No office rate
Choose 23552 when the open acromioclavicular reconstruction uses a graft. Choose 23550 for open treatment without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
23552 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$616.99
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 23552: Open acromioclavicular reconstruction with graft
Open reconstruction of an acromioclavicular separation using a graft, reported when operative treatment addresses an acute or chronic dislocation.
An orthopedic surgeon uses an open approach to reduce and reconstruct a dislocated acromioclavicular joint with a graft. The procedure may be performed for an acute separation or a chronic separation requiring operative reconstruction; the graft helps restore support across the joint. The code applies to the acromioclavicular joint, where the clavicle meets the acromion, not the sternoclavicular joint or a clavicle fracture.
Report this code when the operative record supports open treatment of the acromioclavicular dislocation and graft use. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23552
- 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 RVU8.60 · 47%
- Practice expense (office) RVU8.04 · 44%
- Malpractice RVU1.69 · 9%
371
Medicare services in 2024 · #3794 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.
23552 compared with similar codes
Office rates for El Centro, from the same CMS release.
$526.01
This code describes open graft reconstruction; 23545 is closed treatment of an acromioclavicular dislocation with manipulation.
No office rate
Both involve graft-assisted open treatment of a dislocation, but 23532 addresses the sternoclavicular joint; this code addresses the acromioclavicular joint.
The same code, a different location
How does El Centro compare?
23552 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Modesto
California · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Napa
California · 23552
Office
Unavailable
Facility
$687.96
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23552
Office
Unavailable
Facility
$647.88
No comparable office rate is available.
Redding
California · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Rest Of California
California · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23552
Office
Unavailable
Facility
$634.89
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23552
Office
Unavailable
Facility
$640.16
No comparable office rate is available.
Salinas
California · 23552
Office
Unavailable
Facility
$637.65
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23552
Office
Unavailable
Facility
$647.64
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23552
Office
Unavailable
Facility
$719.09
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23552
Office
Unavailable
Facility
$717.17
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23552
Office
Unavailable
Facility
$736.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23552
Office
Unavailable
Facility
$728.49
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23552
Office
Unavailable
Facility
$628.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23552
Office
Unavailable
Facility
$649.82
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23552
Office
Unavailable
Facility
$638.67
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23552
Office
Unavailable
Facility
$655.89
No comparable office rate is available.
Stockton
California · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Vallejo
California · 23552
Office
Unavailable
Facility
$685.19
No comparable office rate is available.
Visalia
California · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Yuba City
California · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23552
Office
Unavailable
Facility
$681.93
No comparable office rate is available.
Miami
Florida · 23552
Office
Unavailable
Facility
$709.56
No comparable office rate is available.
Chicago
Illinois · 23552
Office
Unavailable
Facility
$688.69
No comparable office rate is available.
Manhattan
New York · 23552
Office
Unavailable
Facility
$707.20
No comparable office rate is available.
Alaska*
Alaska · 23552
Office
Unavailable
Facility
$747.97
No comparable office rate is available.
Alabama
Alabama · 23552
Office
Unavailable
Facility
$554.17
No comparable office rate is available.
Arkansas
Arkansas · 23552
Office
Unavailable
Facility
$547.00
No comparable office rate is available.
Arizona
Arizona · 23552
Office
Unavailable
Facility
$595.79
No comparable office rate is available.
Colorado
Colorado · 23552
Office
Unavailable
Facility
$620.51
No comparable office rate is available.
Connecticut
Connecticut · 23552
Office
Unavailable
Facility
$650.52
No comparable office rate is available.
Delaware
Delaware · 23552
Office
Unavailable
Facility
$604.75
No comparable office rate is available.
Fort Lauderdale
Florida · 23552
Office
Unavailable
Facility
$661.34
No comparable office rate is available.
Rest Of Florida
Florida · 23552
Office
Unavailable
Facility
$628.82
No comparable office rate is available.
Atlanta
Georgia · 23552
Office
Unavailable
Facility
$628.74
No comparable office rate is available.
Rest Of Georgia
Georgia · 23552
Office
Unavailable
Facility
$594.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23552
Office
Unavailable
Facility
$625.26
No comparable office rate is available.
Iowa
Iowa · 23552
Office
Unavailable
Facility
$555.37
No comparable office rate is available.
Idaho
Idaho · 23552
Office
Unavailable
Facility
$561.01
No comparable office rate is available.
East St. Louis
Illinois · 23552
Office
Unavailable
Facility
$647.99
No comparable office rate is available.
Rest Of Illinois
Illinois · 23552
Office
Unavailable
Facility
$620.66
No comparable office rate is available.
Suburban Chicago
Illinois · 23552
Office
Unavailable
Facility
$665.08
No comparable office rate is available.
Indiana
Indiana · 23552
Office
Unavailable
Facility
$563.62
No comparable office rate is available.
Kansas
Kansas · 23552
Office
Unavailable
Facility
$558.46
No comparable office rate is available.
Kentucky
Kentucky · 23552
Office
Unavailable
Facility
$577.63
No comparable office rate is available.
New Orleans
Louisiana · 23552
Office
Unavailable
Facility
$604.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23552
Office
Unavailable
Facility
$578.99
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23552
Office
Unavailable
Facility
$669.90
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23552
Office
Unavailable
Facility
$619.61
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23552
Office
Unavailable
Facility
$649.82
No comparable office rate is available.
Rest Of Maryland
Maryland · 23552
Office
Unavailable
Facility
$613.70
No comparable office rate is available.
Rest Of Maine
Maine · 23552
Office
Unavailable
Facility
$569.42
No comparable office rate is available.
Southern Maine
Maine · 23552
Office
Unavailable
Facility
$588.99
No comparable office rate is available.
Detroit
Michigan · 23552
Office
Unavailable
Facility
$641.56
No comparable office rate is available.
Rest Of Michigan
Michigan · 23552
Office
Unavailable
Facility
$596.16
No comparable office rate is available.
Minnesota
Minnesota · 23552
Office
Unavailable
Facility
$580.29
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23552
Office
Unavailable
Facility
$594.56
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23552
Office
Unavailable
Facility
$599.46
No comparable office rate is available.
Rest Of Missouri
Missouri · 23552
Office
Unavailable
Facility
$573.71
No comparable office rate is available.
Mississippi
Mississippi · 23552
Office
Unavailable
Facility
$560.18
No comparable office rate is available.
Montana**
Montana · 23552
Office
Unavailable
Facility
$612.13
No comparable office rate is available.
North Carolina
North Carolina · 23552
Office
Unavailable
Facility
$573.87
No comparable office rate is available.
North Dakota**
North Dakota · 23552
Office
Unavailable
Facility
$578.71
No comparable office rate is available.
Nebraska
Nebraska · 23552
Office
Unavailable
Facility
$556.45
No comparable office rate is available.
New Hampshire
New Hampshire · 23552
Office
Unavailable
Facility
$616.19
No comparable office rate is available.
Northern Nj
New Jersey · 23552
Office
Unavailable
Facility
$677.14
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23552
Office
Unavailable
Facility
$653.91
No comparable office rate is available.
New Mexico
New Mexico · 23552
Office
Unavailable
Facility
$601.30
No comparable office rate is available.
Nevada**
Nevada · 23552
Office
Unavailable
Facility
$603.08
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23552
Office
Unavailable
Facility
$729.75
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23552
Office
Unavailable
Facility
$662.53
No comparable office rate is available.
Queens
New York · 23552
Office
Unavailable
Facility
$704.45
No comparable office rate is available.
Rest Of New York
New York · 23552
Office
Unavailable
Facility
$582.05
No comparable office rate is available.
Ohio
Ohio · 23552
Office
Unavailable
Facility
$589.33
No comparable office rate is available.
Oklahoma
Oklahoma · 23552
Office
Unavailable
Facility
$570.92
No comparable office rate is available.
Portland
Oregon · 23552
Office
Unavailable
Facility
$632.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 23552
Office
Unavailable
Facility
$594.40
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23552
Office
Unavailable
Facility
$639.31
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23552
Office
Unavailable
Facility
$587.11
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23552
Office
Unavailable
Facility
$614.35
No comparable office rate is available.
Rhode Island
Rhode Island · 23552
Office
Unavailable
Facility
$620.46
No comparable office rate is available.
South Carolina
South Carolina · 23552
Office
Unavailable
Facility
$583.36
No comparable office rate is available.
South Dakota**
South Dakota · 23552
Office
Unavailable
Facility
$574.76
No comparable office rate is available.
Tennessee
Tennessee · 23552
Office
Unavailable
Facility
$561.67
No comparable office rate is available.
Austin
Texas · 23552
Office
Unavailable
Facility
$621.95
No comparable office rate is available.
Beaumont
Texas · 23552
Office
Unavailable
Facility
$584.06
No comparable office rate is available.
Brazoria
Texas · 23552
Office
Unavailable
Facility
$599.70
No comparable office rate is available.
Dallas
Texas · 23552
Office
Unavailable
Facility
$605.73
No comparable office rate is available.
Fort Worth
Texas · 23552
Office
Unavailable
Facility
$603.78
No comparable office rate is available.
Galveston
Texas · 23552
Office
Unavailable
Facility
$602.95
No comparable office rate is available.
Houston
Texas · 23552
Office
Unavailable
Facility
$633.88
No comparable office rate is available.
Rest Of Texas
Texas · 23552
Office
Unavailable
Facility
$593.07
No comparable office rate is available.
Utah
Utah · 23552
Office
Unavailable
Facility
$590.37
No comparable office rate is available.
Virginia
Virginia · 23552
Office
Unavailable
Facility
$591.08
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23552
Office
Unavailable
Facility
$614.35
No comparable office rate is available.
Vermont
Vermont · 23552
Office
Unavailable
Facility
$581.67
No comparable office rate is available.
Rest Of Washington
Washington · 23552
Office
Unavailable
Facility
$616.71
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23552
Office
Unavailable
Facility
$677.23
No comparable office rate is available.
Wisconsin
Wisconsin · 23552
Office
Unavailable
Facility
$561.90
No comparable office rate is available.
West Virginia
West Virginia · 23552
Office
Unavailable
Facility
$601.39
No comparable office rate is available.
Wyoming**
Wyoming · 23552
Office
Unavailable
Facility
$597.56
No comparable office rate is available.
See how rates vary across the country
23552 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 23552 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$678.69
$616.99 × 110% = $678.69
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 23552 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
2,228
- Code
- 23552
- Physician work
- 8.60
- Practice expense
- 8.04
- Malpractice
- 1.69
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.60 | × 1.017 | 8.7462 |
| Practice expense | 8.04 | × 1.096 | 8.8118 |
| Malpractice | 1.69 | × 0.541 | 0.9143 |
| Total RVUs | 18.4723 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$616.99
Open 23552 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.6 | 1.017 |
| Practice expense | 8.04 | 1.096 |
| Malpractice | 1.69 | 0.541 |
(8.6 × 1.017 + 8.04 × 1.096 + 1.69 × 0.541) × $33.4009 = $616.99
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
23552 · 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 | $616.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $616.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $616.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $616.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $651.16 | RVU25D |
| 2025-07-01 | Not available in this setting | $651.16 | RVU25C |
| 2025-04-01 | Not available in this setting | $651.16 | RVU25B |
| 2025-01-01 | Not available in this setting | $651.16 | RVU25A |
23552 billing questions
How is this code different from 23550?
Both describe open treatment of an acromioclavicular dislocation. Use 23552 when the operative treatment includes a graft; 23550 is the related option without a graft.
Does the code include harvesting the graft?
The graft reconstruction is part of the service. Document the graft used and the open treatment performed; do not assume a separately reportable harvest service from the graft use alone.
When should 23545 be considered instead?
23545 is for closed treatment of an acromioclavicular dislocation with manipulation. This code is for open treatment with graft reconstruction.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
Can this be reported for both shoulders?
For bilateral treatment, CMS pays the procedure with modifier 50 at 150%. The operative documentation should support treatment of 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.
2,22523540,,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
2,22823552,,Optx acrclv dslc aq/chrn grf,A,,8.60,8.04,NA,8.04,,1.69,18.33,18.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22923570,,Cltx scapular fx w/o mnpj,A,,2.30,5.19,,4.80,,0.47,7.96,7.57,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23023575,,Cltx scap fx w/mnpj +-tractj,A,,4.12,8.74,,6.35,,0.88,13.74,11.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23123585,,Optx scapular fx w/int fixj,A,,13.87,10.12,NA,10.12,,2.82,26.81,26.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664