No office rate
Use 23130 for open partial acromial resection. Code 29826 describes arthroscopic subacromial decompression and is reported as an add-on to an eligible primary shoulder arthroscopy code.
On this page
CMS RVU26D · Effective 2026-10-01
23130 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$583.35
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.
Shoulder surgery
About 23130: Partial acromion resection for impingement
Reports partial removal or reshaping of the acromion, typically as an open subacromial decompression for shoulder impingement, with or without ligament release.
The surgeon removes or reshapes part of the acromion, commonly its prominent undersurface, to relieve narrowing in the subacromial space. Orthopedic surgeons typically perform this operation in a hospital or ambulatory surgical setting for a patient with symptomatic shoulder impingement. It may be performed with a rotator cuff repair when the operative plan includes both procedures. The work may include release of the coracoacromial ligament.
Report 23130 when the operative note documents partial acromial resection or reshaping, not merely inspection of the shoulder or treatment of a separate structure. Document the approach, the portion of acromion treated, and the clinical reason for decompression. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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%. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23130
- 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 RVU7.58 · 43%
- Practice expense (office) RVU8.52 · 48%
- Malpractice RVU1.59 · 9%
767
Medicare services in 2024 · #3193 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.
23130 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
23120 removes part of the clavicle at the acromioclavicular joint; 23130 reshapes or removes part of the acromion for subacromial decompression.
No office rate
23412 reports repair of a chronic rotator cuff tear. It does not describe acromial resection, which may be separately reported when independently performed and documented.
The same code, a different location
How does Delaware compare?
23130 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 23130
Office
Unavailable
Facility
$532.24
No comparable office rate is available.
Arkansas
Arkansas · 23130
Office
Unavailable
Facility
$524.98
No comparable office rate is available.
Arizona
Arizona · 23130
Office
Unavailable
Facility
$574.39
No comparable office rate is available.
Bakersfield
California · 23130
Office
Unavailable
Facility
$602.23
No comparable office rate is available.
Chico
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
El Centro
California · 23130
Office
Unavailable
Facility
$598.11
No comparable office rate is available.
Fresno
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Hanford-Corcoran
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Madera
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Merced
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Modesto
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Napa
California · 23130
Office
Unavailable
Facility
$671.18
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23130
Office
Unavailable
Facility
$629.72
No comparable office rate is available.
Redding
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Rest Of California
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23130
Office
Unavailable
Facility
$614.93
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23130
Office
Unavailable
Facility
$621.72
No comparable office rate is available.
Salinas
California · 23130
Office
Unavailable
Facility
$619.32
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23130
Office
Unavailable
Facility
$629.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23130
Office
Unavailable
Facility
$702.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23130
Office
Unavailable
Facility
$701.05
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23130
Office
Unavailable
Facility
$719.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23130
Office
Unavailable
Facility
$712.47
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23130
Office
Unavailable
Facility
$610.08
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23130
Office
Unavailable
Facility
$632.72
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23130
Office
Unavailable
Facility
$620.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23130
Office
Unavailable
Facility
$638.70
No comparable office rate is available.
Stockton
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Vallejo
California · 23130
Office
Unavailable
Facility
$668.58
No comparable office rate is available.
Visalia
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Yuba City
California · 23130
Office
Unavailable
Facility
$597.84
No comparable office rate is available.
Colorado
Colorado · 23130
Office
Unavailable
Facility
$600.48
No comparable office rate is available.
Connecticut
Connecticut · 23130
Office
Unavailable
Facility
$628.99
No comparable office rate is available.
Fort Lauderdale
Florida · 23130
Office
Unavailable
Facility
$637.47
No comparable office rate is available.
Rest Of Florida
Florida · 23130
Office
Unavailable
Facility
$605.05
No comparable office rate is available.
Atlanta
Georgia · 23130
Office
Unavailable
Facility
$606.85
No comparable office rate is available.
Rest Of Georgia
Georgia · 23130
Office
Unavailable
Facility
$570.32
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23130
Office
Unavailable
Facility
$607.49
No comparable office rate is available.
Iowa
Iowa · 23130
Office
Unavailable
Facility
$534.65
No comparable office rate is available.
Idaho
Idaho · 23130
Office
Unavailable
Facility
$540.11
No comparable office rate is available.
East St. Louis
Illinois · 23130
Office
Unavailable
Facility
$621.95
No comparable office rate is available.
Rest Of Illinois
Illinois · 23130
Office
Unavailable
Facility
$596.00
No comparable office rate is available.
Suburban Chicago
Illinois · 23130
Office
Unavailable
Facility
$641.32
No comparable office rate is available.
Indiana
Indiana · 23130
Office
Unavailable
Facility
$542.79
No comparable office rate is available.
Kansas
Kansas · 23130
Office
Unavailable
Facility
$537.20
No comparable office rate is available.
Kentucky
Kentucky · 23130
Office
Unavailable
Facility
$554.76
No comparable office rate is available.
New Orleans
Louisiana · 23130
Office
Unavailable
Facility
$581.29
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23130
Office
Unavailable
Facility
$555.91
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23130
Office
Unavailable
Facility
$650.61
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23130
Office
Unavailable
Facility
$599.21
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23130
Office
Unavailable
Facility
$628.27
No comparable office rate is available.
Rest Of Maryland
Maryland · 23130
Office
Unavailable
Facility
$592.45
No comparable office rate is available.
Rest Of Maine
Maine · 23130
Office
Unavailable
Facility
$548.02
No comparable office rate is available.
Southern Maine
Maine · 23130
Office
Unavailable
Facility
$568.70
No comparable office rate is available.
Detroit
Michigan · 23130
Office
Unavailable
Facility
$617.33
No comparable office rate is available.
Rest Of Michigan
Michigan · 23130
Office
Unavailable
Facility
$572.95
No comparable office rate is available.
Minnesota
Minnesota · 23130
Office
Unavailable
Facility
$561.73
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23130
Office
Unavailable
Facility
$572.28
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23130
Office
Unavailable
Facility
$577.31
No comparable office rate is available.
Rest Of Missouri
Missouri · 23130
Office
Unavailable
Facility
$550.21
No comparable office rate is available.
Mississippi
Mississippi · 23130
Office
Unavailable
Facility
$537.44
No comparable office rate is available.
Montana**
Montana · 23130
Office
Unavailable
Facility
$590.76
No comparable office rate is available.
North Carolina
North Carolina · 23130
Office
Unavailable
Facility
$552.62
No comparable office rate is available.
North Dakota**
North Dakota · 23130
Office
Unavailable
Facility
$559.32
No comparable office rate is available.
Nebraska
Nebraska · 23130
Office
Unavailable
Facility
$535.92
No comparable office rate is available.
New Hampshire
New Hampshire · 23130
Office
Unavailable
Facility
$595.89
No comparable office rate is available.
Northern Nj
New Jersey · 23130
Office
Unavailable
Facility
$655.96
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23130
Office
Unavailable
Facility
$632.32
No comparable office rate is available.
New Mexico
New Mexico · 23130
Office
Unavailable
Facility
$577.92
No comparable office rate is available.
Nevada**
Nevada · 23130
Office
Unavailable
Facility
$582.28
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23130
Office
Unavailable
Facility
$706.36
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23130
Office
Unavailable
Facility
$640.44
No comparable office rate is available.
Queens
New York · 23130
Office
Unavailable
Facility
$682.33
No comparable office rate is available.
Rest Of New York
New York · 23130
Office
Unavailable
Facility
$560.86
No comparable office rate is available.
Ohio
Ohio · 23130
Office
Unavailable
Facility
$566.53
No comparable office rate is available.
Oklahoma
Oklahoma · 23130
Office
Unavailable
Facility
$548.57
No comparable office rate is available.
Portland
Oregon · 23130
Office
Unavailable
Facility
$612.91
No comparable office rate is available.
Rest Of Oregon
Oregon · 23130
Office
Unavailable
Facility
$573.95
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23130
Office
Unavailable
Facility
$617.34
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23130
Office
Unavailable
Facility
$564.61
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23130
Office
Unavailable
Facility
$593.20
No comparable office rate is available.
Rhode Island
Rhode Island · 23130
Office
Unavailable
Facility
$599.33
No comparable office rate is available.
South Carolina
South Carolina · 23130
Office
Unavailable
Facility
$561.27
No comparable office rate is available.
South Dakota**
South Dakota · 23130
Office
Unavailable
Facility
$555.60
No comparable office rate is available.
Tennessee
Tennessee · 23130
Office
Unavailable
Facility
$540.38
No comparable office rate is available.
Austin
Texas · 23130
Office
Unavailable
Facility
$601.82
No comparable office rate is available.
Beaumont
Texas · 23130
Office
Unavailable
Facility
$561.48
No comparable office rate is available.
Brazoria
Texas · 23130
Office
Unavailable
Facility
$578.64
No comparable office rate is available.
Dallas
Texas · 23130
Office
Unavailable
Facility
$584.46
No comparable office rate is available.
Fort Worth
Texas · 23130
Office
Unavailable
Facility
$582.31
No comparable office rate is available.
Galveston
Texas · 23130
Office
Unavailable
Facility
$581.76
No comparable office rate is available.
Houston
Texas · 23130
Office
Unavailable
Facility
$610.86
No comparable office rate is available.
Rest Of Texas
Texas · 23130
Office
Unavailable
Facility
$571.20
No comparable office rate is available.
Utah
Utah · 23130
Office
Unavailable
Facility
$568.37
No comparable office rate is available.
Virginia
Virginia · 23130
Office
Unavailable
Facility
$570.41
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23130
Office
Unavailable
Facility
$593.20
No comparable office rate is available.
Vermont
Vermont · 23130
Office
Unavailable
Facility
$561.78
No comparable office rate is available.
Rest Of Washington
Washington · 23130
Office
Unavailable
Facility
$596.54
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23130
Office
Unavailable
Facility
$658.40
No comparable office rate is available.
Wisconsin
Wisconsin · 23130
Office
Unavailable
Facility
$542.16
No comparable office rate is available.
West Virginia
West Virginia · 23130
Office
Unavailable
Facility
$576.47
No comparable office rate is available.
Wyoming**
Wyoming · 23130
Office
Unavailable
Facility
$577.05
No comparable office rate is available.
See how rates vary across the country
23130 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 23130 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$641.69
$583.35 × 110% = $641.69
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 23130 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,170
- Code
- 23130
- Physician work
- 7.58
- Practice expense
- 8.52
- Malpractice
- 1.59
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.58 | × 1.005 | 7.6179 |
| Practice expense | 8.52 | × 0.988 | 8.4178 |
| Malpractice | 1.59 | × 0.899 | 1.4294 |
| Total RVUs | 17.4651 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$583.35
Open 23130 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.58 | 1.005 |
| Practice expense | 8.52 | 0.988 |
| Malpractice | 1.59 | 0.899 |
(7.58 × 1.005 + 8.52 × 0.988 + 1.59 × 0.899) × $33.4009 = $583.35
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
23130 · 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 | $583.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $583.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $583.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $583.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $613.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $613.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $613.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $613.68 | RVU25A |
23130 billing questions
How is 23130 different from arthroscopic subacromial decompression?
23130 describes partial acromial resection performed through an open approach. Arthroscopic decompression is reported with the applicable arthroscopy coding, including 29826 when its requirements are met.
Can 23130 be reported with a rotator cuff repair?
It may be reported in the same session when the surgeon performs and documents acromial resection as distinct work in addition to the cuff repair. The multiple-procedure reduction applies when procedures are performed in the same session.
Does 23130 include distal clavicle excision?
No. Acromial resection treats the acromion; distal clavicle excision treats the clavicle at the acromioclavicular joint. Report each only when the corresponding work is performed and documented.
What should the operative note document?
Document the acromial portion removed or reshaped, the decompression performed, and the reason for the procedure. If a cuff repair or clavicle procedure is also reported, describe its distinct operative work.
How does Medicare handle bilateral reporting and assistants?
Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code.
What are the co-surgeon and team-surgery rules?
Co-surgeons are paid only when supporting documentation is provided. 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.
2,16723107,,Arthrt glenhumrl jt w/expl,A,,8.65,8.30,NA,8.30,,1.80,18.75,18.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16823120,,Claviculectomy partial,A,,7.21,8.22,NA,8.22,,1.48,16.91,16.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16923125,,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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503