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CMS RVU26D · Effective 2026-10-01

23545 in Merced

Office / nonfacility

$525.87

Base rate per service

Facility setting

$442.77

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 23545: Closed acromioclavicular dislocation treatment with manipulation

Reports physician-performed closed reduction of an acromioclavicular joint dislocation when manipulation is used, rather than treatment without manipulation or open reconstruction.

This service treats a dislocation of the acromioclavicular joint, where the clavicle meets the acromion, by manipulating the joint to restore alignment without open repair. An orthopedic surgeon commonly performs it in an acute-care or surgical setting. The patient may then be immobilized, for example in a sling, as part of the treatment plan.

Choose this code when the physician performs manipulation as part of closed treatment; treatment without manipulation is represented by a different code. Document the dislocation, the side, the manipulation and reduction performed, and the resulting treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 23545

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 is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.34 · 22%
  • Practice expense (office) RVU10.86 · 72%
  • Malpractice RVU0.83 · 6%

80

Medicare services in 2024 · #5045 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.

23545 compared with similar codes

Office rates for Merced, from the same CMS release.

23540

AC joint dislocation

Without manipulation

$287.88

Both describe closed treatment of an AC dislocation; choose 23545 when manipulation is performed and 23540 when it is not.

23550

AC joint repair

Open treatment without graft

No office rate

This code is for closed treatment with manipulation. Code 23550 is for open treatment of the AC dislocation.

23552

AC joint reconstruction

With graft

No office rate

This code describes closed manipulation. Code 23552 is used for open treatment involving a graft.

23525

Joint reduction

Sternoclavicular with manipulation

$464.54

Both involve closed treatment with manipulation, but 23525 concerns a sternoclavicular dislocation, not an AC joint dislocation.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 23545 is $528.12—$2.25 higher than the $525.87 rate in Merced. Both use the same code, release and participation basis.

23545 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $525.87

  2. Bakersfield

    $528.12

    $2.25 higher than Merced

  3. Chico

    $525.87

    The same base rate than Merced

  4. El Centro

    $526.01

    $0.14 higher than Merced

  5. Fresno

    $525.87

    The same base rate than Merced

  6. Hanford-Corcoran

    $525.87

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $563.65

    $37.78 higher than Merced

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, 23545 ranges from $437.42 in Arkansas to $661.75 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

  • Madera

    California · 23545

    Office

    $525.87

    Facility

    $442.77

    The same base rate than Merced for the office setting.

  • Modesto

    California · 23545

    Office

    $525.87

    Facility

    $442.77

    The same base rate than Merced for the office setting.

  • Napa

    California · 23545

    Office

    $610.75

    Facility

    $510.82

    $84.88 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 23545

    Office

    $560.71

    Facility

    $471.09

    $34.84 higher than Merced for the office setting.

  • Redding

    California · 23545

    Office

    $525.87

    Facility

    $442.77

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 23545

    Office

    $525.87

    Facility

    $442.77

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 23545

    Office

    $534.77

    Facility

    $451.67

    $8.90 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 23545

    Office

    $552.29

    Facility

    $464.12

    $26.42 higher than Merced for the office setting.

  • Salinas

    California · 23545

    Office

    $550.29

    Facility

    $462.41

    $24.42 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 23545

    Office

    $563.76

    Facility

    $473.08

    $37.89 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 23545

    Office

    $646.34

    Facility

    $539.43

    $120.47 higher than Merced for the office setting.

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

    California · 23545

    Office

    $645.39

    Facility

    $538.49

    $119.52 higher than Merced for the office setting.

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

    California · 23545

    Office

    $661.75

    Facility

    $552.42

    $135.88 higher than Merced for the office setting.

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

    California · 23545

    Office

    $657.90

    Facility

    $548.57

    $132.03 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 23545

    Office

    $541.47

    Facility

    $455.11

    $15.60 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 23545

    Office

    $569.48

    Facility

    $477.36

    $43.61 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 23545

    Office

    $552.49

    Facility

    $464.08

    $26.62 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 23545

    Office

    $575.20

    Facility

    $482.10

    $49.33 higher than Merced for the office setting.

  • Stockton

    California · 23545

    Office

    $525.87

    Facility

    $442.77

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 23545

    Office

    $609.40

    Facility

    $509.46

    $83.53 higher than Merced for the office setting.

  • Visalia

    California · 23545

    Office

    $525.87

    Facility

    $442.77

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 23545

    Office

    $525.87

    Facility

    $442.77

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 23545

    Office

    $575.74

    Facility

    $486.42

    $49.87 higher than Merced for the office setting.

  • Miami

    Florida · 23545

    Office

    $559.28

    Facility

    $480.35

    $33.41 higher than Merced for the office setting.

  • Chicago

    Illinois · 23545

    Office

    $540.51

    Facility

    $464.31

    $14.64 higher than Merced for the office setting.

  • Manhattan

    New York · 23545

    Office

    $584.16

    Facility

    $496.06

    $58.29 higher than Merced for the office setting.

  • Alaska*

    Alaska · 23545

    Office

    $568.93

    Facility

    $488.18

    $43.06 higher than Merced for the office setting.

  • Alabama

    Alabama · 23545

    Office

    $444.64

    Facility

    $378.30

    $81.23 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 23545

    Office

    $437.42

    Facility

    $372.30

    $88.45 lower than Merced for the office setting.

  • Arizona

    Arizona · 23545

    Office

    $486.78

    Facility

    $413.31

    $39.09 lower than Merced for the office setting.

  • Colorado

    Colorado · 23545

    Office

    $520.50

    Facility

    $439.83

    $5.37 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 23545

    Office

    $538.00

    Facility

    $456.34

    $12.13 higher than Merced for the office setting.

  • Delaware

    Delaware · 23545

    Office

    $495.42

    Facility

    $420.51

    $30.45 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 23545

    Office

    $529.13

    Facility

    $452.33

    $3.26 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 23545

    Office

    $500.00

    Facility

    $427.52

    $25.87 lower than Merced for the office setting.

  • Atlanta

    Georgia · 23545

    Office

    $513.73

    Facility

    $436.69

    $12.14 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 23545

    Office

    $468.16

    Facility

    $400.53

    $57.71 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 23545

    Office

    $540.04

    Facility

    $453.83

    $14.17 higher than Merced for the office setting.

  • Iowa

    Iowa · 23545

    Office

    $454.47

    Facility

    $385.09

    $71.40 lower than Merced for the office setting.

  • Idaho

    Idaho · 23545

    Office

    $458.39

    Facility

    $388.63

    $67.48 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 23545

    Office

    $501.11

    Facility

    $431.35

    $24.76 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 23545

    Office

    $486.07

    Facility

    $416.84

    $39.80 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 23545

    Office

    $533.99

    Facility

    $456.13

    $8.12 higher than Merced for the office setting.

  • Indiana

    Indiana · 23545

    Office

    $461.29

    Facility

    $391.00

    $64.58 lower than Merced for the office setting.

  • Kansas

    Kansas · 23545

    Office

    $453.44

    Facility

    $384.90

    $72.43 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 23545

    Office

    $459.40

    Facility

    $391.99

    $66.47 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 23545

    Office

    $484.38

    Facility

    $413.04

    $41.49 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 23545

    Office

    $459.14

    Facility

    $392.04

    $66.73 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 23545

    Office

    $573.91

    Facility

    $483.38

    $48.04 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 23545

    Office

    $517.40

    Facility

    $437.56

    $8.47 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 23545

    Office

    $536.85

    Facility

    $455.50

    $10.98 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 23545

    Office

    $505.21

    Facility

    $428.48

    $20.66 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 23545

    Office

    $462.52

    Facility

    $392.76

    $63.35 lower than Merced for the office setting.

  • Southern Maine

    Maine · 23545

    Office

    $488.52

    Facility

    $413.38

    $37.35 lower than Merced for the office setting.

  • Detroit

    Michigan · 23545

    Office

    $508.34

    Facility

    $435.17

    $17.53 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 23545

    Office

    $474.03

    Facility

    $404.81

    $51.84 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 23545

    Office

    $493.02

    Facility

    $415.00

    $32.85 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 23545

    Office

    $479.25

    Facility

    $408.06

    $46.62 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 23545

    Office

    $484.66

    Facility

    $412.48

    $41.21 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 23545

    Office

    $451.24

    Facility

    $385.88

    $74.63 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 23545

    Office

    $444.36

    Facility

    $379.08

    $81.51 lower than Merced for the office setting.

  • Montana**

    Montana · 23545

    Office

    $501.96

    Facility

    $426.14

    $23.91 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 23545

    Office

    $467.70

    Facility

    $396.96

    $58.17 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 23545

    Office

    $485.55

    Facility

    $409.73

    $40.32 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 23545

    Office

    $456.84

    Facility

    $386.86

    $69.03 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 23545

    Office

    $513.42

    Facility

    $434.49

    $12.45 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 23545

    Office

    $568.97

    Facility

    $481.02

    $43.10 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 23545

    Office

    $542.54

    Facility

    $459.74

    $16.67 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 23545

    Office

    $477.48

    Facility

    $407.95

    $48.39 lower than Merced for the office setting.

  • Nevada**

    Nevada · 23545

    Office

    $497.75

    Facility

    $421.85

    $28.12 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 23545

    Office

    $601.47

    Facility

    $511.32

    $75.60 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 23545

    Office

    $547.32

    Facility

    $464.29

    $21.45 higher than Merced for the office setting.

  • Queens

    New York · 23545

    Office

    $587.43

    Facility

    $497.81

    $61.56 higher than Merced for the office setting.

  • Rest Of New York

    New York · 23545

    Office

    $475.65

    Facility

    $403.62

    $50.22 lower than Merced for the office setting.

  • Ohio

    Ohio · 23545

    Office

    $470.68

    Facility

    $401.46

    $55.19 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 23545

    Office

    $457.02

    Facility

    $389.31

    $68.85 lower than Merced for the office setting.

  • Portland

    Oregon · 23545

    Office

    $536.97

    Facility

    $452.73

    $11.10 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 23545

    Office

    $492.33

    Facility

    $416.81

    $33.54 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 23545

    Office

    $524.25

    Facility

    $445.32

    $1.62 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 23545

    Office

    $470.75

    Facility

    $401.14

    $55.12 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 23545

    Office

    $505.59

    Facility

    $428.94

    $20.28 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 23545

    Office

    $513.11

    Facility

    $434.79

    $12.76 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 23545

    Office

    $470.29

    Facility

    $400.23

    $55.58 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 23545

    Office

    $483.61

    Facility

    $407.79

    $42.26 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 23545

    Office

    $456.17

    Facility

    $387.25

    $69.70 lower than Merced for the office setting.

  • Austin

    Texas · 23545

    Office

    $520.12

    Facility

    $439.90

    $5.75 lower than Merced for the office setting.

  • Beaumont

    Texas · 23545

    Office

    $467.40

    Facility

    $398.40

    $58.47 lower than Merced for the office setting.

  • Brazoria

    Texas · 23545

    Office

    $493.54

    Facility

    $418.41

    $32.33 lower than Merced for the office setting.

  • Dallas

    Texas · 23545

    Office

    $497.63

    Facility

    $422.12

    $28.24 lower than Merced for the office setting.

  • Fort Worth

    Texas · 23545

    Office

    $494.37

    Facility

    $419.61

    $31.50 lower than Merced for the office setting.

  • Galveston

    Texas · 23545

    Office

    $495.60

    Facility

    $420.31

    $30.27 lower than Merced for the office setting.

  • Houston

    Texas · 23545

    Office

    $510.79

    Facility

    $435.50

    $15.08 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 23545

    Office

    $480.83

    Facility

    $408.87

    $45.04 lower than Merced for the office setting.

  • Utah

    Utah · 23545

    Office

    $477.42

    Facility

    $406.15

    $48.45 lower than Merced for the office setting.

  • Virginia

    Virginia · 23545

    Office

    $487.70

    Facility

    $413.17

    $38.17 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 23545

    Office

    $505.59

    Facility

    $428.94

    $20.28 lower than Merced for the office setting.

  • Vermont

    Vermont · 23545

    Office

    $484.69

    Facility

    $409.63

    $41.18 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 23545

    Office

    $516.06

    Facility

    $436.23

    $9.81 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 23545

    Office

    $584.86

    Facility

    $491.83

    $58.99 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 23545

    Office

    $467.60

    Facility

    $394.96

    $58.27 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 23545

    Office

    $466.45

    Facility

    $400.56

    $59.42 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 23545

    Office

    $494.81

    Facility

    $418.99

    $31.06 lower than Merced for the office setting.

See how rates vary across the country

23545 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$437.42

$593.81

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$568.931
AL$444.641
AR$437.421
AZ$486.781
CA$525.87–$661.7529
CO$520.501
CT$538.001
DC$575.741
DE$495.421
FL$500.00–$559.283
GA$468.16–$513.732
GU$540.041
HI$540.041
IA$454.471
ID$458.391
IL$486.07–$540.514
IN$461.291
KS$453.441
KY$459.401
LA$459.14–$484.382
MA$517.40–$573.912
MD$505.21–$575.743
ME$462.52–$488.522
MI$474.03–$508.342
MN$493.021
MO$451.24–$484.663
MS$444.361
MT$501.961
NC$467.701
ND$485.551
NE$456.841
NH$513.421
NJ$542.54–$568.972
NM$477.481
NV$497.751
NY$475.65–$601.475
OH$470.681
OK$457.021
OR$492.33–$536.972
PA$470.75–$524.252
PR$505.591
RI$513.111
SC$470.291
SD$483.611
TN$456.171
TX$467.40–$520.128
UT$477.421
VA$487.70–$575.742
VI$505.591
VT$484.691
WA$516.06–$584.862
WI$467.601
WV$466.451
WY$494.811

Explore 23545 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 23545 in Merced, the physician’s office rate is $525.87 and the facility-setting rate is $442.77: a difference of $83.10.

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 23545 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$578.46

$525.87 × 110% = $578.46

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 23545 in Merced.

PPRRVU2026_Oct_nonQPP.csv

2,226

Code
23545
Physician work
3.34
Practice expense
10.86
Malpractice
0.83

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 23545 in Merced
ComponentRVULocality factorAdjusted
Physician work3.34× 1.0173.3968
Practice expense10.86× 1.09611.9026
Malpractice0.83× 0.5360.4449
Total RVUs15.7442
Conversion factor× 33.4009

Office / nonfacility rate, Merced$525.87

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 23545 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.341.017
Practice expense10.861.096
Malpractice0.830.536

(3.34 × 1.017 + 10.86 × 1.096 + 0.83 × 0.536) × $33.4009 = $525.87

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.341.017
Practice expense8.591.096
Malpractice0.830.536

(3.34 × 1.017 + 8.59 × 1.096 + 0.83 × 0.536) × $33.4009 = $442.77

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

23545 · Office / nonfacility

$525.87

Effective 2026-10-01

The base rate is $142.94 higher than on 2025-10-01, moving from $382.93 to $525.87 (37.3%).

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

    $382.93changed to$525.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.43 changed to 3.34
    • Practice expense RVU 7.28 changed to 10.86
    • Malpractice RVU 0.72 changed to 0.83
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $382.93

    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$525.87$442.77RVU26D
2026-07-01$525.87$442.77RVU26C
2026-04-01$525.87$442.77RVU26B
2026-01-01$525.87$442.77RVU26A
2025-10-01$382.93$340.85RVU25D
2025-07-01$382.93$340.85RVU25C
2025-04-01$382.93$340.85RVU25B
2025-01-01$382.93$340.85RVU25A

23545 billing questions

How does this differ from 23540?

Use 23545 when manipulation is performed as part of closed treatment of the AC dislocation. Code 23540 represents closed treatment without manipulation.

When would an open-treatment code be more appropriate?

Use an open-treatment code when the surgeon treats the AC dislocation through an open approach, rather than by closed manipulation. Code 23550 covers open treatment without the graft distinction found in 23552.

What documentation supports reporting this code?

Document the AC dislocation, laterality, the manipulation performed to reduce it, and the post-treatment plan. The record should make clear that manipulation was part of the closed treatment.

How is bilateral treatment handled?

For bilateral procedures, CMS specifies modifier 50 and payment at 150%. Document the treatment performed on each side.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Related routine follow-up during that period is included in the global service.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeons or team surgery for this code.

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 23545PPRRVU2026_Oct_nonQPP.csv, line 2,226 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet