No office rate
Use 23073 for a deep shoulder tumor measuring 5 cm or larger; this code is for a deep tumor under 5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
23076 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$524.10
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 23076: Deep shoulder soft-tissue tumor excision
Open excision of a deep soft-tissue tumor in the shoulder area measuring under 5 cm, such as an intramuscular mass, is reported with this code.
This service involves surgically removing a soft-tissue tumor beneath the superficial fascia in the shoulder area, including a mass located within muscle. An orthopedic surgeon or another surgeon may perform it in a hospital or outpatient surgical setting. A deep lipomatous mass is one typical clinical example; the code is based on the tumor’s depth and size, not simply the length of the incision.
Select this code when the tumor is deep and measures less than 5 cm; document its location, depth, and size, along with the excision 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 procedures reported with modifier 50, payment is 150%. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 23076
- 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 RVU7.22 · 46%
- Practice expense (office) RVU6.82 · 44%
- Malpractice RVU1.63 · 10%
719
Medicare services in 2024 · #3235 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.
23076 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
23071 describes excision of a superficial shoulder lesion measuring 3 cm or larger. Choose this code for a deep tumor under 5 cm.
$580.02
23075 is for a superficial shoulder lesion under 3 cm. Depth distinguishes it from this code, which covers a deep tumor under 5 cm.
No office rate
23077 describes radical resection of a shoulder tumor under 5 cm. This code describes deep tumor excision without that radical-resection distinction.
The same code, a different location
How does Modesto compare?
23076 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 23076
Office
Unavailable
Facility
$524.10
No comparable office rate is available.
Merced
California · 23076
Office
Unavailable
Facility
$524.10
No comparable office rate is available.
Napa
California · 23076
Office
Unavailable
Facility
$584.24
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23076
Office
Unavailable
Facility
$551.08
No comparable office rate is available.
Redding
California · 23076
Office
Unavailable
Facility
$524.10
No comparable office rate is available.
Rest Of California
California · 23076
Office
Unavailable
Facility
$524.10
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23076
Office
Unavailable
Facility
$541.60
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23076
Office
Unavailable
Facility
$543.94
No comparable office rate is available.
Salinas
California · 23076
Office
Unavailable
Facility
$541.83
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23076
Office
Unavailable
Facility
$550.34
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23076
Office
Unavailable
Facility
$610.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23076
Office
Unavailable
Facility
$608.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23076
Office
Unavailable
Facility
$625.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23076
Office
Unavailable
Facility
$617.77
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23076
Office
Unavailable
Facility
$533.89
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23076
Office
Unavailable
Facility
$552.17
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23076
Office
Unavailable
Facility
$542.70
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23076
Office
Unavailable
Facility
$557.30
No comparable office rate is available.
Stockton
California · 23076
Office
Unavailable
Facility
$524.10
No comparable office rate is available.
Vallejo
California · 23076
Office
Unavailable
Facility
$581.57
No comparable office rate is available.
Visalia
California · 23076
Office
Unavailable
Facility
$524.10
No comparable office rate is available.
Yuba City
California · 23076
Office
Unavailable
Facility
$524.10
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23076
Office
Unavailable
Facility
$583.11
No comparable office rate is available.
Miami
Florida · 23076
Office
Unavailable
Facility
$615.98
No comparable office rate is available.
Chicago
Illinois · 23076
Office
Unavailable
Facility
$596.72
No comparable office rate is available.
Manhattan
New York · 23076
Office
Unavailable
Facility
$607.63
No comparable office rate is available.
Alaska*
Alaska · 23076
Office
Unavailable
Facility
$634.33
No comparable office rate is available.
Alabama
Alabama · 23076
Office
Unavailable
Facility
$471.29
No comparable office rate is available.
Arkansas
Arkansas · 23076
Office
Unavailable
Facility
$464.87
No comparable office rate is available.
Arizona
Arizona · 23076
Office
Unavailable
Facility
$508.49
No comparable office rate is available.
Colorado
Colorado · 23076
Office
Unavailable
Facility
$528.94
No comparable office rate is available.
Connecticut
Connecticut · 23076
Office
Unavailable
Facility
$557.19
No comparable office rate is available.
Delaware
Delaware · 23076
Office
Unavailable
Facility
$516.37
No comparable office rate is available.
Fort Lauderdale
Florida · 23076
Office
Unavailable
Facility
$570.34
No comparable office rate is available.
Rest Of Florida
Florida · 23076
Office
Unavailable
Facility
$540.75
No comparable office rate is available.
Atlanta
Georgia · 23076
Office
Unavailable
Facility
$538.70
No comparable office rate is available.
Rest Of Georgia
Georgia · 23076
Office
Unavailable
Facility
$509.24
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23076
Office
Unavailable
Facility
$531.68
No comparable office rate is available.
Iowa
Iowa · 23076
Office
Unavailable
Facility
$471.20
No comparable office rate is available.
Idaho
Idaho · 23076
Office
Unavailable
Facility
$476.48
No comparable office rate is available.
East St. Louis
Illinois · 23076
Office
Unavailable
Facility
$560.37
No comparable office rate is available.
Rest Of Illinois
Illinois · 23076
Office
Unavailable
Facility
$534.23
No comparable office rate is available.
Suburban Chicago
Illinois · 23076
Office
Unavailable
Facility
$573.26
No comparable office rate is available.
Indiana
Indiana · 23076
Office
Unavailable
Facility
$478.78
No comparable office rate is available.
Kansas
Kansas · 23076
Office
Unavailable
Facility
$474.52
No comparable office rate is available.
Kentucky
Kentucky · 23076
Office
Unavailable
Facility
$493.48
No comparable office rate is available.
New Orleans
Louisiana · 23076
Office
Unavailable
Facility
$517.36
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23076
Office
Unavailable
Facility
$494.91
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23076
Office
Unavailable
Facility
$571.48
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23076
Office
Unavailable
Facility
$528.27
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23076
Office
Unavailable
Facility
$556.78
No comparable office rate is available.
Rest Of Maryland
Maryland · 23076
Office
Unavailable
Facility
$524.07
No comparable office rate is available.
Rest Of Maine
Maine · 23076
Office
Unavailable
Facility
$484.59
No comparable office rate is available.
Southern Maine
Maine · 23076
Office
Unavailable
Facility
$501.25
No comparable office rate is available.
Detroit
Michigan · 23076
Office
Unavailable
Facility
$552.77
No comparable office rate is available.
Rest Of Michigan
Michigan · 23076
Office
Unavailable
Facility
$510.60
No comparable office rate is available.
Minnesota
Minnesota · 23076
Office
Unavailable
Facility
$491.67
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23076
Office
Unavailable
Facility
$508.24
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23076
Office
Unavailable
Facility
$512.57
No comparable office rate is available.
Rest Of Missouri
Missouri · 23076
Office
Unavailable
Facility
$490.54
No comparable office rate is available.
Mississippi
Mississippi · 23076
Office
Unavailable
Facility
$477.52
No comparable office rate is available.
Montana**
Montana · 23076
Office
Unavailable
Facility
$523.28
No comparable office rate is available.
North Carolina
North Carolina · 23076
Office
Unavailable
Facility
$488.48
No comparable office rate is available.
North Dakota**
North Dakota · 23076
Office
Unavailable
Facility
$491.05
No comparable office rate is available.
Nebraska
Nebraska · 23076
Office
Unavailable
Facility
$471.99
No comparable office rate is available.
New Hampshire
New Hampshire · 23076
Office
Unavailable
Facility
$525.93
No comparable office rate is available.
Northern Nj
New Jersey · 23076
Office
Unavailable
Facility
$578.73
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23076
Office
Unavailable
Facility
$559.28
No comparable office rate is available.
New Mexico
New Mexico · 23076
Office
Unavailable
Facility
$515.43
No comparable office rate is available.
Nevada**
Nevada · 23076
Office
Unavailable
Facility
$514.53
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23076
Office
Unavailable
Facility
$628.54
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23076
Office
Unavailable
Facility
$567.32
No comparable office rate is available.
Queens
New York · 23076
Office
Unavailable
Facility
$604.35
No comparable office rate is available.
Rest Of New York
New York · 23076
Office
Unavailable
Facility
$495.83
No comparable office rate is available.
Ohio
Ohio · 23076
Office
Unavailable
Facility
$504.01
No comparable office rate is available.
Oklahoma
Oklahoma · 23076
Office
Unavailable
Facility
$486.88
No comparable office rate is available.
Portland
Oregon · 23076
Office
Unavailable
Facility
$538.60
No comparable office rate is available.
Rest Of Oregon
Oregon · 23076
Office
Unavailable
Facility
$506.31
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23076
Office
Unavailable
Facility
$547.58
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23076
Office
Unavailable
Facility
$501.72
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23076
Office
Unavailable
Facility
$525.08
No comparable office rate is available.
Rhode Island
Rhode Island · 23076
Office
Unavailable
Facility
$529.61
No comparable office rate is available.
South Carolina
South Carolina · 23076
Office
Unavailable
Facility
$497.91
No comparable office rate is available.
South Dakota**
South Dakota · 23076
Office
Unavailable
Facility
$487.24
No comparable office rate is available.
Tennessee
Tennessee · 23076
Office
Unavailable
Facility
$477.46
No comparable office rate is available.
Austin
Texas · 23076
Office
Unavailable
Facility
$530.88
No comparable office rate is available.
Beaumont
Texas · 23076
Office
Unavailable
Facility
$499.03
No comparable office rate is available.
Brazoria
Texas · 23076
Office
Unavailable
Facility
$511.29
No comparable office rate is available.
Dallas
Texas · 23076
Office
Unavailable
Facility
$516.92
No comparable office rate is available.
Fort Worth
Texas · 23076
Office
Unavailable
Facility
$515.35
No comparable office rate is available.
Galveston
Texas · 23076
Office
Unavailable
Facility
$514.36
No comparable office rate is available.
Houston
Texas · 23076
Office
Unavailable
Facility
$544.20
No comparable office rate is available.
Rest Of Texas
Texas · 23076
Office
Unavailable
Facility
$506.49
No comparable office rate is available.
Utah
Utah · 23076
Office
Unavailable
Facility
$504.17
No comparable office rate is available.
Virginia
Virginia · 23076
Office
Unavailable
Facility
$503.51
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23076
Office
Unavailable
Facility
$525.08
No comparable office rate is available.
Vermont
Vermont · 23076
Office
Unavailable
Facility
$494.22
No comparable office rate is available.
Rest Of Washington
Washington · 23076
Office
Unavailable
Facility
$525.59
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23076
Office
Unavailable
Facility
$577.20
No comparable office rate is available.
Wisconsin
Wisconsin · 23076
Office
Unavailable
Facility
$476.15
No comparable office rate is available.
West Virginia
West Virginia · 23076
Office
Unavailable
Facility
$517.02
No comparable office rate is available.
Wyoming**
Wyoming · 23076
Office
Unavailable
Facility
$509.24
No comparable office rate is available.
See how rates vary across the country
23076 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 23076 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$576.51
$524.10 × 110% = $576.51
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 23076 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
2,160
- Code
- 23076
- Physician work
- 7.22
- Practice expense
- 6.82
- Malpractice
- 1.63
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.22 | × 1.017 | 7.3427 |
| Practice expense | 6.82 | × 1.096 | 7.4747 |
| Malpractice | 1.63 | × 0.536 | 0.8737 |
| Total RVUs | 15.6911 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$524.10
Open 23076 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.22 | 1.017 |
| Practice expense | 6.82 | 1.096 |
| Malpractice | 1.63 | 0.536 |
(7.22 × 1.017 + 6.82 × 1.096 + 1.63 × 0.536) × $33.4009 = $524.10
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
23076 · 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 | $524.10 | RVU26D |
| 2026-07-01 | Not available in this setting | $524.10 | RVU26C |
| 2026-04-01 | Not available in this setting | $524.10 | RVU26B |
| 2026-01-01 | Not available in this setting | $524.10 | RVU26A |
| 2025-10-01 | Not available in this setting | $544.44 | RVU25D |
| 2025-07-01 | Not available in this setting | $544.44 | RVU25C |
| 2025-04-01 | Not available in this setting | $544.44 | RVU25B |
| 2025-01-01 | Not available in this setting | $544.44 | RVU25A |
23076 billing questions
How does this differ from 23073?
Both describe deep shoulder tumor excision. Use 23076 for a tumor under 5 cm and 23073 for one measuring 5 cm or larger.
How does this differ from 23071 or 23075?
Those codes describe superficial shoulder lesion excision. This code is for a tumor beneath the superficial fascia, including an intramuscular tumor.
When would 23077 be considered instead?
23077 describes radical resection of a shoulder tumor under 5 cm. The distinction is the radical resection described by that code, not tumor size alone.
What documentation supports selecting this code?
Document the shoulder-area location, the tumor’s depth relative to the superficial fascia, its size, and the excision performed. The incision length alone does not establish the tumor size.
How are bilateral cases and other same-session procedures handled?
Modifier 50 identifies a bilateral procedure and CMS payment is 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported for this operation?
CMS does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,15723071,,Exc shoulder les sc 3 cm/>,A,,5.76,5.06,NA,5.06,,1.37,12.19,12.19,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15823073,,Exc shoulder tum deep 5 cm/>,A,,9.88,7.57,NA,7.57,,2.27,19.72,19.72,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15923075,,Exc shoulder les sc < 3 cm,A,,4.10,11.59,,4.60,,0.92,16.61,9.62,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16023076,,Exc shoulder tum deep < 5 cm,A,,7.22,6.82,NA,6.82,,1.63,15.67,15.67,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16123077,,Rad rescj tum shoulder<5 cm,A,,17.22,10.33,NA,10.33,,3.93,31.48,31.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16223078,,Rad rescj tum shoulder 5cm/>,A,,21.99,12.68,NA,12.68,,5.02,39.69,39.69,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16323100,,Arthrotomy glenhumrl jt w/bx,A,,6.05,7.37,NA,7.37,,1.29,14.71,14.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536