No comparable office rate is available.
Portland
Oregon · 23485
Office
Unavailable
Facility
$891.30
No comparable office rate is available.
Rest Of Oregon
Oregon · 23485
Office
Unavailable
Facility
$842.74
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23485
Office
Unavailable
Facility
$910.75
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23485
Office
Unavailable
Facility
$839.60
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23485
Office
Unavailable
Facility
$873.64
No comparable office rate is available.
Rhode Island
Rhode Island · 23485
Office
Unavailable
Facility
$880.85
No comparable office rate is available.
South Carolina
South Carolina · 23485
Office
Unavailable
Facility
$832.80
No comparable office rate is available.
South Dakota**
South Dakota · 23485
Office
Unavailable
Facility
$810.22
No comparable office rate is available.
Tennessee
Tennessee · 23485
Office
Unavailable
Facility
$799.05
No comparable office rate is available.
Utah
Utah · 23485
Office
Unavailable
Facility
$842.45
No comparable office rate is available.
Virginia
Virginia · 23485
Office
Unavailable
Facility
$838.78
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23485
Office
Unavailable
Facility
$873.64
No comparable office rate is available.
Vermont
Vermont · 23485
Office
Unavailable
Facility
$822.63
No comparable office rate is available.
Rest Of Washington
Washington · 23485
Office
Unavailable
Facility
$872.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23485
Office
Unavailable
Facility
$951.28
No comparable office rate is available.
Wisconsin
Wisconsin · 23485
Office
Unavailable
Facility
$793.93
No comparable office rate is available.
West Virginia
West Virginia · 23485
Office
Unavailable
Facility
$868.41
No comparable office rate is available.
Wyoming**
Wyoming · 23485
Office
Unavailable
Facility
$847.46
No comparable office rate is available.
See how rates vary across the country
23485 · 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.
- 23485 in Austin
Multiple payment areas
- 23485 in Barton Creek
- 23485 in Bee Cave
- 23485 in Briarcliff
- 23485 in Cedar Park
Multiple payment areas
- 23485 in Creedmoor
Multiple payment areas
- 23485 in Elgin
Multiple payment areas
- 23485 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 23485 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$968.83
$880.75 × 110% = $968.83
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 23485 in Austin.
PPRRVU2026_Oct_nonQPP.csv
2,215
- Code
- 23485
- Physician work
- 13.56
- Practice expense
- 9.77
- Malpractice
- 2.76
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.56 | × 1.002 | 13.5871 |
| Practice expense | 9.77 | × 1.058 | 10.3367 |
| Malpractice | 2.76 | × 0.886 | 2.4454 |
| Total RVUs | 26.3691 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$880.75
Open 23485 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.56 | 1.002 |
| Practice expense | 9.77 | 1.058 |
| Malpractice | 2.76 | 0.886 |
(13.56 × 1.002 + 9.77 × 1.058 + 2.76 × 0.886) × $33.4009 = $880.75
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
23485 · 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 | $880.75 | RVU26D |
| 2026-07-01 | Not available in this setting | $880.75 | RVU26C |
| 2026-04-01 | Not available in this setting | $880.75 | RVU26B |
| 2026-01-01 | Not available in this setting | $880.75 | RVU26A |
| 2025-10-01 | Not available in this setting | $950.32 | RVU25D |
| 2025-07-01 | Not available in this setting | $950.32 | RVU25C |
| 2025-04-01 | Not available in this setting | $950.32 | RVU25B |
| 2025-01-01 | Not available in this setting | $950.32 | RVU25A |
23485 billing questions
How does this differ from 23480?
23485 is for clavicular osteotomy with bone graft. Use 23480 when the osteotomy is performed without the graft distinction.
Is the bone graft part of this service?
Yes. The code identifies a clavicular osteotomy performed with bone graft, so documentation should support both the osteotomy and graft use.
Does the 90-day global include postoperative visits?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral work reported?
Use modifier 50 for bilateral work; CMS payment for this code is at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team-surgery payment 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.
2,21223473,,Revis reconst shoulder joint,A,,24.38,13.85,NA,13.85,,4.89,43.12,43.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21323474,,Revis reconst shoulder joint,A,,26.53,14.56,NA,14.56,,5.38,46.47,46.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21423480,,Revision of collar bone,A,,11.25,9.22,NA,9.22,,2.40,22.87,22.87,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21523485,,Revision of collar bone,A,,13.56,9.77,NA,9.77,,2.76,26.09,26.09,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21623490,,Reinforce clavicle,A,,11.86,9.58,NA,9.58,,2.53,23.97,23.97,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21723491,,Reinforce shoulder bones,A,,14.18,10.87,NA,10.87,,3.02,28.07,28.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21823500,,Cltx clavicular fx w/o mnpj,A,,2.15,5.13,,4.74,,0.45,7.73,7.34,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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