No office rate
Use 23334 for removal of a humeral or glenoid component. Use 23335 when the total shoulder prosthesis is removed.
On this page
CMS RVU26D · Effective 2026-10-01
23335 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1139.53
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 23335: Total shoulder prosthesis removal
Reports operative removal of a total shoulder prosthesis, including associated debridement, when the implant is removed rather than revised or replaced.
An orthopedic surgeon uses this code when removing a total shoulder prosthesis, including its humeral and glenoid components. The operation may be performed for an infected, loose, or failed implant, including as a stage before a later reconstruction. The service includes debridement associated with removing the prosthesis. Medicare claims for this procedure are predominantly facility-based.
Choose this code when the total prosthesis is removed; removal of only a humeral or glenoid component is represented by 23334. Operative documentation should identify the implant and establish that the total prosthesis was removed, along with the reason for surgery and the work performed. CMS assigns a 90-day global period, which 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 multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 23335
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.53 · 54%
- Practice expense (office) RVU12.10 · 35%
- Malpractice RVU3.75 · 11%
566
Medicare services in 2024 · #3449 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.
23335 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
23473 describes revision of one shoulder arthroplasty component. 23335 describes removal of the total prosthesis rather than revision of one component.
No office rate
23474 describes revision of both components of a shoulder arthroplasty. 23335 is for removal of the total prosthesis, not revision replacement of both components.
$657.45
20680 is used for removal of deep fixation hardware such as plates, screws, or rods. A shoulder joint prosthesis is reported with the prosthesis-removal code.
The same code, a different location
How does Redding compare?
23335 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 · 23335
Office
Unavailable
Facility
$1139.53
No comparable office rate is available.
Merced
California · 23335
Office
Unavailable
Facility
$1139.53
No comparable office rate is available.
Modesto
California · 23335
Office
Unavailable
Facility
$1139.53
No comparable office rate is available.
Napa
California · 23335
Office
Unavailable
Facility
$1254.21
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23335
Office
Unavailable
Facility
$1191.99
No comparable office rate is available.
Rest Of California
California · 23335
Office
Unavailable
Facility
$1139.53
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23335
Office
Unavailable
Facility
$1179.85
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23335
Office
Unavailable
Facility
$1178.36
No comparable office rate is available.
Salinas
California · 23335
Office
Unavailable
Facility
$1173.65
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23335
Office
Unavailable
Facility
$1188.74
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23335
Office
Unavailable
Facility
$1305.06
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23335
Office
Unavailable
Facility
$1300.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23335
Office
Unavailable
Facility
$1336.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23335
Office
Unavailable
Facility
$1319.51
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23335
Office
Unavailable
Facility
$1156.90
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23335
Office
Unavailable
Facility
$1190.10
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23335
Office
Unavailable
Facility
$1174.62
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23335
Office
Unavailable
Facility
$1200.92
No comparable office rate is available.
Stockton
California · 23335
Office
Unavailable
Facility
$1139.53
No comparable office rate is available.
Vallejo
California · 23335
Office
Unavailable
Facility
$1248.07
No comparable office rate is available.
Visalia
California · 23335
Office
Unavailable
Facility
$1139.53
No comparable office rate is available.
Yuba City
California · 23335
Office
Unavailable
Facility
$1139.53
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23335
Office
Unavailable
Facility
$1267.84
No comparable office rate is available.
Miami
Florida · 23335
Office
Unavailable
Facility
$1356.41
No comparable office rate is available.
Chicago
Illinois · 23335
Office
Unavailable
Facility
$1316.88
No comparable office rate is available.
Manhattan
New York · 23335
Office
Unavailable
Facility
$1326.80
No comparable office rate is available.
Alaska*
Alaska · 23335
Office
Unavailable
Facility
$1427.81
No comparable office rate is available.
Alabama
Alabama · 23335
Office
Unavailable
Facility
$1043.44
No comparable office rate is available.
Arkansas
Arkansas · 23335
Office
Unavailable
Facility
$1030.59
No comparable office rate is available.
Arizona
Arizona · 23335
Office
Unavailable
Facility
$1117.76
No comparable office rate is available.
Colorado
Colorado · 23335
Office
Unavailable
Facility
$1154.19
No comparable office rate is available.
Connecticut
Connecticut · 23335
Office
Unavailable
Facility
$1218.12
No comparable office rate is available.
Delaware
Delaware · 23335
Office
Unavailable
Facility
$1133.92
No comparable office rate is available.
Fort Lauderdale
Florida · 23335
Office
Unavailable
Facility
$1254.78
No comparable office rate is available.
Rest Of Florida
Florida · 23335
Office
Unavailable
Facility
$1193.54
No comparable office rate is available.
Atlanta
Georgia · 23335
Office
Unavailable
Facility
$1181.82
No comparable office rate is available.
Rest Of Georgia
Georgia · 23335
Office
Unavailable
Facility
$1128.72
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23335
Office
Unavailable
Facility
$1150.96
No comparable office rate is available.
Iowa
Iowa · 23335
Office
Unavailable
Facility
$1038.44
No comparable office rate is available.
Idaho
Idaho · 23335
Office
Unavailable
Facility
$1049.98
No comparable office rate is available.
East St. Louis
Illinois · 23335
Office
Unavailable
Facility
$1243.00
No comparable office rate is available.
Rest Of Illinois
Illinois · 23335
Office
Unavailable
Facility
$1183.68
No comparable office rate is available.
Suburban Chicago
Illinois · 23335
Office
Unavailable
Facility
$1260.26
No comparable office rate is available.
Indiana
Indiana · 23335
Office
Unavailable
Facility
$1054.44
No comparable office rate is available.
Kansas
Kansas · 23335
Office
Unavailable
Facility
$1047.40
No comparable office rate is available.
Kentucky
Kentucky · 23335
Office
Unavailable
Facility
$1092.82
No comparable office rate is available.
New Orleans
Louisiana · 23335
Office
Unavailable
Facility
$1141.51
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23335
Office
Unavailable
Facility
$1096.58
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23335
Office
Unavailable
Facility
$1238.33
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23335
Office
Unavailable
Facility
$1154.22
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23335
Office
Unavailable
Facility
$1217.41
No comparable office rate is available.
Rest Of Maryland
Maryland · 23335
Office
Unavailable
Facility
$1149.09
No comparable office rate is available.
Rest Of Maine
Maine · 23335
Office
Unavailable
Facility
$1068.65
No comparable office rate is available.
Southern Maine
Maine · 23335
Office
Unavailable
Facility
$1098.47
No comparable office rate is available.
Detroit
Michigan · 23335
Office
Unavailable
Facility
$1220.10
No comparable office rate is available.
Rest Of Michigan
Michigan · 23335
Office
Unavailable
Facility
$1129.32
No comparable office rate is available.
Minnesota
Minnesota · 23335
Office
Unavailable
Facility
$1071.86
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23335
Office
Unavailable
Facility
$1120.79
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23335
Office
Unavailable
Facility
$1129.17
No comparable office rate is available.
Rest Of Missouri
Missouri · 23335
Office
Unavailable
Facility
$1089.29
No comparable office rate is available.
Mississippi
Mississippi · 23335
Office
Unavailable
Facility
$1059.45
No comparable office rate is available.
Montana**
Montana · 23335
Office
Unavailable
Facility
$1148.07
No comparable office rate is available.
North Carolina
North Carolina · 23335
Office
Unavailable
Facility
$1076.03
No comparable office rate is available.
North Dakota**
North Dakota · 23335
Office
Unavailable
Facility
$1073.92
No comparable office rate is available.
Nebraska
Nebraska · 23335
Office
Unavailable
Facility
$1039.30
No comparable office rate is available.
New Hampshire
New Hampshire · 23335
Office
Unavailable
Facility
$1149.24
No comparable office rate is available.
Northern Nj
New Jersey · 23335
Office
Unavailable
Facility
$1260.50
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23335
Office
Unavailable
Facility
$1222.41
No comparable office rate is available.
New Mexico
New Mexico · 23335
Office
Unavailable
Facility
$1139.95
No comparable office rate is available.
Nevada**
Nevada · 23335
Office
Unavailable
Facility
$1127.81
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23335
Office
Unavailable
Facility
$1371.66
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23335
Office
Unavailable
Facility
$1240.87
No comparable office rate is available.
Queens
New York · 23335
Office
Unavailable
Facility
$1316.85
No comparable office rate is available.
Rest Of New York
New York · 23335
Office
Unavailable
Facility
$1090.92
No comparable office rate is available.
Ohio
Ohio · 23335
Office
Unavailable
Facility
$1114.16
No comparable office rate is available.
Oklahoma
Oklahoma · 23335
Office
Unavailable
Facility
$1077.15
No comparable office rate is available.
Portland
Oregon · 23335
Office
Unavailable
Facility
$1171.02
No comparable office rate is available.
Rest Of Oregon
Oregon · 23335
Office
Unavailable
Facility
$1109.51
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23335
Office
Unavailable
Facility
$1200.21
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23335
Office
Unavailable
Facility
$1108.29
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23335
Office
Unavailable
Facility
$1150.89
No comparable office rate is available.
Rhode Island
Rhode Island · 23335
Office
Unavailable
Facility
$1159.89
No comparable office rate is available.
South Carolina
South Carolina · 23335
Office
Unavailable
Facility
$1098.82
No comparable office rate is available.
South Dakota**
South Dakota · 23335
Office
Unavailable
Facility
$1065.15
No comparable office rate is available.
Tennessee
Tennessee · 23335
Office
Unavailable
Facility
$1053.55
No comparable office rate is available.
Austin
Texas · 23335
Office
Unavailable
Facility
$1158.72
No comparable office rate is available.
Beaumont
Texas · 23335
Office
Unavailable
Facility
$1103.06
No comparable office rate is available.
Brazoria
Texas · 23335
Office
Unavailable
Facility
$1122.08
No comparable office rate is available.
Dallas
Texas · 23335
Office
Unavailable
Facility
$1134.49
No comparable office rate is available.
Fort Worth
Texas · 23335
Office
Unavailable
Facility
$1132.08
No comparable office rate is available.
Galveston
Texas · 23335
Office
Unavailable
Facility
$1128.90
No comparable office rate is available.
Houston
Texas · 23335
Office
Unavailable
Facility
$1197.54
No comparable office rate is available.
Rest Of Texas
Texas · 23335
Office
Unavailable
Facility
$1115.56
No comparable office rate is available.
Utah
Utah · 23335
Office
Unavailable
Facility
$1111.30
No comparable office rate is available.
Virginia
Virginia · 23335
Office
Unavailable
Facility
$1104.63
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23335
Office
Unavailable
Facility
$1150.89
No comparable office rate is available.
Vermont
Vermont · 23335
Office
Unavailable
Facility
$1082.41
No comparable office rate is available.
Rest Of Washington
Washington · 23335
Office
Unavailable
Facility
$1147.85
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23335
Office
Unavailable
Facility
$1248.09
No comparable office rate is available.
Wisconsin
Wisconsin · 23335
Office
Unavailable
Facility
$1044.67
No comparable office rate is available.
West Virginia
West Virginia · 23335
Office
Unavailable
Facility
$1149.36
No comparable office rate is available.
Wyoming**
Wyoming · 23335
Office
Unavailable
Facility
$1115.76
No comparable office rate is available.
See how rates vary across the country
23335 · 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 23335 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1253.48
$1139.53 × 110% = $1253.48
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 23335 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,191
- Code
- 23335
- Physician work
- 18.53
- Practice expense
- 12.10
- Malpractice
- 3.75
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.53 | × 1.017 | 18.8450 |
| Practice expense | 12.10 | × 1.096 | 13.2616 |
| Malpractice | 3.75 | × 0.536 | 2.0100 |
| Total RVUs | 34.1166 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1139.53
Open 23335 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.53 | 1.017 |
| Practice expense | 12.1 | 1.096 |
| Malpractice | 3.75 | 0.536 |
(18.53 × 1.017 + 12.1 × 1.096 + 3.75 × 0.536) × $33.4009 = $1139.53
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
23335 · 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 | $1139.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $1139.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $1139.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $1139.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $1245.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $1245.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $1245.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $1245.64 | RVU25A |
23335 billing questions
When should I report 23335 instead of 23334?
Report 23335 when the total shoulder prosthesis is removed. Code 23334 represents removal of a humeral or glenoid component rather than the total prosthesis.
Is debridement separately reported with 23335?
Debridement associated with removal of the shoulder prosthesis is included in this service. The operative note should support the implant removal and the extent of work performed.
Can 23335 be reported when the prosthesis is revised or replaced?
When the operation revises or replaces shoulder arthroplasty components, compare the applicable revision arthroplasty code, such as 23473 or 23474. Those codes describe revision work rather than removal alone.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral procedures and surgical assistance handled?
CMS pays bilateral reporting with modifier 50 at 150%. Assistant-at-surgery services are not paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
2,18823330,,Remove shoulder foreign body,A,,1.85,7.58,,2.73,,0.40,9.83,4.98,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18923333,,Remove shoulder fb deep,A,,5.85,6.66,NA,6.66,,1.25,13.76,13.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19023334,,Shoulder prosthesis removal,A,,15.11,11.05,NA,11.05,,3.06,29.22,29.22,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19123335,,Shoulder prosthesis removal,A,,18.53,12.10,NA,12.10,,3.75,34.38,34.38,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19223350,,Injection for shoulder x-ray,A,,0.98,3.63,,0.19,,0.09,4.70,1.26,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19323395,,Muscle transfer shoulder/arm,A,,18.08,13.46,NA,13.46,,3.72,35.26,35.26,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19423397,,Muscle transfers,A,,16.34,11.40,NA,11.40,,3.48,31.22,31.22,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,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