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CMS RVU26D · Effective 2026-10-01

23620 in El Centro

Office / nonfacility

$323.51

Base rate per service

Facility setting

$281.78

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 fracture care

About 23620: Closed treatment of greater tuberosity fracture

Reports closed treatment of a greater tuberosity fracture of the humerus when the fracture is managed without manipulation.

This code covers closed management of a fracture of the greater tuberosity, the prominence on the upper humerus where rotator cuff tendons attach. An orthopedic surgeon or other qualified clinician may use it when the fracture is treated without manipulating the bone fragments, such as with immobilization and a nonoperative care plan. Treatment may occur in an office, emergency department, or other setting where the clinician assumes fracture care.

Select the code when documentation identifies the greater tuberosity fracture and shows that no manipulation was performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral treatment reported with modifier 50, payment is at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 23620

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.49 · 27%
  • Practice expense (office) RVU6.28 · 68%
  • Malpractice RVU0.50 · 5%

2.5K

Medicare services in 2024 · #2289 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.

23620 compared with similar codes

Office rates for El Centro, from the same CMS release.

23625

Fracture treatment

Greater tuberosity, with manipulation

$464.40

Both codes concern greater tuberosity fractures; choose 23620 when no manipulation is performed and 23625 when the fracture is manipulated.

23600

Fracture care

Proximal humerus, no manipulation

$398.65

23620 is specific to the greater tuberosity. 23600 describes closed treatment without manipulation for a proximal humeral fracture not captured by that specific code.

23630

Humeral fracture repair

Greater tuberosity, open

No office rate

23630 is for open treatment of a greater tuberosity fracture, including internal fixation when performed; 23620 describes closed treatment without manipulation.

23665

Shoulder reduction

Greater tuberosity fracture

$515.67

23665 describes closed treatment of a shoulder dislocation with an associated greater tuberosity fracture, rather than treatment of the tuberosity fracture alone.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 23620 is $324.81—$1.30 higher than the $323.51 rate in El Centro. Both use the same code, release and participation basis.

23620 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $323.51

  2. $1.30 higher than El Centro

  3. Chico

    $323.43

    $0.08 lower than El Centro

  4. Fresno

    $323.43

    $0.08 lower than El Centro

  5. $0.08 lower than El Centro

  6. $22.30 higher than El Centro

  7. Madera

    $323.43

    $0.08 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 23620 ranges from $271.95 in Arkansas to $403.74 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 23620

    Office

    $323.43

    Facility

    $281.70

    $0.08 lower than El Centro for the office setting.

  • Modesto

    California · 23620

    Office

    $323.43

    Facility

    $281.70

    $0.08 lower than El Centro for the office setting.

  • Napa

    California · 23620

    Office

    $373.35

    Facility

    $323.17

    $49.84 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 23620

    Office

    $343.83

    Facility

    $298.83

    $20.32 higher than El Centro for the office setting.

  • Redding

    California · 23620

    Office

    $323.43

    Facility

    $281.70

    $0.08 lower than El Centro for the office setting.

  • Rest Of California

    California · 23620

    Office

    $323.43

    Facility

    $281.70

    $0.08 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 23620

    Office

    $328.81

    Facility

    $287.07

    $5.30 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 23620

    Office

    $339.06

    Facility

    $294.78

    $15.55 higher than El Centro for the office setting.

  • Salinas

    California · 23620

    Office

    $337.81

    Facility

    $293.68

    $14.30 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 23620

    Office

    $345.59

    Facility

    $300.04

    $22.08 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 23620

    Office

    $394.49

    Facility

    $340.80

    $70.98 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 23620

    Office

    $393.93

    Facility

    $340.24

    $70.42 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 23620

    Office

    $403.74

    Facility

    $348.83

    $80.23 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 23620

    Office

    $401.42

    Facility

    $346.51

    $77.91 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 23620

    Office

    $332.45

    Facility

    $289.08

    $8.94 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 23620

    Office

    $348.72

    Facility

    $302.46

    $25.21 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 23620

    Office

    $339.03

    Facility

    $294.63

    $15.52 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 23620

    Office

    $352.20

    Facility

    $305.44

    $28.69 higher than El Centro for the office setting.

  • Stockton

    California · 23620

    Office

    $323.43

    Facility

    $281.70

    $0.08 lower than El Centro for the office setting.

  • Vallejo

    California · 23620

    Office

    $372.53

    Facility

    $322.35

    $49.02 higher than El Centro for the office setting.

  • Visalia

    California · 23620

    Office

    $323.43

    Facility

    $281.70

    $0.08 lower than El Centro for the office setting.

  • Yuba City

    California · 23620

    Office

    $323.43

    Facility

    $281.70

    $0.08 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 23620

    Office

    $353.34

    Facility

    $308.49

    $29.83 higher than El Centro for the office setting.

  • Miami

    Florida · 23620

    Office

    $343.76

    Facility

    $304.12

    $20.25 higher than El Centro for the office setting.

  • Chicago

    Illinois · 23620

    Office

    $332.88

    Facility

    $294.62

    $9.37 higher than El Centro for the office setting.

  • Manhattan

    New York · 23620

    Office

    $358.72

    Facility

    $314.47

    $35.21 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 23620

    Office

    $357.35

    Facility

    $316.79

    $33.84 higher than El Centro for the office setting.

  • Alabama

    Alabama · 23620

    Office

    $276.16

    Facility

    $242.84

    $47.35 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 23620

    Office

    $271.95

    Facility

    $239.24

    $51.56 lower than El Centro for the office setting.

  • Arizona

    Arizona · 23620

    Office

    $300.72

    Facility

    $263.82

    $22.79 lower than El Centro for the office setting.

  • Colorado

    Colorado · 23620

    Office

    $320.39

    Facility

    $279.88

    $3.12 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 23620

    Office

    $330.95

    Facility

    $289.94

    $7.44 higher than El Centro for the office setting.

  • Delaware

    Delaware · 23620

    Office

    $305.84

    Facility

    $268.22

    $17.67 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 23620

    Office

    $325.85

    Facility

    $287.28

    $2.34 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 23620

    Office

    $308.80

    Facility

    $272.40

    $14.71 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 23620

    Office

    $316.59

    Facility

    $277.90

    $6.92 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 23620

    Office

    $290.18

    Facility

    $256.21

    $33.33 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 23620

    Office

    $331.33

    Facility

    $288.04

    $7.82 higher than El Centro for the office setting.

  • Iowa

    Iowa · 23620

    Office

    $281.73

    Facility

    $246.89

    $41.78 lower than El Centro for the office setting.

  • Idaho

    Idaho · 23620

    Office

    $284.04

    Facility

    $249.01

    $39.47 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 23620

    Office

    $309.78

    Facility

    $274.75

    $13.73 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 23620

    Office

    $300.78

    Facility

    $266.02

    $22.73 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 23620

    Office

    $328.76

    Facility

    $289.66

    $5.25 higher than El Centro for the office setting.

  • Indiana

    Indiana · 23620

    Office

    $285.73

    Facility

    $250.43

    $37.78 lower than El Centro for the office setting.

  • Kansas

    Kansas · 23620

    Office

    $281.21

    Facility

    $246.78

    $42.30 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 23620

    Office

    $284.92

    Facility

    $251.07

    $38.59 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 23620

    Office

    $299.52

    Facility

    $263.69

    $23.99 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 23620

    Office

    $284.80

    Facility

    $251.10

    $38.71 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 23620

    Office

    $351.89

    Facility

    $306.43

    $28.38 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 23620

    Office

    $318.68

    Facility

    $278.59

    $4.83 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 23620

    Office

    $330.23

    Facility

    $289.37

    $6.72 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 23620

    Office

    $311.61

    Facility

    $273.07

    $11.90 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 23620

    Office

    $286.53

    Facility

    $251.50

    $36.98 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 23620

    Office

    $301.58

    Facility

    $263.84

    $21.93 lower than El Centro for the office setting.

  • Detroit

    Michigan · 23620

    Office

    $313.74

    Facility

    $277.00

    $9.77 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 23620

    Office

    $293.53

    Facility

    $258.77

    $29.98 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 23620

    Office

    $303.95

    Facility

    $264.77

    $19.56 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 23620

    Office

    $296.45

    Facility

    $260.69

    $27.06 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 23620

    Office

    $299.59

    Facility

    $263.34

    $23.92 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 23620

    Office

    $280.25

    Facility

    $247.42

    $43.26 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 23620

    Office

    $276.11

    Facility

    $243.33

    $47.40 lower than El Centro for the office setting.

  • Montana**

    Montana · 23620

    Office

    $309.59

    Facility

    $271.52

    $13.92 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 23620

    Office

    $289.54

    Facility

    $254.02

    $33.97 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 23620

    Office

    $299.71

    Facility

    $261.63

    $23.80 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 23620

    Office

    $283.09

    Facility

    $247.94

    $40.42 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 23620

    Office

    $316.14

    Facility

    $276.50

    $7.37 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 23620

    Office

    $349.56

    Facility

    $305.39

    $26.05 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 23620

    Office

    $333.87

    Facility

    $292.29

    $10.36 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 23620

    Office

    $295.57

    Facility

    $260.66

    $27.94 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 23620

    Office

    $307.05

    Facility

    $268.93

    $16.46 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 23620

    Office

    $368.91

    Facility

    $323.63

    $45.40 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 23620

    Office

    $336.80

    Facility

    $295.11

    $13.29 higher than El Centro for the office setting.

  • Queens

    New York · 23620

    Office

    $360.51

    Facility

    $315.50

    $37.00 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 23620

    Office

    $294.18

    Facility

    $258.01

    $29.33 lower than El Centro for the office setting.

  • Ohio

    Ohio · 23620

    Office

    $291.51

    Facility

    $256.75

    $32.00 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 23620

    Office

    $283.46

    Facility

    $249.46

    $40.05 lower than El Centro for the office setting.

  • Portland

    Oregon · 23620

    Office

    $329.96

    Facility

    $287.66

    $6.45 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 23620

    Office

    $303.83

    Facility

    $265.90

    $19.68 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 23620

    Office

    $322.95

    Facility

    $283.31

    $0.56 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 23620

    Office

    $291.51

    Facility

    $256.55

    $32.00 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 23620

    Office

    $311.68

    Facility

    $273.19

    $11.83 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 23620

    Office

    $316.32

    Facility

    $276.99

    $7.19 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 23620

    Office

    $291.18

    Facility

    $256.00

    $32.33 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 23620

    Office

    $298.54

    Facility

    $260.46

    $24.97 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 23620

    Office

    $282.81

    Facility

    $248.19

    $40.70 lower than El Centro for the office setting.

  • Austin

    Texas · 23620

    Office

    $320.05

    Facility

    $279.77

    $3.46 lower than El Centro for the office setting.

  • Beaumont

    Texas · 23620

    Office

    $289.56

    Facility

    $254.91

    $33.95 lower than El Centro for the office setting.

  • Brazoria

    Texas · 23620

    Office

    $304.73

    Facility

    $267.00

    $18.78 lower than El Centro for the office setting.

  • Dallas

    Texas · 23620

    Office

    $307.16

    Facility

    $269.24

    $16.35 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 23620

    Office

    $305.28

    Facility

    $267.74

    $18.23 lower than El Centro for the office setting.

  • Galveston

    Texas · 23620

    Office

    $305.95

    Facility

    $268.14

    $17.56 lower than El Centro for the office setting.

  • Houston

    Texas · 23620

    Office

    $315.10

    Facility

    $277.29

    $8.41 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 23620

    Office

    $297.31

    Facility

    $261.17

    $26.20 lower than El Centro for the office setting.

  • Utah

    Utah · 23620

    Office

    $295.34

    Facility

    $259.55

    $28.17 lower than El Centro for the office setting.

  • Virginia

    Virginia · 23620

    Office

    $301.15

    Facility

    $263.72

    $22.36 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 23620

    Office

    $311.68

    Facility

    $273.19

    $11.83 lower than El Centro for the office setting.

  • Vermont

    Vermont · 23620

    Office

    $299.28

    Facility

    $261.58

    $24.23 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 23620

    Office

    $317.83

    Facility

    $277.74

    $5.68 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 23620

    Office

    $358.34

    Facility

    $311.62

    $34.83 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 23620

    Office

    $289.26

    Facility

    $252.78

    $34.25 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 23620

    Office

    $289.35

    Facility

    $256.26

    $34.16 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 23620

    Office

    $305.28

    Facility

    $267.21

    $18.23 lower than El Centro for the office setting.

See how rates vary across the country

23620 · 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.

$271.95

$363.59

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$357.351
AL$276.161
AR$271.951
AZ$300.721
CA$323.43–$403.7429
CO$320.391
CT$330.951
DC$353.341
DE$305.841
FL$308.80–$343.763
GA$290.18–$316.592
GU$331.331
HI$331.331
IA$281.731
ID$284.041
IL$300.78–$332.884
IN$285.731
KS$281.211
KY$284.921
LA$284.80–$299.522
MA$318.68–$351.892
MD$311.61–$353.343
ME$286.53–$301.582
MI$293.53–$313.742
MN$303.951
MO$280.25–$299.593
MS$276.111
MT$309.591
NC$289.541
ND$299.711
NE$283.091
NH$316.141
NJ$333.87–$349.562
NM$295.571
NV$307.051
NY$294.18–$368.915
OH$291.511
OK$283.461
OR$303.83–$329.962
PA$291.51–$322.952
PR$311.681
RI$316.321
SC$291.181
SD$298.541
TN$282.811
TX$289.56–$320.058
UT$295.341
VA$301.15–$353.342
VI$311.681
VT$299.281
WA$317.83–$358.342
WI$289.261
WV$289.351
WY$305.281

Explore 23620 on the national rate map →

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.

Why are the office and facility amounts different?

For 23620 in El Centro, the physician’s office rate is $323.51 and the facility-setting rate is $281.78: a difference of $41.73.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 23620 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$355.86

$323.51 × 110% = $355.86

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.

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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 23620 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

2,236

Code
23620
Physician work
2.49
Practice expense
6.28
Malpractice
0.50

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 23620 in El Centro
ComponentRVULocality factorAdjusted
Physician work2.49× 1.0172.5323
Practice expense6.28× 1.0966.8829
Malpractice0.50× 0.5410.2705
Total RVUs9.6857
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$323.51

Open 23620 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.491.017
Practice expense6.281.096
Malpractice0.50.541

(2.49 × 1.017 + 6.28 × 1.096 + 0.5 × 0.541) × $33.4009 = $323.51

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.491.017
Practice expense5.141.096
Malpractice0.50.541

(2.49 × 1.017 + 5.14 × 1.096 + 0.5 × 0.541) × $33.4009 = $281.78

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

23620 · Office / nonfacility

$323.51

Effective 2026-10-01

The base rate is $33.73 higher than on 2025-10-01, moving from $289.78 to $323.51 (11.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $289.78changed to$323.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.55 changed to 2.49
    • Practice expense RVU 5.57 changed to 6.28
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $289.78

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$323.51$281.78RVU26D
2026-07-01$323.51$281.78RVU26C
2026-04-01$323.51$281.78RVU26B
2026-01-01$323.51$281.78RVU26A
2025-10-01$289.78$276.70RVU25D
2025-07-01$289.78$276.70RVU25C
2025-04-01$289.78$276.70RVU25B
2025-01-01$289.78$276.70RVU25A

23620 billing questions

When is 23620 used instead of 23625?

Use 23620 when the greater tuberosity fracture is treated without manipulating the fragments. If manipulation is performed, 23625 is the related code.

How does 23620 differ from 23600?

23620 identifies a fracture of the greater tuberosity specifically. 23600 is for closed treatment of a proximal humeral fracture without manipulation when the more specific greater-tuberosity code does not describe the fracture.

Are routine fracture follow-up visits included?

Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.

How is bilateral treatment reported?

For bilateral treatment, report modifier 50; CMS pays the procedure at 150%.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What documentation supports reporting 23620?

Document the greater tuberosity fracture, the affected side, the closed treatment plan, and that no manipulation was performed.

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.

RVUs for 23620PPRRVU2026_Oct_nonQPP.csv, line 2,236 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)