$497.45
23030 addresses a deep shoulder or axillary soft-tissue abscess or hematoma. Choose 23035 when the operative work includes incision of the shoulder-area bone cortex.
On this page
CMS RVU26D · Effective 2026-10-01
23035 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$637.56
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 23035: Shoulder-area bone cortex incision
Reports an operative incision through shoulder-area bone cortex, typically to treat or investigate osteomyelitis or a bone abscess.
An orthopedic surgeon uses this service when the operative target is bone in the shoulder area and the cortex must be incised, such as to address osteomyelitis or a bone abscess. The work is performed in an operative setting; it is distinct from opening a deep shoulder soft-tissue abscess or an infected bursa when the bone cortex is not the target.
Report the code when the operative note identifies the shoulder-area bone and documents the cortical incision and its purpose. This major surgery code 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 23035
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.93 · 47%
- Practice expense (office) RVU8.23 · 43%
- Malpractice RVU1.84 · 10%
135
Medicare services in 2024 · #4635 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.
23035 compared with similar codes
Office rates for Redding, from the same CMS release.
$491.74
23031 is for drainage of an infected shoulder bursa. This code is for a cortical incision in shoulder-area bone.
$241.23
23065 describes biopsy of superficial shoulder-area tissue. This code concerns an incision through bone cortex, not a superficial soft-tissue biopsy.
$657.39
23066 describes biopsy of deep shoulder-area tissue. Select this code when the documented service is incision of bone cortex instead.
The same code, a different location
How does Redding compare?
23035 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 23035
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Merced
California · 23035
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Modesto
California · 23035
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Napa
California · 23035
Office
Unavailable
Facility
$710.59
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23035
Office
Unavailable
Facility
$669.83
No comparable office rate is available.
Rest Of California
California · 23035
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23035
Office
Unavailable
Facility
$657.34
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23035
Office
Unavailable
Facility
$661.65
No comparable office rate is available.
Salinas
California · 23035
Office
Unavailable
Facility
$659.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23035
Office
Unavailable
Facility
$669.30
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23035
Office
Unavailable
Facility
$742.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23035
Office
Unavailable
Facility
$740.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23035
Office
Unavailable
Facility
$760.41
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23035
Office
Unavailable
Facility
$751.87
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23035
Office
Unavailable
Facility
$649.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23035
Office
Unavailable
Facility
$671.47
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23035
Office
Unavailable
Facility
$660.08
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23035
Office
Unavailable
Facility
$677.72
No comparable office rate is available.
Stockton
California · 23035
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Vallejo
California · 23035
Office
Unavailable
Facility
$707.57
No comparable office rate is available.
Visalia
California · 23035
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Yuba City
California · 23035
Office
Unavailable
Facility
$637.56
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23035
Office
Unavailable
Facility
$706.60
No comparable office rate is available.
Miami
Florida · 23035
Office
Unavailable
Facility
$739.86
No comparable office rate is available.
Chicago
Illinois · 23035
Office
Unavailable
Facility
$717.67
No comparable office rate is available.
Manhattan
New York · 23035
Office
Unavailable
Facility
$734.25
No comparable office rate is available.
Alaska*
Alaska · 23035
Office
Unavailable
Facility
$774.03
No comparable office rate is available.
Alabama
Alabama · 23035
Office
Unavailable
Facility
$573.58
No comparable office rate is available.
Arkansas
Arkansas · 23035
Office
Unavailable
Facility
$566.05
No comparable office rate is available.
Arizona
Arizona · 23035
Office
Unavailable
Facility
$617.25
No comparable office rate is available.
Colorado
Colorado · 23035
Office
Unavailable
Facility
$642.33
No comparable office rate is available.
Connecticut
Connecticut · 23035
Office
Unavailable
Facility
$674.66
No comparable office rate is available.
Delaware
Delaware · 23035
Office
Unavailable
Facility
$626.60
No comparable office rate is available.
Fort Lauderdale
Florida · 23035
Office
Unavailable
Facility
$687.85
No comparable office rate is available.
Rest Of Florida
Florida · 23035
Office
Unavailable
Facility
$653.44
No comparable office rate is available.
Atlanta
Georgia · 23035
Office
Unavailable
Facility
$652.26
No comparable office rate is available.
Rest Of Georgia
Georgia · 23035
Office
Unavailable
Facility
$616.73
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23035
Office
Unavailable
Facility
$646.40
No comparable office rate is available.
Iowa
Iowa · 23035
Office
Unavailable
Facility
$574.19
No comparable office rate is available.
Idaho
Idaho · 23035
Office
Unavailable
Facility
$580.24
No comparable office rate is available.
East St. Louis
Illinois · 23035
Office
Unavailable
Facility
$674.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 23035
Office
Unavailable
Facility
$645.30
No comparable office rate is available.
Suburban Chicago
Illinois · 23035
Office
Unavailable
Facility
$691.57
No comparable office rate is available.
Indiana
Indiana · 23035
Office
Unavailable
Facility
$582.96
No comparable office rate is available.
Kansas
Kansas · 23035
Office
Unavailable
Facility
$577.74
No comparable office rate is available.
Kentucky
Kentucky · 23035
Office
Unavailable
Facility
$598.88
No comparable office rate is available.
New Orleans
Louisiana · 23035
Office
Unavailable
Facility
$626.76
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23035
Office
Unavailable
Facility
$600.42
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23035
Office
Unavailable
Facility
$693.41
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23035
Office
Unavailable
Facility
$641.48
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23035
Office
Unavailable
Facility
$674.02
No comparable office rate is available.
Rest Of Maryland
Maryland · 23035
Office
Unavailable
Facility
$635.86
No comparable office rate is available.
Rest Of Maine
Maine · 23035
Office
Unavailable
Facility
$589.39
No comparable office rate is available.
Southern Maine
Maine · 23035
Office
Unavailable
Facility
$609.47
No comparable office rate is available.
Detroit
Michigan · 23035
Office
Unavailable
Facility
$667.16
No comparable office rate is available.
Rest Of Michigan
Michigan · 23035
Office
Unavailable
Facility
$618.63
No comparable office rate is available.
Minnesota
Minnesota · 23035
Office
Unavailable
Facility
$599.32
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23035
Office
Unavailable
Facility
$616.44
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23035
Office
Unavailable
Facility
$621.55
No comparable office rate is available.
Rest Of Missouri
Missouri · 23035
Office
Unavailable
Facility
$595.08
No comparable office rate is available.
Mississippi
Mississippi · 23035
Office
Unavailable
Facility
$580.37
No comparable office rate is available.
Montana**
Montana · 23035
Office
Unavailable
Facility
$634.49
No comparable office rate is available.
North Carolina
North Carolina · 23035
Office
Unavailable
Facility
$594.01
No comparable office rate is available.
North Dakota**
North Dakota · 23035
Office
Unavailable
Facility
$598.11
No comparable office rate is available.
Nebraska
Nebraska · 23035
Office
Unavailable
Facility
$575.22
No comparable office rate is available.
New Hampshire
New Hampshire · 23035
Office
Unavailable
Facility
$638.21
No comparable office rate is available.
Northern Nj
New Jersey · 23035
Office
Unavailable
Facility
$701.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23035
Office
Unavailable
Facility
$677.80
No comparable office rate is available.
New Mexico
New Mexico · 23035
Office
Unavailable
Facility
$624.15
No comparable office rate is available.
Nevada**
Nevada · 23035
Office
Unavailable
Facility
$624.63
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23035
Office
Unavailable
Facility
$758.33
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23035
Office
Unavailable
Facility
$687.06
No comparable office rate is available.
Queens
New York · 23035
Office
Unavailable
Facility
$730.90
No comparable office rate is available.
Rest Of New York
New York · 23035
Office
Unavailable
Facility
$602.62
No comparable office rate is available.
Ohio
Ohio · 23035
Office
Unavailable
Facility
$611.19
No comparable office rate is available.
Oklahoma
Oklahoma · 23035
Office
Unavailable
Facility
$591.50
No comparable office rate is available.
Portland
Oregon · 23035
Office
Unavailable
Facility
$654.17
No comparable office rate is available.
Rest Of Oregon
Oregon · 23035
Office
Unavailable
Facility
$615.26
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23035
Office
Unavailable
Facility
$663.12
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23035
Office
Unavailable
Facility
$608.70
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23035
Office
Unavailable
Facility
$636.72
No comparable office rate is available.
Rhode Island
Rhode Island · 23035
Office
Unavailable
Facility
$642.72
No comparable office rate is available.
South Carolina
South Carolina · 23035
Office
Unavailable
Facility
$604.51
No comparable office rate is available.
South Dakota**
South Dakota · 23035
Office
Unavailable
Facility
$593.81
No comparable office rate is available.
Tennessee
Tennessee · 23035
Office
Unavailable
Facility
$581.15
No comparable office rate is available.
Austin
Texas · 23035
Office
Unavailable
Facility
$644.15
No comparable office rate is available.
Beaumont
Texas · 23035
Office
Unavailable
Facility
$605.51
No comparable office rate is available.
Brazoria
Texas · 23035
Office
Unavailable
Facility
$621.01
No comparable office rate is available.
Dallas
Texas · 23035
Office
Unavailable
Facility
$627.47
No comparable office rate is available.
Fort Worth
Texas · 23035
Office
Unavailable
Facility
$625.53
No comparable office rate is available.
Galveston
Texas · 23035
Office
Unavailable
Facility
$624.51
No comparable office rate is available.
Houston
Texas · 23035
Office
Unavailable
Facility
$658.19
No comparable office rate is available.
Rest Of Texas
Texas · 23035
Office
Unavailable
Facility
$614.64
No comparable office rate is available.
Utah
Utah · 23035
Office
Unavailable
Facility
$611.86
No comparable office rate is available.
Virginia
Virginia · 23035
Office
Unavailable
Facility
$611.88
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23035
Office
Unavailable
Facility
$636.72
No comparable office rate is available.
Vermont
Vermont · 23035
Office
Unavailable
Facility
$601.51
No comparable office rate is available.
Rest Of Washington
Washington · 23035
Office
Unavailable
Facility
$638.38
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23035
Office
Unavailable
Facility
$700.68
No comparable office rate is available.
Wisconsin
Wisconsin · 23035
Office
Unavailable
Facility
$580.54
No comparable office rate is available.
West Virginia
West Virginia · 23035
Office
Unavailable
Facility
$625.09
No comparable office rate is available.
Wyoming**
Wyoming · 23035
Office
Unavailable
Facility
$618.64
No comparable office rate is available.
See how rates vary across the country
23035 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 23035 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$701.32
$637.56 × 110% = $701.32
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 23035 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,152
- Code
- 23035
- Physician work
- 8.93
- Practice expense
- 8.23
- Malpractice
- 1.84
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.93 | × 1.017 | 9.0818 |
| Practice expense | 8.23 | × 1.096 | 9.0201 |
| Malpractice | 1.84 | × 0.536 | 0.9862 |
| Total RVUs | 19.0881 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$637.56
Open 23035 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.93 | 1.017 |
| Practice expense | 8.23 | 1.096 |
| Malpractice | 1.84 | 0.536 |
(8.93 × 1.017 + 8.23 × 1.096 + 1.84 × 0.536) × $33.4009 = $637.56
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
23035 · 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 | $637.56 | RVU26D |
| 2026-07-01 | Not available in this setting | $637.56 | RVU26C |
| 2026-04-01 | Not available in this setting | $637.56 | RVU26B |
| 2026-01-01 | Not available in this setting | $637.56 | RVU26A |
| 2025-10-01 | Not available in this setting | $682.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $682.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $682.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $682.21 | RVU25A |
23035 billing questions
How does this differ from 23030?
Use 23035 when the surgeon incises the shoulder-area bone cortex. Code 23030 describes drainage of a deep abscess or hematoma in shoulder or axillary soft tissue.
Is an infected shoulder bursa reported with this code?
When the operative target is an infected bursa, 23031 describes that service. This code is for incision of bone cortex, not bursal drainage.
What should the operative note document?
Document the shoulder-area bone treated, the cortical incision, and the clinical purpose, such as treatment of osteomyelitis or a bone abscess.
Can modifier 50 be used for bilateral procedures?
Yes. CMS payment for bilateral reporting with modifier 50 is 150%.
What global and assistant-surgery rules apply?
The code has a 90-day global period that includes the day-before preoperative visit and related postoperative care. An assistant at surgery may be paid, but 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.
2,14923020,,Capsular contracture release,A,,9.13,8.44,NA,8.44,,1.91,19.48,19.48,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15023030,,I&d shoulder deep absc/hmtma,A,,3.38,10.11,,3.22,,0.70,14.19,7.30,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15123031,,I&d shoulder infected bursa,A,,2.72,10.63,,3.17,,0.57,13.92,6.46,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15223035,,Incision bone cortex sho,A,,8.93,8.23,NA,8.23,,1.84,19.00,19.00,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15323040,,Arthrt gh jt expl/drg/rmv fb,A,,9.51,8.68,NA,8.68,,1.96,20.15,20.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15423044,,Arthrt ac sc jt exp/rmvl fb,A,,7.40,7.22,NA,7.22,,1.64,16.26,16.26,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15523065,,Biopsy shoulder tissues,A,,2.24,4.34,,1.80,,0.35,6.93,4.39,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536