$648.68
Choose 23675 for closed treatment with manipulation of a shoulder dislocation and surgical-neck fracture; 23680 describes open treatment.
On this page
CMS RVU26D · Effective 2026-10-01
23680 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$863.24
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 23680: Open treatment of shoulder dislocation with surgical neck fracture
Open operative treatment of a shoulder dislocation accompanied by a humeral surgical-neck fracture, including fixation when performed.
Code 23680 describes operative management of a shoulder whose humeral head is dislocated and whose humerus is fractured through the surgical neck. The surgeon exposes the injury, restores joint alignment, and treats the associated fracture; internal fixation is included when performed. Orthopedic surgeons typically perform this combined procedure in an operating room for traumatic fracture-dislocations requiring open treatment rather than closed reduction alone.
Report the code when the operative record supports both the shoulder dislocation and surgical-neck fracture and documents open treatment; identify the fracture location and work performed. The code includes fixation when performed, so do not separately report the same operative work as an unrelated dislocation or fracture procedure. Its 90-day global period includes the day before surgery and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 23680
- 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 RVU12.82 · 49%
- Practice expense (office) RVU10.35 · 40%
- Malpractice RVU2.73 · 11%
77
Medicare services in 2024 · #5080 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.
23680 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
Both describe open treatment of a shoulder dislocation with an associated humeral fracture, but 23670 is for a greater-tuberosity fracture, not a surgical-neck fracture.
No office rate
23615 addresses open fixation of a proximal humeral fracture. Use 23680 when the treated injury also includes a shoulder dislocation and the fracture is at the surgical neck.
The same code, a different location
How does Redding compare?
23680 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 · 23680
Office
Unavailable
Facility
$863.24
No comparable office rate is available.
Merced
California · 23680
Office
Unavailable
Facility
$863.24
No comparable office rate is available.
Modesto
California · 23680
Office
Unavailable
Facility
$863.24
No comparable office rate is available.
Napa
California · 23680
Office
Unavailable
Facility
$957.13
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23680
Office
Unavailable
Facility
$905.61
No comparable office rate is available.
Rest Of California
California · 23680
Office
Unavailable
Facility
$863.24
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23680
Office
Unavailable
Facility
$892.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23680
Office
Unavailable
Facility
$894.54
No comparable office rate is available.
Salinas
California · 23680
Office
Unavailable
Facility
$891.01
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23680
Office
Unavailable
Facility
$903.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23680
Office
Unavailable
Facility
$998.17
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23680
Office
Unavailable
Facility
$995.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23680
Office
Unavailable
Facility
$1022.67
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23680
Office
Unavailable
Facility
$1010.00
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23680
Office
Unavailable
Facility
$878.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23680
Office
Unavailable
Facility
$906.09
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23680
Office
Unavailable
Facility
$892.15
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23680
Office
Unavailable
Facility
$914.44
No comparable office rate is available.
Stockton
California · 23680
Office
Unavailable
Facility
$863.24
No comparable office rate is available.
Vallejo
California · 23680
Office
Unavailable
Facility
$952.66
No comparable office rate is available.
Visalia
California · 23680
Office
Unavailable
Facility
$863.24
No comparable office rate is available.
Yuba City
California · 23680
Office
Unavailable
Facility
$863.24
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 23680
Office
Unavailable
Facility
$960.04
No comparable office rate is available.
Miami
Florida · 23680
Office
Unavailable
Facility
$1018.68
No comparable office rate is available.
Chicago
Illinois · 23680
Office
Unavailable
Facility
$987.89
No comparable office rate is available.
Manhattan
New York · 23680
Office
Unavailable
Facility
$1001.93
No comparable office rate is available.
Alaska*
Alaska · 23680
Office
Unavailable
Facility
$1060.71
No comparable office rate is available.
Alabama
Alabama · 23680
Office
Unavailable
Facility
$782.30
No comparable office rate is available.
Arkansas
Arkansas · 23680
Office
Unavailable
Facility
$772.12
No comparable office rate is available.
Arizona
Arizona · 23680
Office
Unavailable
Facility
$841.24
No comparable office rate is available.
Colorado
Colorado · 23680
Office
Unavailable
Facility
$872.38
No comparable office rate is available.
Connecticut
Connecticut · 23680
Office
Unavailable
Facility
$919.41
No comparable office rate is available.
Delaware
Delaware · 23680
Office
Unavailable
Facility
$853.87
No comparable office rate is available.
Fort Lauderdale
Florida · 23680
Office
Unavailable
Facility
$943.25
No comparable office rate is available.
Rest Of Florida
Florida · 23680
Office
Unavailable
Facility
$895.74
No comparable office rate is available.
Atlanta
Georgia · 23680
Office
Unavailable
Facility
$890.23
No comparable office rate is available.
Rest Of Georgia
Georgia · 23680
Office
Unavailable
Facility
$845.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23680
Office
Unavailable
Facility
$874.06
No comparable office rate is available.
Iowa
Iowa · 23680
Office
Unavailable
Facility
$780.71
No comparable office rate is available.
Idaho
Idaho · 23680
Office
Unavailable
Facility
$789.37
No comparable office rate is available.
East St. Louis
Illinois · 23680
Office
Unavailable
Facility
$929.89
No comparable office rate is available.
Rest Of Illinois
Illinois · 23680
Office
Unavailable
Facility
$886.34
No comparable office rate is available.
Suburban Chicago
Illinois · 23680
Office
Unavailable
Facility
$947.81
No comparable office rate is available.
Indiana
Indiana · 23680
Office
Unavailable
Facility
$792.98
No comparable office rate is available.
Kansas
Kansas · 23680
Office
Unavailable
Facility
$786.67
No comparable office rate is available.
Kentucky
Kentucky · 23680
Office
Unavailable
Facility
$818.96
No comparable office rate is available.
New Orleans
Louisiana · 23680
Office
Unavailable
Facility
$857.09
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23680
Office
Unavailable
Facility
$821.50
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23680
Office
Unavailable
Facility
$939.67
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23680
Office
Unavailable
Facility
$871.75
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23680
Office
Unavailable
Facility
$918.78
No comparable office rate is available.
Rest Of Maryland
Maryland · 23680
Office
Unavailable
Facility
$866.04
No comparable office rate is available.
Rest Of Maine
Maine · 23680
Office
Unavailable
Facility
$802.96
No comparable office rate is available.
Southern Maine
Maine · 23680
Office
Unavailable
Facility
$828.32
No comparable office rate is available.
Detroit
Michigan · 23680
Office
Unavailable
Facility
$915.54
No comparable office rate is available.
Rest Of Michigan
Michigan · 23680
Office
Unavailable
Facility
$846.77
No comparable office rate is available.
Minnesota
Minnesota · 23680
Office
Unavailable
Facility
$810.91
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23680
Office
Unavailable
Facility
$841.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23680
Office
Unavailable
Facility
$848.67
No comparable office rate is available.
Rest Of Missouri
Missouri · 23680
Office
Unavailable
Facility
$815.01
No comparable office rate is available.
Mississippi
Mississippi · 23680
Office
Unavailable
Facility
$793.23
No comparable office rate is available.
Montana**
Montana · 23680
Office
Unavailable
Facility
$864.90
No comparable office rate is available.
North Carolina
North Carolina · 23680
Office
Unavailable
Facility
$809.00
No comparable office rate is available.
North Dakota**
North Dakota · 23680
Office
Unavailable
Facility
$810.92
No comparable office rate is available.
Nebraska
Nebraska · 23680
Office
Unavailable
Facility
$781.75
No comparable office rate is available.
New Hampshire
New Hampshire · 23680
Office
Unavailable
Facility
$867.86
No comparable office rate is available.
Northern Nj
New Jersey · 23680
Office
Unavailable
Facility
$953.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23680
Office
Unavailable
Facility
$922.86
No comparable office rate is available.
New Mexico
New Mexico · 23680
Office
Unavailable
Facility
$854.72
No comparable office rate is available.
Nevada**
Nevada · 23680
Office
Unavailable
Facility
$850.20
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23680
Office
Unavailable
Facility
$1035.97
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23680
Office
Unavailable
Facility
$936.34
No comparable office rate is available.
Queens
New York · 23680
Office
Unavailable
Facility
$995.71
No comparable office rate is available.
Rest Of New York
New York · 23680
Office
Unavailable
Facility
$820.72
No comparable office rate is available.
Ohio
Ohio · 23680
Office
Unavailable
Facility
$835.74
No comparable office rate is available.
Oklahoma
Oklahoma · 23680
Office
Unavailable
Facility
$807.76
No comparable office rate is available.
Portland
Oregon · 23680
Office
Unavailable
Facility
$886.96
No comparable office rate is available.
Rest Of Oregon
Oregon · 23680
Office
Unavailable
Facility
$836.62
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23680
Office
Unavailable
Facility
$904.56
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23680
Office
Unavailable
Facility
$831.72
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23680
Office
Unavailable
Facility
$867.52
No comparable office rate is available.
Rhode Island
Rhode Island · 23680
Office
Unavailable
Facility
$874.78
No comparable office rate is available.
South Carolina
South Carolina · 23680
Office
Unavailable
Facility
$825.13
No comparable office rate is available.
South Dakota**
South Dakota · 23680
Office
Unavailable
Facility
$804.54
No comparable office rate is available.
Tennessee
Tennessee · 23680
Office
Unavailable
Facility
$791.41
No comparable office rate is available.
Austin
Texas · 23680
Office
Unavailable
Facility
$875.60
No comparable office rate is available.
Beaumont
Texas · 23680
Office
Unavailable
Facility
$827.50
No comparable office rate is available.
Brazoria
Texas · 23680
Office
Unavailable
Facility
$845.34
No comparable office rate is available.
Dallas
Texas · 23680
Office
Unavailable
Facility
$854.61
No comparable office rate is available.
Fort Worth
Texas · 23680
Office
Unavailable
Facility
$852.33
No comparable office rate is available.
Galveston
Texas · 23680
Office
Unavailable
Facility
$850.41
No comparable office rate is available.
Houston
Texas · 23680
Office
Unavailable
Facility
$900.37
No comparable office rate is available.
Rest Of Texas
Texas · 23680
Office
Unavailable
Facility
$838.61
No comparable office rate is available.
Utah
Utah · 23680
Office
Unavailable
Facility
$835.04
No comparable office rate is available.
Virginia
Virginia · 23680
Office
Unavailable
Facility
$832.40
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23680
Office
Unavailable
Facility
$867.52
No comparable office rate is available.
Vermont
Vermont · 23680
Office
Unavailable
Facility
$816.58
No comparable office rate is available.
Rest Of Washington
Washington · 23680
Office
Unavailable
Facility
$867.18
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23680
Office
Unavailable
Facility
$948.28
No comparable office rate is available.
Wisconsin
Wisconsin · 23680
Office
Unavailable
Facility
$787.46
No comparable office rate is available.
West Virginia
West Virginia · 23680
Office
Unavailable
Facility
$859.10
No comparable office rate is available.
Wyoming**
Wyoming · 23680
Office
Unavailable
Facility
$841.38
No comparable office rate is available.
See how rates vary across the country
23680 · 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 23680 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$949.56
$863.24 × 110% = $949.56
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 23680 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,245
- Code
- 23680
- Physician work
- 12.82
- Practice expense
- 10.35
- Malpractice
- 2.73
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.82 | × 1.017 | 13.0379 |
| Practice expense | 10.35 | × 1.096 | 11.3436 |
| Malpractice | 2.73 | × 0.536 | 1.4633 |
| Total RVUs | 25.8448 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$863.24
Open 23680 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.82 | 1.017 |
| Practice expense | 10.35 | 1.096 |
| Malpractice | 2.73 | 0.536 |
(12.82 × 1.017 + 10.35 × 1.096 + 2.73 × 0.536) × $33.4009 = $863.24
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
23680 · 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 | $863.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $863.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $863.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $863.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $926.21 | RVU25D |
| 2025-07-01 | Not available in this setting | $926.21 | RVU25C |
| 2025-04-01 | Not available in this setting | $926.21 | RVU25B |
| 2025-01-01 | Not available in this setting | $926.21 | RVU25A |
23680 billing questions
How does 23680 differ from 23675?
Use 23680 for open treatment of the shoulder dislocation with a surgical-neck fracture. Code 23675 describes closed treatment with manipulation.
Is fracture fixation included in 23680?
Yes. Internal fixation is included when performed as part of the open treatment, so do not separately report the same fixation work.
Can modifier 50 be reported for bilateral treatment?
The CMS rule identifies this as a bilateral procedure; when reported bilaterally with modifier 50, payment is 150%.
What documentation supports reporting 23680?
Document the shoulder dislocation, the humeral fracture at the surgical neck, and the open treatment performed. The operative report should make clear that both injuries were treated.
How are assistant and co-surgeon claims handled?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation.
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.
2,24223665,,Cltx sho dslc fx gr hmrl tbr,A,,4.54,9.38,,6.93,,1.00,14.92,12.47,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24323670,,Optx sho dislc fx,A,,11.97,9.99,NA,9.99,,2.52,24.48,24.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24423675,,Cltx sho dislc neck fx mnpj,A,,6.11,11.40,,7.86,,1.33,18.84,15.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24523680,,Optx sho dislc neck fx fixj,A,,12.82,10.35,NA,10.35,,2.73,25.90,25.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24623700,,Mnpj anes sho jt fixj aprats,A,,2.51,2.53,NA,2.53,,0.49,5.53,5.53,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24723800,,Arthrodesis glenohumeral jt,A,,14.36,10.93,NA,10.93,,3.05,28.34,28.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24823802,,Arthrd glenohumeral jt w/grf,A,,17.96,13.61,NA,13.61,,3.83,35.40,35.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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