No office rate
The operative site and lesion treatment are comparable, but 23146 is the allograft option. Code 23145 describes reconstruction with the patient’s own bone.
On this page
CMS RVU26D · Effective 2026-10-01
23145 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$659.40
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 23145: Scapular bone lesion curettage with autograft
Reports operative curettage or excision of a benign bone cyst or tumor in the scapula when the defect is reconstructed with the patient’s own bone.
An orthopedic surgeon, often an orthopedic oncologist, uses this service to remove or curette a benign cystic or tumorous lesion in the scapula and fill the resulting defect with autologous bone graft. The work includes obtaining the patient’s graft as part of the procedure. It is a surgical treatment of a scapular lesion, not simply an arthrotomy for joint inspection or biopsy.
Report the code when the operative record supports the scapular site, lesion removal by curettage or excision, and use of the patient’s own bone graft. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 23145
- 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 RVU9.17 · 47%
- Practice expense (office) RVU8.55 · 43%
- Malpractice RVU1.95 · 10%
28
Medicare services in 2024 · #5700 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.
23145 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
This neighboring lesion-removal code concerns the clavicle. Use 23145 when the treated lesion is in the scapula and autograft is used.
No office rate
This code concerns a benign lesion of the proximal humerus rather than the scapula. Select by the documented bone site.
The same code, a different location
How does Chico compare?
23145 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 23145
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Modesto
California · 23145
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Napa
California · 23145
Office
Unavailable
Facility
$735.06
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23145
Office
Unavailable
Facility
$692.99
No comparable office rate is available.
Redding
California · 23145
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Rest Of California
California · 23145
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23145
Office
Unavailable
Facility
$680.35
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23145
Office
Unavailable
Facility
$684.35
No comparable office rate is available.
Salinas
California · 23145
Office
Unavailable
Facility
$681.68
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23145
Office
Unavailable
Facility
$692.33
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23145
Office
Unavailable
Facility
$767.94
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23145
Office
Unavailable
Facility
$765.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23145
Office
Unavailable
Facility
$786.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23145
Office
Unavailable
Facility
$777.64
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23145
Office
Unavailable
Facility
$671.68
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23145
Office
Unavailable
Facility
$694.61
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23145
Office
Unavailable
Facility
$682.76
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23145
Office
Unavailable
Facility
$701.07
No comparable office rate is available.
Stockton
California · 23145
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Vallejo
California · 23145
Office
Unavailable
Facility
$731.87
No comparable office rate is available.
Visalia
California · 23145
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Yuba City
California · 23145
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23145
Office
Unavailable
Facility
$731.73
No comparable office rate is available.
Miami
Florida · 23145
Office
Unavailable
Facility
$768.29
No comparable office rate is available.
Chicago
Illinois · 23145
Office
Unavailable
Facility
$744.91
No comparable office rate is available.
Manhattan
New York · 23145
Office
Unavailable
Facility
$761.03
No comparable office rate is available.
Alaska*
Alaska · 23145
Office
Unavailable
Facility
$799.46
No comparable office rate is available.
Alabama
Alabama · 23145
Office
Unavailable
Facility
$593.03
No comparable office rate is available.
Arkansas
Arkansas · 23145
Office
Unavailable
Facility
$585.14
No comparable office rate is available.
Arizona
Arizona · 23145
Office
Unavailable
Facility
$638.76
No comparable office rate is available.
Colorado
Colorado · 23145
Office
Unavailable
Facility
$664.68
No comparable office rate is available.
Connecticut
Connecticut · 23145
Office
Unavailable
Facility
$698.79
No comparable office rate is available.
Delaware
Delaware · 23145
Office
Unavailable
Facility
$648.52
No comparable office rate is available.
Fort Lauderdale
Florida · 23145
Office
Unavailable
Facility
$713.33
No comparable office rate is available.
Rest Of Florida
Florida · 23145
Office
Unavailable
Facility
$677.19
No comparable office rate is available.
Atlanta
Georgia · 23145
Office
Unavailable
Facility
$675.58
No comparable office rate is available.
Rest Of Georgia
Georgia · 23145
Office
Unavailable
Facility
$638.66
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23145
Office
Unavailable
Facility
$668.70
No comparable office rate is available.
Iowa
Iowa · 23145
Office
Unavailable
Facility
$593.45
No comparable office rate is available.
Idaho
Idaho · 23145
Office
Unavailable
Facility
$599.83
No comparable office rate is available.
East St. Louis
Illinois · 23145
Office
Unavailable
Facility
$700.19
No comparable office rate is available.
Rest Of Illinois
Illinois · 23145
Office
Unavailable
Facility
$668.82
No comparable office rate is available.
Suburban Chicago
Illinois · 23145
Office
Unavailable
Facility
$717.13
No comparable office rate is available.
Indiana
Indiana · 23145
Office
Unavailable
Facility
$602.67
No comparable office rate is available.
Kansas
Kansas · 23145
Office
Unavailable
Facility
$597.27
No comparable office rate is available.
Kentucky
Kentucky · 23145
Office
Unavailable
Facility
$619.76
No comparable office rate is available.
New Orleans
Louisiana · 23145
Office
Unavailable
Facility
$649.00
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23145
Office
Unavailable
Facility
$621.42
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23145
Office
Unavailable
Facility
$717.79
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23145
Office
Unavailable
Facility
$663.81
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23145
Office
Unavailable
Facility
$698.18
No comparable office rate is available.
Rest Of Maryland
Maryland · 23145
Office
Unavailable
Facility
$658.14
No comparable office rate is available.
Rest Of Maine
Maine · 23145
Office
Unavailable
Facility
$609.53
No comparable office rate is available.
Southern Maine
Maine · 23145
Office
Unavailable
Facility
$630.39
No comparable office rate is available.
Detroit
Michigan · 23145
Office
Unavailable
Facility
$691.68
No comparable office rate is available.
Rest Of Michigan
Michigan · 23145
Office
Unavailable
Facility
$640.55
No comparable office rate is available.
Minnesota
Minnesota · 23145
Office
Unavailable
Facility
$619.42
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23145
Office
Unavailable
Facility
$638.08
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23145
Office
Unavailable
Facility
$643.42
No comparable office rate is available.
Rest Of Missouri
Missouri · 23145
Office
Unavailable
Facility
$615.89
No comparable office rate is available.
Mississippi
Mississippi · 23145
Office
Unavailable
Facility
$600.30
No comparable office rate is available.
Montana**
Montana · 23145
Office
Unavailable
Facility
$656.87
No comparable office rate is available.
North Carolina
North Carolina · 23145
Office
Unavailable
Facility
$614.35
No comparable office rate is available.
North Dakota**
North Dakota · 23145
Office
Unavailable
Facility
$618.31
No comparable office rate is available.
Nebraska
Nebraska · 23145
Office
Unavailable
Facility
$594.49
No comparable office rate is available.
New Hampshire
New Hampshire · 23145
Office
Unavailable
Facility
$660.56
No comparable office rate is available.
Northern Nj
New Jersey · 23145
Office
Unavailable
Facility
$726.41
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23145
Office
Unavailable
Facility
$701.84
No comparable office rate is available.
New Mexico
New Mexico · 23145
Office
Unavailable
Facility
$646.38
No comparable office rate is available.
Nevada**
Nevada · 23145
Office
Unavailable
Facility
$646.40
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23145
Office
Unavailable
Facility
$786.39
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23145
Office
Unavailable
Facility
$711.59
No comparable office rate is available.
Queens
New York · 23145
Office
Unavailable
Facility
$757.36
No comparable office rate is available.
Rest Of New York
New York · 23145
Office
Unavailable
Facility
$623.37
No comparable office rate is available.
Ohio
Ohio · 23145
Office
Unavailable
Facility
$632.67
No comparable office rate is available.
Oklahoma
Oklahoma · 23145
Office
Unavailable
Facility
$611.91
No comparable office rate is available.
Portland
Oregon · 23145
Office
Unavailable
Facility
$676.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 23145
Office
Unavailable
Facility
$636.51
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23145
Office
Unavailable
Facility
$686.79
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23145
Office
Unavailable
Facility
$630.00
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23145
Office
Unavailable
Facility
$659.16
No comparable office rate is available.
Rhode Island
Rhode Island · 23145
Office
Unavailable
Facility
$665.20
No comparable office rate is available.
South Carolina
South Carolina · 23145
Office
Unavailable
Facility
$625.52
No comparable office rate is available.
South Dakota**
South Dakota · 23145
Office
Unavailable
Facility
$613.75
No comparable office rate is available.
Tennessee
Tennessee · 23145
Office
Unavailable
Facility
$600.85
No comparable office rate is available.
Austin
Texas · 23145
Office
Unavailable
Facility
$666.75
No comparable office rate is available.
Beaumont
Texas · 23145
Office
Unavailable
Facility
$626.67
No comparable office rate is available.
Brazoria
Texas · 23145
Office
Unavailable
Facility
$642.55
No comparable office rate is available.
Dallas
Texas · 23145
Office
Unavailable
Facility
$649.36
No comparable office rate is available.
Fort Worth
Texas · 23145
Office
Unavailable
Facility
$647.35
No comparable office rate is available.
Galveston
Texas · 23145
Office
Unavailable
Facility
$646.24
No comparable office rate is available.
Houston
Texas · 23145
Office
Unavailable
Facility
$681.94
No comparable office rate is available.
Rest Of Texas
Texas · 23145
Office
Unavailable
Facility
$636.11
No comparable office rate is available.
Utah
Utah · 23145
Office
Unavailable
Facility
$633.22
No comparable office rate is available.
Virginia
Virginia · 23145
Office
Unavailable
Facility
$632.99
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23145
Office
Unavailable
Facility
$659.16
No comparable office rate is available.
Vermont
Vermont · 23145
Office
Unavailable
Facility
$621.96
No comparable office rate is available.
Rest Of Washington
Washington · 23145
Office
Unavailable
Facility
$660.55
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23145
Office
Unavailable
Facility
$725.22
No comparable office rate is available.
Wisconsin
Wisconsin · 23145
Office
Unavailable
Facility
$599.93
No comparable office rate is available.
West Virginia
West Virginia · 23145
Office
Unavailable
Facility
$647.66
No comparable office rate is available.
Wyoming**
Wyoming · 23145
Office
Unavailable
Facility
$640.06
No comparable office rate is available.
See how rates vary across the country
23145 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 23145 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$725.34
$659.40 × 110% = $725.34
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 23145 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,172
- Code
- 23145
- Physician work
- 9.17
- Practice expense
- 8.55
- Malpractice
- 1.95
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.17 | × 1.017 | 9.3259 |
| Practice expense | 8.55 | × 1.096 | 9.3708 |
| Malpractice | 1.95 | × 0.536 | 1.0452 |
| Total RVUs | 19.7419 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$659.40
Open 23145 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.17 | 1.017 |
| Practice expense | 8.55 | 1.096 |
| Malpractice | 1.95 | 0.536 |
(9.17 × 1.017 + 8.55 × 1.096 + 1.95 × 0.536) × $33.4009 = $659.40
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
23145 · 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 | $659.40 | RVU26D |
| 2026-07-01 | Not available in this setting | $659.40 | RVU26C |
| 2026-04-01 | Not available in this setting | $659.40 | RVU26B |
| 2026-01-01 | Not available in this setting | $659.40 | RVU26A |
| 2025-10-01 | Not available in this setting | $698.93 | RVU25D |
| 2025-07-01 | Not available in this setting | $698.93 | RVU25C |
| 2025-04-01 | Not available in this setting | $698.93 | RVU25B |
| 2025-01-01 | Not available in this setting | $698.93 | RVU25A |
23145 billing questions
When is 23145 different from 23146?
Both concern benign bone lesions of the scapula, but 23145 involves the patient’s own bone graft. Use 23146 for the allograft approach.
Can the graft-harvesting work be reported separately?
The autograft service includes obtaining the patient’s bone for the reconstruction. Do not separately report graft harvesting as though it were outside this procedure.
What documentation supports this code?
Document the scapular lesion, its removal by excision or curettage, and reconstruction with autologous bone graft. The operative note should make the graft type clear.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The code’s global package applies to care related to this operation.
Can modifier 50 be used for bilateral work?
CMS identifies this as a bilateral procedure; when reported with modifier 50, payment is at 150%. The record should support treatment on both sides.
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.
2,16923125,,Claviculectomy total,A,,9.40,8.63,NA,8.63,,2.00,20.03,20.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17023130,,Acromp/acromionectomy prtl,A,,7.58,8.52,NA,8.52,,1.59,17.69,17.69,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17123140,,Removal of bone lesion,A,,6.94,7.50,NA,7.50,,1.47,15.91,15.91,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17223145,,Removal of bone lesion,A,,9.17,8.55,NA,8.55,,1.95,19.67,19.67,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17323146,,Removal of bone lesion,A,,7.88,8.29,NA,8.29,,1.68,17.85,17.85,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17423150,,Removal of humerus lesion,A,,8.69,8.40,NA,8.40,,1.85,18.94,18.94,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17523155,,Removal of humerus lesion,A,,10.59,9.57,NA,9.57,,2.25,22.41,22.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536