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CMS RVU26D · Effective 2026-10-01

23000 in Redding

Office / nonfacility

$601.73

Base rate per service

Facility setting

$343.65

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 23000: Open removal of shoulder calcium deposit

Reports open surgical removal of a calcareous deposit in the shoulder’s subdeltoid region, commonly for symptomatic calcific tendinitis.

This code describes open removal of a calcareous deposit in the subdeltoid region of the shoulder, often in a patient with symptomatic calcific tendinitis. An orthopedic surgeon typically performs the operation in a hospital or ambulatory surgery setting, using an open incision to reach and remove the deposit. The operative report should establish the shoulder site, open approach, and removal of the deposit.

Report the service when the surgeon performs this open removal; do not select it for arthroscopic debridement or for treatment directed at a different problem, such as an abscess or joint foreign body. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 23000

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 RVU4.37 · 26%
  • Practice expense (office) RVU12.04 · 70%
  • Malpractice RVU0.70 · 4%

174

Medicare services in 2024 · #4447 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.

23000 compared with similar codes

Office rates for Redding, from the same CMS release.

29822

Shoulder debridement

Limited, one or two structures

No office rate

This code is for open deposit removal. Code 29822 is for arthroscopic limited debridement, not an open approach.

29823

Arthroscopic debridement

Extensive, three or more structures

No office rate

Choose this code for open deposit removal; 29823 describes arthroscopic extensive debridement when the documented arthroscopic work meets that level.

23035

Bone incision

Shoulder area

No office rate

This code removes a calcareous deposit in the subdeltoid region. Code 23035 concerns incision into shoulder bone cortex, a different target and procedure.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 23000 is $603.73—$2.00 higher than the $601.73 rate in Redding. Both use the same code, release and participation basis.

23000 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $601.73

  2. Bakersfield

    $603.73

    $2.00 higher than Redding

  3. Chico

    $601.73

    The same base rate than Redding

  4. El Centro

    $601.85

    $0.12 higher than Redding

  5. Fresno

    $601.73

    The same base rate than Redding

  6. Hanford-Corcoran

    $601.73

    The same base rate than Redding

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

    $643.21

    $41.48 higher than Redding

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, 23000 ranges from $503.45 in Arkansas to $754.45 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 · 23000

    Office

    $601.73

    Facility

    $343.65

    The same base rate than Redding for the office setting.

  • Merced

    California · 23000

    Office

    $601.73

    Facility

    $343.65

    The same base rate than Redding for the office setting.

  • Modesto

    California · 23000

    Office

    $601.73

    Facility

    $343.65

    The same base rate than Redding for the office setting.

  • Napa

    California · 23000

    Office

    $697.06

    Facility

    $386.71

    $95.33 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 23000

    Office

    $639.95

    Facility

    $361.62

    $38.22 higher than Redding for the office setting.

  • Rest Of California

    California · 23000

    Office

    $601.73

    Facility

    $343.65

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 23000

    Office

    $609.29

    Facility

    $351.20

    $7.56 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 23000

    Office

    $631.45

    Facility

    $357.59

    $29.72 higher than Redding for the office setting.

  • Salinas

    California · 23000

    Office

    $629.11

    Facility

    $356.19

    $27.38 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 23000

    Office

    $643.98

    Facility

    $362.35

    $42.25 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 23000

    Office

    $737.59

    Facility

    $405.57

    $135.86 higher than Redding for the office setting.

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

    California · 23000

    Office

    $736.79

    Facility

    $404.77

    $135.06 higher than Redding for the office setting.

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

    California · 23000

    Office

    $754.45

    Facility

    $414.89

    $152.72 higher than Redding for the office setting.

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

    California · 23000

    Office

    $751.20

    Facility

    $411.64

    $149.47 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 23000

    Office

    $619.02

    Facility

    $350.81

    $17.29 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 23000

    Office

    $650.17

    Facility

    $364.06

    $48.44 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 23000

    Office

    $631.48

    Facility

    $356.92

    $29.75 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 23000

    Office

    $656.71

    Facility

    $367.54

    $54.98 higher than Redding for the office setting.

  • Stockton

    California · 23000

    Office

    $601.73

    Facility

    $343.65

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 23000

    Office

    $695.92

    Facility

    $385.56

    $94.19 higher than Redding for the office setting.

  • Visalia

    California · 23000

    Office

    $601.73

    Facility

    $343.65

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 23000

    Office

    $601.73

    Facility

    $343.65

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 23000

    Office

    $653.60

    Facility

    $376.20

    $51.87 higher than Redding for the office setting.

  • Miami

    Florida · 23000

    Office

    $623.73

    Facility

    $378.60

    $22.00 higher than Redding for the office setting.

  • Chicago

    Illinois · 23000

    Office

    $604.80

    Facility

    $368.15

    $3.07 higher than Redding for the office setting.

  • Manhattan

    New York · 23000

    Office

    $659.68

    Facility

    $386.06

    $57.95 higher than Redding for the office setting.

  • Alaska*

    Alaska · 23000

    Office

    $660.11

    Facility

    $409.33

    $58.38 higher than Redding for the office setting.

  • Alabama

    Alabama · 23000

    Office

    $511.07

    Facility

    $305.03

    $90.66 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 23000

    Office

    $503.45

    Facility

    $301.17

    $98.28 lower than Redding for the office setting.

  • Arizona

    Arizona · 23000

    Office

    $555.66

    Facility

    $327.48

    $46.07 lower than Redding for the office setting.

  • Colorado

    Colorado · 23000

    Office

    $593.86

    Facility

    $343.31

    $7.87 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 23000

    Office

    $610.28

    Facility

    $356.68

    $8.55 higher than Redding for the office setting.

  • Delaware

    Delaware · 23000

    Office

    $565.03

    Facility

    $332.38

    $36.70 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 23000

    Office

    $595.61

    Facility

    $357.07

    $6.12 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 23000

    Office

    $565.56

    Facility

    $340.44

    $36.17 lower than Redding for the office setting.

  • Atlanta

    Georgia · 23000

    Office

    $583.06

    Facility

    $343.82

    $18.67 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 23000

    Office

    $532.55

    Facility

    $322.50

    $69.18 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 23000

    Office

    $616.74

    Facility

    $349.00

    $15.01 higher than Redding for the office setting.

  • Iowa

    Iowa · 23000

    Office

    $523.21

    Facility

    $307.75

    $78.52 lower than Redding for the office setting.

  • Idaho

    Idaho · 23000

    Office

    $527.00

    Facility

    $310.36

    $74.73 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 23000

    Office

    $563.03

    Facility

    $346.39

    $38.70 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 23000

    Office

    $549.67

    Facility

    $334.68

    $52.06 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 23000

    Office

    $601.42

    Facility

    $359.58

    $0.31 lower than Redding for the office setting.

  • Indiana

    Indiana · 23000

    Office

    $530.12

    Facility

    $311.83

    $71.61 lower than Redding for the office setting.

  • Kansas

    Kansas · 23000

    Office

    $521.29

    Facility

    $308.42

    $80.44 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 23000

    Office

    $524.86

    Facility

    $315.53

    $76.87 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 23000

    Office

    $550.94

    Facility

    $329.36

    $50.79 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 23000

    Office

    $524.26

    Facility

    $315.86

    $77.47 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 23000

    Office

    $652.92

    Facility

    $371.76

    $51.19 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 23000

    Office

    $590.39

    Facility

    $342.44

    $11.34 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 23000

    Office

    $608.72

    Facility

    $356.06

    $6.99 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 23000

    Office

    $575.86

    Facility

    $337.56

    $25.87 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 23000

    Office

    $530.48

    Facility

    $313.84

    $71.25 lower than Redding for the office setting.

  • Southern Maine

    Maine · 23000

    Office

    $559.24

    Facility

    $325.89

    $42.49 lower than Redding for the office setting.

  • Detroit

    Michigan · 23000

    Office

    $573.45

    Facility

    $346.22

    $28.28 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 23000

    Office

    $539.52

    Facility

    $324.53

    $62.21 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 23000

    Office

    $566.69

    Facility

    $324.39

    $35.04 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 23000

    Office

    $546.42

    Facility

    $325.31

    $55.31 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 23000

    Office

    $552.23

    Facility

    $328.06

    $49.50 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 23000

    Office

    $515.39

    Facility

    $312.40

    $86.34 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 23000

    Office

    $509.49

    Facility

    $306.74

    $92.24 lower than Redding for the office setting.

  • Montana**

    Montana · 23000

    Office

    $571.44

    Facility

    $335.97

    $30.29 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 23000

    Office

    $536.11

    Facility

    $316.41

    $65.62 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 23000

    Office

    $557.60

    Facility

    $322.12

    $44.13 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 23000

    Office

    $525.98

    Facility

    $308.64

    $75.75 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 23000

    Office

    $585.05

    Facility

    $339.92

    $16.68 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 23000

    Office

    $646.62

    Facility

    $373.47

    $44.89 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 23000

    Office

    $616.59

    Facility

    $359.45

    $14.86 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 23000

    Office

    $542.81

    Facility

    $326.88

    $58.92 lower than Redding for the office setting.

  • Nevada**

    Nevada · 23000

    Office

    $567.99

    Facility

    $332.28

    $33.74 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 23000

    Office

    $676.87

    Facility

    $396.89

    $75.14 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 23000

    Office

    $621.17

    Facility

    $363.32

    $19.44 higher than Redding for the office setting.

  • Queens

    New York · 23000

    Office

    $664.36

    Facility

    $386.02

    $62.63 higher than Redding for the office setting.

  • Rest Of New York

    New York · 23000

    Office

    $544.44

    Facility

    $320.74

    $57.29 lower than Redding for the office setting.

  • Ohio

    Ohio · 23000

    Office

    $536.69

    Facility

    $321.70

    $65.04 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 23000

    Office

    $523.25

    Facility

    $312.97

    $78.48 lower than Redding for the office setting.

  • Portland

    Oregon · 23000

    Office

    $612.48

    Facility

    $350.86

    $10.75 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 23000

    Office

    $562.94

    Facility

    $328.40

    $38.79 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 23000

    Office

    $595.12

    Facility

    $349.99

    $6.61 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 23000

    Office

    $537.23

    Facility

    $321.06

    $64.50 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 23000

    Office

    $575.56

    Facility

    $337.50

    $26.17 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 23000

    Office

    $585.01

    Facility

    $341.76

    $16.72 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 23000

    Office

    $537.42

    Facility

    $319.84

    $64.31 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 23000

    Office

    $555.96

    Facility

    $320.49

    $45.77 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 23000

    Office

    $524.07

    Facility

    $310.02

    $77.66 lower than Redding for the office setting.

  • Austin

    Texas · 23000

    Office

    $592.44

    Facility

    $343.31

    $9.29 lower than Redding for the office setting.

  • Beaumont

    Texas · 23000

    Office

    $533.64

    Facility

    $319.35

    $68.09 lower than Redding for the office setting.

  • Brazoria

    Texas · 23000

    Office

    $563.89

    Facility

    $330.54

    $37.84 lower than Redding for the office setting.

  • Dallas

    Texas · 23000

    Office

    $567.87

    Facility

    $333.34

    $33.86 lower than Redding for the office setting.

  • Fort Worth

    Texas · 23000

    Office

    $564.16

    Facility

    $331.98

    $37.57 lower than Redding for the office setting.

  • Galveston

    Texas · 23000

    Office

    $565.82

    Facility

    $331.99

    $35.91 lower than Redding for the office setting.

  • Houston

    Texas · 23000

    Office

    $578.63

    Facility

    $344.81

    $23.10 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 23000

    Office

    $548.71

    Facility

    $325.24

    $53.02 lower than Redding for the office setting.

  • Utah

    Utah · 23000

    Office

    $544.98

    Facility

    $323.63

    $56.75 lower than Redding for the office setting.

  • Virginia

    Virginia · 23000

    Office

    $557.78

    Facility

    $326.31

    $43.95 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 23000

    Office

    $575.56

    Facility

    $337.50

    $26.17 lower than Redding for the office setting.

  • Vermont

    Vermont · 23000

    Office

    $555.92

    Facility

    $322.80

    $45.81 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 23000

    Office

    $589.11

    Facility

    $341.16

    $12.62 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 23000

    Office

    $665.80

    Facility

    $376.87

    $64.07 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 23000

    Office

    $538.42

    Facility

    $312.83

    $63.31 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 23000

    Office

    $528.89

    Facility

    $324.26

    $72.84 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 23000

    Office

    $565.41

    Facility

    $329.93

    $36.32 lower than Redding for the office setting.

See how rates vary across the country

23000 · 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.

$503.45

$678.09

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$660.111
AL$511.071
AR$503.451
AZ$555.661
CA$601.73–$754.4529
CO$593.861
CT$610.281
DC$653.601
DE$565.031
FL$565.56–$623.733
GA$532.55–$583.062
GU$616.741
HI$616.741
IA$523.211
ID$527.001
IL$549.67–$604.804
IN$530.121
KS$521.291
KY$524.861
LA$524.26–$550.942
MA$590.39–$652.922
MD$575.86–$653.603
ME$530.48–$559.242
MI$539.52–$573.452
MN$566.691
MO$515.39–$552.233
MS$509.491
MT$571.441
NC$536.111
ND$557.601
NE$525.981
NH$585.051
NJ$616.59–$646.622
NM$542.811
NV$567.991
NY$544.44–$676.875
OH$536.691
OK$523.251
OR$562.94–$612.482
PA$537.23–$595.122
PR$575.561
RI$585.011
SC$537.421
SD$555.961
TN$524.071
TX$533.64–$592.448
UT$544.981
VA$557.78–$653.602
VI$575.561
VT$555.921
WA$589.11–$665.802
WI$538.421
WV$528.891
WY$565.411

Explore 23000 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 23000 in Redding, the physician’s office rate is $601.73 and the facility-setting rate is $343.65: a difference of $258.08.

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 23000 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$661.90

$601.73 × 110% = $661.90

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.

Compare your contract offer →

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 23000 in Redding.

PPRRVU2026_Oct_nonQPP.csv

2,148

Code
23000
Physician work
4.37
Practice expense
12.04
Malpractice
0.70

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 23000 in Redding
ComponentRVULocality factorAdjusted
Physician work4.37× 1.0174.4443
Practice expense12.04× 1.09613.1958
Malpractice0.70× 0.5360.3752
Total RVUs18.0153
Conversion factor× 33.4009

Office / nonfacility rate, Redding$601.73

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

Open 23000 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.371.017
Practice expense12.041.096
Malpractice0.70.536

(4.37 × 1.017 + 12.04 × 1.096 + 0.7 × 0.536) × $33.4009 = $601.73

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.371.017
Practice expense4.991.096
Malpractice0.70.536

(4.37 × 1.017 + 4.99 × 1.096 + 0.7 × 0.536) × $33.4009 = $343.65

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

23000 · Office / nonfacility

$601.73

Effective 2026-10-01

The base rate is $35.15 higher than on 2025-10-01, moving from $566.58 to $601.73 (6.2%).

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

    $566.58changed to$601.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.48 changed to 4.37
    • Practice expense RVU 11.48 changed to 12.04
    • Malpractice RVU 0.76 changed to 0.70
    • 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: $566.58

    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$601.73$343.65RVU26D
2026-07-01$601.73$343.65RVU26C
2026-04-01$601.73$343.65RVU26B
2026-01-01$601.73$343.65RVU26A
2025-10-01$566.58$365.41RVU25D
2025-07-01$566.58$365.41RVU25C
2025-04-01$566.58$365.41RVU25B
2025-01-01$566.58$365.41RVU25A

23000 billing questions

When should this code be chosen over shoulder arthroscopy codes?

Use this code for open removal of a subdeltoid calcareous deposit. Arthroscopic debridement codes describe a different approach and are selected according to the arthroscopic work performed.

Does the code include postoperative visits?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral removal reported?

CMS identifies this as a bilateral procedure; when both shoulders are treated and modifier 50 is reported, payment is at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; CMS does not permit team surgery for this code.

What documentation supports reporting this service?

The operative report should identify the shoulder and subdeltoid deposit, document the open approach, and describe its removal. It should distinguish this work from arthroscopic debridement or treatment of another shoulder condition.

How are additional procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 23000PPRRVU2026_Oct_nonQPP.csv, line 2,148 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet