No office rate
Choose 23485 when the osteotomy is for clavicular nonunion or malunion. Code 23480 is for a clavicle osteotomy for another indication.
On this page
CMS RVU26D · Effective 2026-10-01
23480 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$762.64
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 23480: Clavicle osteotomy for alignment correction
Reports a planned clavicle bone cut to correct alignment or shape, with or without fixation, rather than treatment of an acute fracture.
An orthopedic surgeon cuts and reshapes the clavicle to correct a structural alignment problem. The surgeon may use plates, screws, or other internal fixation to hold the bone in its corrected position. This is generally performed in an operating room, such as a hospital or ambulatory surgical facility, when a planned osteotomy is needed rather than routine fracture fixation or treatment of a nonunion or malunion.
The operative report should identify the clavicle, the reason for the osteotomy, the bone cut and correction performed, and any fixation used. Internal fixation used to stabilize the osteotomy is part of the service. Medicare assigns a 90-day global period, including 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 23480
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.25 · 49%
- Practice expense (office) RVU9.22 · 40%
- Malpractice RVU2.40 · 10%
48
Medicare services in 2024 · #5371 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.
23480 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
This code concerns a planned osteotomy for correction; 23515 is for open treatment of a clavicle fracture.
No office rate
Code 23490 addresses prophylactic reinforcement of the clavicle. Code 23480 involves cutting and correcting the bone's alignment or shape.
The same code, a different location
How does Chico compare?
23480 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 · 23480
Office
Unavailable
Facility
$762.64
No comparable office rate is available.
Modesto
California · 23480
Office
Unavailable
Facility
$762.64
No comparable office rate is available.
Napa
California · 23480
Office
Unavailable
Facility
$846.04
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23480
Office
Unavailable
Facility
$800.23
No comparable office rate is available.
Redding
California · 23480
Office
Unavailable
Facility
$762.64
No comparable office rate is available.
Rest Of California
California · 23480
Office
Unavailable
Facility
$762.64
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23480
Office
Unavailable
Facility
$788.42
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23480
Office
Unavailable
Facility
$790.41
No comparable office rate is available.
Salinas
California · 23480
Office
Unavailable
Facility
$787.30
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23480
Office
Unavailable
Facility
$798.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23480
Office
Unavailable
Facility
$882.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23480
Office
Unavailable
Facility
$879.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23480
Office
Unavailable
Facility
$904.13
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23480
Office
Unavailable
Facility
$892.99
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23480
Office
Unavailable
Facility
$775.88
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23480
Office
Unavailable
Facility
$800.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23480
Office
Unavailable
Facility
$788.33
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23480
Office
Unavailable
Facility
$808.17
No comparable office rate is available.
Stockton
California · 23480
Office
Unavailable
Facility
$762.64
No comparable office rate is available.
Vallejo
California · 23480
Office
Unavailable
Facility
$842.11
No comparable office rate is available.
Visalia
California · 23480
Office
Unavailable
Facility
$762.64
No comparable office rate is available.
Yuba City
California · 23480
Office
Unavailable
Facility
$762.64
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23480
Office
Unavailable
Facility
$848.04
No comparable office rate is available.
Miami
Florida · 23480
Office
Unavailable
Facility
$899.07
No comparable office rate is available.
Chicago
Illinois · 23480
Office
Unavailable
Facility
$871.86
No comparable office rate is available.
Manhattan
New York · 23480
Office
Unavailable
Facility
$884.79
No comparable office rate is available.
Alaska*
Alaska · 23480
Office
Unavailable
Facility
$935.78
No comparable office rate is available.
Alabama
Alabama · 23480
Office
Unavailable
Facility
$690.59
No comparable office rate is available.
Arkansas
Arkansas · 23480
Office
Unavailable
Facility
$681.58
No comparable office rate is available.
Arizona
Arizona · 23480
Office
Unavailable
Facility
$742.79
No comparable office rate is available.
Colorado
Colorado · 23480
Office
Unavailable
Facility
$770.54
No comparable office rate is available.
Connecticut
Connecticut · 23480
Office
Unavailable
Facility
$811.94
No comparable office rate is available.
Delaware
Delaware · 23480
Office
Unavailable
Facility
$753.97
No comparable office rate is available.
Fort Lauderdale
Florida · 23480
Office
Unavailable
Facility
$832.65
No comparable office rate is available.
Rest Of Florida
Florida · 23480
Office
Unavailable
Facility
$790.65
No comparable office rate is available.
Atlanta
Georgia · 23480
Office
Unavailable
Facility
$786.05
No comparable office rate is available.
Rest Of Georgia
Georgia · 23480
Office
Unavailable
Facility
$746.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23480
Office
Unavailable
Facility
$772.32
No comparable office rate is available.
Iowa
Iowa · 23480
Office
Unavailable
Facility
$689.36
No comparable office rate is available.
Idaho
Idaho · 23480
Office
Unavailable
Facility
$697.00
No comparable office rate is available.
East St. Louis
Illinois · 23480
Office
Unavailable
Facility
$820.53
No comparable office rate is available.
Rest Of Illinois
Illinois · 23480
Office
Unavailable
Facility
$782.22
No comparable office rate is available.
Suburban Chicago
Illinois · 23480
Office
Unavailable
Facility
$836.71
No comparable office rate is available.
Indiana
Indiana · 23480
Office
Unavailable
Facility
$700.19
No comparable office rate is available.
Kansas
Kansas · 23480
Office
Unavailable
Facility
$694.55
No comparable office rate is available.
Kentucky
Kentucky · 23480
Office
Unavailable
Facility
$722.88
No comparable office rate is available.
New Orleans
Louisiana · 23480
Office
Unavailable
Facility
$756.61
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23480
Office
Unavailable
Facility
$725.10
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23480
Office
Unavailable
Facility
$830.21
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23480
Office
Unavailable
Facility
$769.94
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23480
Office
Unavailable
Facility
$811.37
No comparable office rate is available.
Rest Of Maryland
Maryland · 23480
Office
Unavailable
Facility
$764.76
No comparable office rate is available.
Rest Of Maine
Maine · 23480
Office
Unavailable
Facility
$708.94
No comparable office rate is available.
Southern Maine
Maine · 23480
Office
Unavailable
Facility
$731.53
No comparable office rate is available.
Detroit
Michigan · 23480
Office
Unavailable
Facility
$808.09
No comparable office rate is available.
Rest Of Michigan
Michigan · 23480
Office
Unavailable
Facility
$747.43
No comparable office rate is available.
Minnesota
Minnesota · 23480
Office
Unavailable
Facility
$716.38
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23480
Office
Unavailable
Facility
$743.25
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23480
Office
Unavailable
Facility
$749.26
No comparable office rate is available.
Rest Of Missouri
Missouri · 23480
Office
Unavailable
Facility
$719.30
No comparable office rate is available.
Mississippi
Mississippi · 23480
Office
Unavailable
Facility
$700.15
No comparable office rate is available.
Montana**
Montana · 23480
Office
Unavailable
Facility
$763.72
No comparable office rate is available.
North Carolina
North Carolina · 23480
Office
Unavailable
Facility
$714.31
No comparable office rate is available.
North Dakota**
North Dakota · 23480
Office
Unavailable
Facility
$716.26
No comparable office rate is available.
Nebraska
Nebraska · 23480
Office
Unavailable
Facility
$690.31
No comparable office rate is available.
New Hampshire
New Hampshire · 23480
Office
Unavailable
Facility
$766.48
No comparable office rate is available.
Northern Nj
New Jersey · 23480
Office
Unavailable
Facility
$842.28
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23480
Office
Unavailable
Facility
$815.02
No comparable office rate is available.
New Mexico
New Mexico · 23480
Office
Unavailable
Facility
$754.43
No comparable office rate is available.
Nevada**
Nevada · 23480
Office
Unavailable
Facility
$750.80
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23480
Office
Unavailable
Facility
$914.83
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23480
Office
Unavailable
Facility
$826.88
No comparable office rate is available.
Queens
New York · 23480
Office
Unavailable
Facility
$879.41
No comparable office rate is available.
Rest Of New York
New York · 23480
Office
Unavailable
Facility
$724.67
No comparable office rate is available.
Ohio
Ohio · 23480
Office
Unavailable
Facility
$737.73
No comparable office rate is available.
Oklahoma
Oklahoma · 23480
Office
Unavailable
Facility
$713.05
No comparable office rate is available.
Portland
Oregon · 23480
Office
Unavailable
Facility
$783.55
No comparable office rate is available.
Rest Of Oregon
Oregon · 23480
Office
Unavailable
Facility
$738.84
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23480
Office
Unavailable
Facility
$798.74
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23480
Office
Unavailable
Facility
$734.22
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23480
Office
Unavailable
Facility
$766.06
No comparable office rate is available.
Rhode Island
Rhode Island · 23480
Office
Unavailable
Facility
$772.52
No comparable office rate is available.
South Carolina
South Carolina · 23480
Office
Unavailable
Facility
$728.45
No comparable office rate is available.
South Dakota**
South Dakota · 23480
Office
Unavailable
Facility
$710.65
No comparable office rate is available.
Tennessee
Tennessee · 23480
Office
Unavailable
Facility
$698.74
No comparable office rate is available.
Austin
Texas · 23480
Office
Unavailable
Facility
$773.35
No comparable office rate is available.
Beaumont
Texas · 23480
Office
Unavailable
Facility
$730.47
No comparable office rate is available.
Brazoria
Texas · 23480
Office
Unavailable
Facility
$746.48
No comparable office rate is available.
Dallas
Texas · 23480
Office
Unavailable
Facility
$754.65
No comparable office rate is available.
Fort Worth
Texas · 23480
Office
Unavailable
Facility
$752.61
No comparable office rate is available.
Galveston
Texas · 23480
Office
Unavailable
Facility
$750.94
No comparable office rate is available.
Houston
Texas · 23480
Office
Unavailable
Facility
$794.87
No comparable office rate is available.
Rest Of Texas
Texas · 23480
Office
Unavailable
Facility
$740.40
No comparable office rate is available.
Utah
Utah · 23480
Office
Unavailable
Facility
$737.22
No comparable office rate is available.
Virginia
Virginia · 23480
Office
Unavailable
Facility
$735.08
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23480
Office
Unavailable
Facility
$766.06
No comparable office rate is available.
Vermont
Vermont · 23480
Office
Unavailable
Facility
$721.20
No comparable office rate is available.
Rest Of Washington
Washington · 23480
Office
Unavailable
Facility
$765.93
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23480
Office
Unavailable
Facility
$837.90
No comparable office rate is available.
Wisconsin
Wisconsin · 23480
Office
Unavailable
Facility
$695.47
No comparable office rate is available.
West Virginia
West Virginia · 23480
Office
Unavailable
Facility
$758.09
No comparable office rate is available.
Wyoming**
Wyoming · 23480
Office
Unavailable
Facility
$743.04
No comparable office rate is available.
See how rates vary across the country
23480 · 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 23480 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$838.90
$762.64 × 110% = $838.90
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 23480 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,214
- Code
- 23480
- Physician work
- 11.25
- Practice expense
- 9.22
- Malpractice
- 2.40
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.25 | × 1.017 | 11.4412 |
| Practice expense | 9.22 | × 1.096 | 10.1051 |
| Malpractice | 2.40 | × 0.536 | 1.2864 |
| Total RVUs | 22.8328 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$762.64
Open 23480 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.25 | 1.017 |
| Practice expense | 9.22 | 1.096 |
| Malpractice | 2.4 | 0.536 |
(11.25 × 1.017 + 9.22 × 1.096 + 2.4 × 0.536) × $33.4009 = $762.64
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
23480 · 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 | $762.64 | RVU26D |
| 2026-07-01 | Not available in this setting | $762.64 | RVU26C |
| 2026-04-01 | Not available in this setting | $762.64 | RVU26B |
| 2026-01-01 | Not available in this setting | $762.64 | RVU26A |
| 2025-10-01 | Not available in this setting | $817.58 | RVU25D |
| 2025-07-01 | Not available in this setting | $817.58 | RVU25C |
| 2025-04-01 | Not available in this setting | $817.58 | RVU25B |
| 2025-01-01 | Not available in this setting | $817.58 | RVU25A |
23480 billing questions
How does this differ from 23485?
Use 23480 for a clavicle osteotomy for a reason other than treatment of a nonunion or malunion. Code 23485 is the related option when the osteotomy addresses a clavicular nonunion or malunion.
Is internal fixation separately reported?
Fixation used to stabilize the osteotomy is included in this service. Document the fixation performed, but do not report a separate fixation procedure solely for that stabilization.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The operative and follow-up documentation should support the relationship of care to the surgery.
How is bilateral clavicle surgery reported?
When the procedure is performed bilaterally, report modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment is subject to a statutory restriction for this code. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,21123472,,Reconstruct shoulder joint,A,,21.58,12.99,NA,12.99,,4.36,38.93,38.93,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21223473,,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
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