No office rate
Both describe open treatment of an acute or chronic sternoclavicular dislocation. Choose 23532 when a fascial graft is used; choose 23530 when treatment does not include one.
On this page
CMS RVU26D · Effective 2026-10-01
23532 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$589.53
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 23532: Open sternoclavicular reconstruction with fascial graft
Reports open surgical treatment of an acute or chronic sternoclavicular dislocation when reconstruction uses a fascial graft to restore joint stability.
An orthopedic surgeon uses this code for open treatment of a sternoclavicular joint dislocation, at the junction of the sternum and clavicle, when a fascial graft is used. It can describe graft-assisted reconstruction for an acute or chronic dislocation, including a chronic or recurrent instability case requiring operative restoration of joint stability. The operative report should identify the affected joint, the dislocation, and the graft-based work performed.
Report this code rather than the open-treatment code without a graft when the fascial graft is part of the procedure. CMS 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 other procedures are subject to a 50% reduction. Bilateral treatment reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 23532
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.00 · 45%
- Practice expense (office) RVU8.18 · 46%
- Malpractice RVU1.70 · 10%
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.
23532 compared with similar codes
Office rates for Delaware, from the same CMS release.
$267.17
23520 is closed treatment without manipulation. It does not describe the open graft reconstruction reported with 23532.
$440.63
23525 describes closed treatment with manipulation; 23532 describes open treatment that includes a fascial graft.
No office rate
23552 is the graft-assisted open-treatment code for an acromioclavicular dislocation. Code 23532 is for a sternoclavicular dislocation.
The same code, a different location
How does Delaware compare?
23532 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 · 23532
Office
Unavailable
Facility
$538.41
No comparable office rate is available.
Arkansas
Arkansas · 23532
Office
Unavailable
Facility
$531.15
No comparable office rate is available.
Arizona
Arizona · 23532
Office
Unavailable
Facility
$580.56
No comparable office rate is available.
Bakersfield
California · 23532
Office
Unavailable
Facility
$606.31
No comparable office rate is available.
Chico
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
El Centro
California · 23532
Office
Unavailable
Facility
$601.92
No comparable office rate is available.
Fresno
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Hanford-Corcoran
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Madera
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Merced
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Modesto
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Napa
California · 23532
Office
Unavailable
Facility
$672.99
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23532
Office
Unavailable
Facility
$633.01
No comparable office rate is available.
Redding
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Rest Of California
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23532
Office
Unavailable
Facility
$619.90
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23532
Office
Unavailable
Facility
$625.02
No comparable office rate is available.
Salinas
California · 23532
Office
Unavailable
Facility
$622.59
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23532
Office
Unavailable
Facility
$632.77
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23532
Office
Unavailable
Facility
$703.89
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23532
Office
Unavailable
Facility
$701.96
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23532
Office
Unavailable
Facility
$721.02
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23532
Office
Unavailable
Facility
$713.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23532
Office
Unavailable
Facility
$613.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23532
Office
Unavailable
Facility
$635.21
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23532
Office
Unavailable
Facility
$623.70
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23532
Office
Unavailable
Facility
$641.17
No comparable office rate is available.
Stockton
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Vallejo
California · 23532
Office
Unavailable
Facility
$670.21
No comparable office rate is available.
Visalia
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Yuba City
California · 23532
Office
Unavailable
Facility
$601.63
No comparable office rate is available.
Colorado
Colorado · 23532
Office
Unavailable
Facility
$605.47
No comparable office rate is available.
Connecticut
Connecticut · 23532
Office
Unavailable
Facility
$635.51
No comparable office rate is available.
Fort Lauderdale
Florida · 23532
Office
Unavailable
Facility
$646.64
No comparable office rate is available.
Rest Of Florida
Florida · 23532
Office
Unavailable
Facility
$613.75
No comparable office rate is available.
Atlanta
Georgia · 23532
Office
Unavailable
Facility
$613.79
No comparable office rate is available.
Rest Of Georgia
Georgia · 23532
Office
Unavailable
Facility
$578.60
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23532
Office
Unavailable
Facility
$610.73
No comparable office rate is available.
Iowa
Iowa · 23532
Office
Unavailable
Facility
$539.75
No comparable office rate is available.
Idaho
Idaho · 23532
Office
Unavailable
Facility
$545.43
No comparable office rate is available.
East St. Louis
Illinois · 23532
Office
Unavailable
Facility
$632.93
No comparable office rate is available.
Rest Of Illinois
Illinois · 23532
Office
Unavailable
Facility
$605.41
No comparable office rate is available.
Suburban Chicago
Illinois · 23532
Office
Unavailable
Facility
$650.29
No comparable office rate is available.
Indiana
Indiana · 23532
Office
Unavailable
Facility
$548.08
No comparable office rate is available.
Kansas
Kansas · 23532
Office
Unavailable
Facility
$542.82
No comparable office rate is available.
Kentucky
Kentucky · 23532
Office
Unavailable
Facility
$562.05
No comparable office rate is available.
New Orleans
Louisiana · 23532
Office
Unavailable
Facility
$588.81
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23532
Office
Unavailable
Facility
$563.40
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23532
Office
Unavailable
Facility
$654.92
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23532
Office
Unavailable
Facility
$604.44
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23532
Office
Unavailable
Facility
$634.89
No comparable office rate is available.
Rest Of Maryland
Maryland · 23532
Office
Unavailable
Facility
$598.50
No comparable office rate is available.
Rest Of Maine
Maine · 23532
Office
Unavailable
Facility
$553.89
No comparable office rate is available.
Southern Maine
Maine · 23532
Office
Unavailable
Facility
$573.80
No comparable office rate is available.
Detroit
Michigan · 23532
Office
Unavailable
Facility
$626.60
No comparable office rate is available.
Rest Of Michigan
Michigan · 23532
Office
Unavailable
Facility
$580.76
No comparable office rate is available.
Minnesota
Minnesota · 23532
Office
Unavailable
Facility
$565.16
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23532
Office
Unavailable
Facility
$579.24
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23532
Office
Unavailable
Facility
$584.21
No comparable office rate is available.
Rest Of Missouri
Missouri · 23532
Office
Unavailable
Facility
$558.03
No comparable office rate is available.
Mississippi
Mississippi · 23532
Office
Unavailable
Facility
$544.41
No comparable office rate is available.
Montana**
Montana · 23532
Office
Unavailable
Facility
$597.09
No comparable office rate is available.
North Carolina
North Carolina · 23532
Office
Unavailable
Facility
$558.40
No comparable office rate is available.
North Dakota**
North Dakota · 23532
Office
Unavailable
Facility
$563.48
No comparable office rate is available.
Nebraska
Nebraska · 23532
Office
Unavailable
Facility
$540.85
No comparable office rate is available.
New Hampshire
New Hampshire · 23532
Office
Unavailable
Facility
$601.31
No comparable office rate is available.
Northern Nj
New Jersey · 23532
Office
Unavailable
Facility
$661.62
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23532
Office
Unavailable
Facility
$638.54
No comparable office rate is available.
New Mexico
New Mexico · 23532
Office
Unavailable
Facility
$585.94
No comparable office rate is available.
Nevada**
Nevada · 23532
Office
Unavailable
Facility
$588.00
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23532
Office
Unavailable
Facility
$714.61
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23532
Office
Unavailable
Facility
$647.11
No comparable office rate is available.
Queens
New York · 23532
Office
Unavailable
Facility
$689.13
No comparable office rate is available.
Rest Of New York
New York · 23532
Office
Unavailable
Facility
$566.68
No comparable office rate is available.
Ohio
Ohio · 23532
Office
Unavailable
Facility
$573.89
No comparable office rate is available.
Oklahoma
Oklahoma · 23532
Office
Unavailable
Facility
$555.31
No comparable office rate is available.
Portland
Oregon · 23532
Office
Unavailable
Facility
$617.27
No comparable office rate is available.
Rest Of Oregon
Oregon · 23532
Office
Unavailable
Facility
$579.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23532
Office
Unavailable
Facility
$624.18
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23532
Office
Unavailable
Facility
$571.68
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23532
Office
Unavailable
Facility
$599.36
No comparable office rate is available.
Rhode Island
Rhode Island · 23532
Office
Unavailable
Facility
$605.17
No comparable office rate is available.
South Carolina
South Carolina · 23532
Office
Unavailable
Facility
$567.93
No comparable office rate is available.
South Dakota**
South Dakota · 23532
Office
Unavailable
Facility
$559.51
No comparable office rate is available.
Tennessee
Tennessee · 23532
Office
Unavailable
Facility
$546.06
No comparable office rate is available.
Austin
Texas · 23532
Office
Unavailable
Facility
$607.12
No comparable office rate is available.
Beaumont
Texas · 23532
Office
Unavailable
Facility
$568.59
No comparable office rate is available.
Brazoria
Texas · 23532
Office
Unavailable
Facility
$584.39
No comparable office rate is available.
Dallas
Texas · 23532
Office
Unavailable
Facility
$590.46
No comparable office rate is available.
Fort Worth
Texas · 23532
Office
Unavailable
Facility
$588.46
No comparable office rate is available.
Galveston
Texas · 23532
Office
Unavailable
Facility
$587.67
No comparable office rate is available.
Houston
Texas · 23532
Office
Unavailable
Facility
$618.78
No comparable office rate is available.
Rest Of Texas
Texas · 23532
Office
Unavailable
Facility
$577.77
No comparable office rate is available.
Utah
Utah · 23532
Office
Unavailable
Facility
$575.02
No comparable office rate is available.
Virginia
Virginia · 23532
Office
Unavailable
Facility
$575.87
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23532
Office
Unavailable
Facility
$599.36
No comparable office rate is available.
Vermont
Vermont · 23532
Office
Unavailable
Facility
$566.43
No comparable office rate is available.
Rest Of Washington
Washington · 23532
Office
Unavailable
Facility
$601.59
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23532
Office
Unavailable
Facility
$662.20
No comparable office rate is available.
Wisconsin
Wisconsin · 23532
Office
Unavailable
Facility
$546.44
No comparable office rate is available.
West Virginia
West Virginia · 23532
Office
Unavailable
Facility
$585.89
No comparable office rate is available.
Wyoming**
Wyoming · 23532
Office
Unavailable
Facility
$582.44
No comparable office rate is available.
See how rates vary across the country
23532 · 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 23532 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$648.48
$589.53 × 110% = $648.48
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 23532 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,224
- Code
- 23532
- Physician work
- 8.00
- Practice expense
- 8.18
- Malpractice
- 1.70
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.00 | × 1.005 | 8.0400 |
| Practice expense | 8.18 | × 0.988 | 8.0818 |
| Malpractice | 1.70 | × 0.899 | 1.5283 |
| Total RVUs | 17.6501 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$589.53
Open 23532 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8 | 1.005 |
| Practice expense | 8.18 | 0.988 |
| Malpractice | 1.7 | 0.899 |
(8 × 1.005 + 8.18 × 0.988 + 1.7 × 0.899) × $33.4009 = $589.53
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
23532 · 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 | $589.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $589.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $589.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $589.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $622.41 | RVU25D |
| 2025-07-01 | Not available in this setting | $622.41 | RVU25C |
| 2025-04-01 | Not available in this setting | $622.41 | RVU25B |
| 2025-01-01 | Not available in this setting | $622.41 | RVU25A |
23532 billing questions
When is 23532 used instead of 23530?
Use 23532 when open treatment of the sternoclavicular dislocation includes a fascial graft. Use 23530 for open treatment without a fascial graft.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral sternoclavicular treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
How does the multiple-procedure rule affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
What documentation supports 23532?
Document the sternoclavicular dislocation, the side treated, and the open procedure and fascial graft work. The record should make clear why the graft was part of the treatment.
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.
2,22123520,,Cltx strnclav dislc w/o mnpj,A,,2.23,5.40,,4.68,,0.47,8.10,7.38,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22223525,,Cltx strnclav dislc w/mnpj,A,,3.70,8.87,,6.50,,0.79,13.36,10.99,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22323530,,Optx strnclav dislc aqt/chrn,A,,7.29,7.61,NA,7.61,,1.54,16.44,16.44,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22423532,,Optx strclv dslc aq/chrn grf,A,,8.00,8.18,NA,8.18,,1.70,17.88,17.88,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22523540,,Cltx acromclav dislc wo mnpj,A,,2.30,5.49,,4.90,,0.49,8.28,7.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22623545,,Cltx acromclav dislc w/mnpj,A,,3.34,10.86,,8.59,,0.83,15.03,12.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22723550,,Optx acromclv dislc aqt/chrn,A,,7.40,7.33,NA,7.33,,1.46,16.19,16.19,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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