No office rate
23125 represents complete clavicle removal. Use 23120 when only part of the clavicle is resected.
On this page
CMS RVU26D · Effective 2026-10-01
23120 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$551.96
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 23120: Partial clavicle resection
Report partial claviculectomy when a surgeon removes part of the clavicle, commonly the distal end for persistent acromioclavicular joint symptoms.
An orthopedic surgeon typically removes a portion of the clavicle during an operative procedure. A common setting is open distal clavicle excision for symptomatic acromioclavicular joint arthritis, sometimes called a Mumford procedure. The operative report should make clear which portion of the clavicle was removed and the clinical reason for the resection.
Select this code for partial clavicle removal, rather than complete clavicle removal or a procedure focused on another bone or a specific lesion. Document the side, operative findings, extent of bone removal, and procedure performed. Medicare 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23120
- 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 RVU7.21 · 43%
- Practice expense (office) RVU8.22 · 49%
- Malpractice RVU1.48 · 9%
5.9K
Medicare services in 2024 · #1773 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.
23120 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
23180 describes specified partial bone-excision techniques, including craterization or saucerization. 23120 is the partial claviculectomy code for resection such as distal clavicle excision.
No office rate
23170 is for clavicular sequestrum removal. Use 23120 for partial clavicle resection when the procedure is not specifically a sequestrectomy.
No office rate
23130 addresses partial acromion removal or acromioplasty; 23120 removes part of the clavicle.
The same code, a different location
How does Wyoming** compare?
23120 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 23120
Office
Unavailable
Facility
$509.04
No comparable office rate is available.
Arkansas
Arkansas · 23120
Office
Unavailable
Facility
$502.12
No comparable office rate is available.
Arizona
Arizona · 23120
Office
Unavailable
Facility
$549.18
No comparable office rate is available.
Bakersfield
California · 23120
Office
Unavailable
Facility
$576.41
No comparable office rate is available.
Chico
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
El Centro
California · 23120
Office
Unavailable
Facility
$572.57
No comparable office rate is available.
Fresno
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Hanford-Corcoran
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Madera
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Merced
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Modesto
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Napa
California · 23120
Office
Unavailable
Facility
$642.97
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 23120
Office
Unavailable
Facility
$602.88
No comparable office rate is available.
Redding
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Rest Of California
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 23120
Office
Unavailable
Facility
$588.23
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 23120
Office
Unavailable
Facility
$595.29
No comparable office rate is available.
Salinas
California · 23120
Office
Unavailable
Facility
$592.99
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 23120
Office
Unavailable
Facility
$603.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 23120
Office
Unavailable
Facility
$673.51
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 23120
Office
Unavailable
Facility
$671.83
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 23120
Office
Unavailable
Facility
$689.72
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 23120
Office
Unavailable
Facility
$682.84
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 23120
Office
Unavailable
Facility
$584.13
No comparable office rate is available.
Santa Cruz-Watsonville
California · 23120
Office
Unavailable
Facility
$605.96
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 23120
Office
Unavailable
Facility
$594.19
No comparable office rate is available.
Santa Rosa-Petaluma
California · 23120
Office
Unavailable
Facility
$611.70
No comparable office rate is available.
Stockton
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Vallejo
California · 23120
Office
Unavailable
Facility
$640.55
No comparable office rate is available.
Visalia
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Yuba City
California · 23120
Office
Unavailable
Facility
$572.32
No comparable office rate is available.
Colorado
Colorado · 23120
Office
Unavailable
Facility
$574.44
No comparable office rate is available.
Connecticut
Connecticut · 23120
Office
Unavailable
Facility
$601.15
No comparable office rate is available.
Delaware
Delaware · 23120
Office
Unavailable
Facility
$557.73
No comparable office rate is available.
Fort Lauderdale
Florida · 23120
Office
Unavailable
Facility
$608.32
No comparable office rate is available.
Rest Of Florida
Florida · 23120
Office
Unavailable
Facility
$577.59
No comparable office rate is available.
Atlanta
Georgia · 23120
Office
Unavailable
Facility
$579.86
No comparable office rate is available.
Rest Of Georgia
Georgia · 23120
Office
Unavailable
Facility
$544.65
No comparable office rate is available.
Hawaii, Guam
Hawaii · 23120
Office
Unavailable
Facility
$581.61
No comparable office rate is available.
Iowa
Iowa · 23120
Office
Unavailable
Facility
$511.66
No comparable office rate is available.
Idaho
Idaho · 23120
Office
Unavailable
Facility
$516.79
No comparable office rate is available.
East St. Louis
Illinois · 23120
Office
Unavailable
Facility
$592.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 23120
Office
Unavailable
Facility
$568.75
No comparable office rate is available.
Suburban Chicago
Illinois · 23120
Office
Unavailable
Facility
$612.07
No comparable office rate is available.
Indiana
Indiana · 23120
Office
Unavailable
Facility
$519.36
No comparable office rate is available.
Kansas
Kansas · 23120
Office
Unavailable
Facility
$513.93
No comparable office rate is available.
Kentucky
Kentucky · 23120
Office
Unavailable
Facility
$530.13
No comparable office rate is available.
New Orleans
Louisiana · 23120
Office
Unavailable
Facility
$555.33
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 23120
Office
Unavailable
Facility
$531.16
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 23120
Office
Unavailable
Facility
$622.51
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 23120
Office
Unavailable
Facility
$573.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 23120
Office
Unavailable
Facility
$600.42
No comparable office rate is available.
Rest Of Maryland
Maryland · 23120
Office
Unavailable
Facility
$566.46
No comparable office rate is available.
Rest Of Maine
Maine · 23120
Office
Unavailable
Facility
$524.16
No comparable office rate is available.
Southern Maine
Maine · 23120
Office
Unavailable
Facility
$544.10
No comparable office rate is available.
Detroit
Michigan · 23120
Office
Unavailable
Facility
$589.11
No comparable office rate is available.
Rest Of Michigan
Michigan · 23120
Office
Unavailable
Facility
$547.30
No comparable office rate is available.
Minnesota
Minnesota · 23120
Office
Unavailable
Facility
$537.97
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 23120
Office
Unavailable
Facility
$546.92
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 23120
Office
Unavailable
Facility
$551.73
No comparable office rate is available.
Rest Of Missouri
Missouri · 23120
Office
Unavailable
Facility
$525.64
No comparable office rate is available.
Mississippi
Mississippi · 23120
Office
Unavailable
Facility
$513.74
No comparable office rate is available.
Montana**
Montana · 23120
Office
Unavailable
Facility
$564.71
No comparable office rate is available.
North Carolina
North Carolina · 23120
Office
Unavailable
Facility
$528.57
No comparable office rate is available.
North Dakota**
North Dakota · 23120
Office
Unavailable
Facility
$535.45
No comparable office rate is available.
Nebraska
Nebraska · 23120
Office
Unavailable
Facility
$512.92
No comparable office rate is available.
New Hampshire
New Hampshire · 23120
Office
Unavailable
Facility
$569.89
No comparable office rate is available.
Northern Nj
New Jersey · 23120
Office
Unavailable
Facility
$627.27
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 23120
Office
Unavailable
Facility
$604.50
No comparable office rate is available.
New Mexico
New Mexico · 23120
Office
Unavailable
Facility
$551.96
No comparable office rate is available.
Nevada**
Nevada · 23120
Office
Unavailable
Facility
$556.83
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 23120
Office
Unavailable
Facility
$674.48
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 23120
Office
Unavailable
Facility
$612.11
No comparable office rate is available.
Queens
New York · 23120
Office
Unavailable
Facility
$652.04
No comparable office rate is available.
Rest Of New York
New York · 23120
Office
Unavailable
Facility
$536.40
No comparable office rate is available.
Ohio
Ohio · 23120
Office
Unavailable
Facility
$541.32
No comparable office rate is available.
Oklahoma
Oklahoma · 23120
Office
Unavailable
Facility
$524.41
No comparable office rate is available.
Portland
Oregon · 23120
Office
Unavailable
Facility
$586.48
No comparable office rate is available.
Rest Of Oregon
Oregon · 23120
Office
Unavailable
Facility
$549.03
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 23120
Office
Unavailable
Facility
$589.94
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 23120
Office
Unavailable
Facility
$539.58
No comparable office rate is available.
Puerto Rico
Puerto Rico · 23120
Office
Unavailable
Facility
$567.09
No comparable office rate is available.
Rhode Island
Rhode Island · 23120
Office
Unavailable
Facility
$573.11
No comparable office rate is available.
South Carolina
South Carolina · 23120
Office
Unavailable
Facility
$536.53
No comparable office rate is available.
South Dakota**
South Dakota · 23120
Office
Unavailable
Facility
$531.99
No comparable office rate is available.
Tennessee
Tennessee · 23120
Office
Unavailable
Facility
$516.94
No comparable office rate is available.
Austin
Texas · 23120
Office
Unavailable
Facility
$575.58
No comparable office rate is available.
Beaumont
Texas · 23120
Office
Unavailable
Facility
$536.59
No comparable office rate is available.
Brazoria
Texas · 23120
Office
Unavailable
Facility
$553.39
No comparable office rate is available.
Dallas
Texas · 23120
Office
Unavailable
Facility
$558.86
No comparable office rate is available.
Fort Worth
Texas · 23120
Office
Unavailable
Facility
$556.76
No comparable office rate is available.
Galveston
Texas · 23120
Office
Unavailable
Facility
$556.31
No comparable office rate is available.
Houston
Texas · 23120
Office
Unavailable
Facility
$583.40
No comparable office rate is available.
Rest Of Texas
Texas · 23120
Office
Unavailable
Facility
$546.01
No comparable office rate is available.
Utah
Utah · 23120
Office
Unavailable
Facility
$543.29
No comparable office rate is available.
Virginia
Virginia · 23120
Office
Unavailable
Facility
$545.61
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 23120
Office
Unavailable
Facility
$567.09
No comparable office rate is available.
Vermont
Vermont · 23120
Office
Unavailable
Facility
$537.64
No comparable office rate is available.
Rest Of Washington
Washington · 23120
Office
Unavailable
Facility
$570.68
No comparable office rate is available.
Seattle (King Cnty)
Washington · 23120
Office
Unavailable
Facility
$630.13
No comparable office rate is available.
Wisconsin
Wisconsin · 23120
Office
Unavailable
Facility
$519.07
No comparable office rate is available.
West Virginia
West Virginia · 23120
Office
Unavailable
Facility
$550.15
No comparable office rate is available.
See how rates vary across the country
23120 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 23120 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$607.16
$551.96 × 110% = $607.16
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 23120 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,168
- Code
- 23120
- Physician work
- 7.21
- Practice expense
- 8.22
- Malpractice
- 1.48
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.21 | × 1.000 | 7.2100 |
| Practice expense | 8.22 | × 1.000 | 8.2200 |
| Malpractice | 1.48 | × 0.740 | 1.0952 |
| Total RVUs | 16.5252 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$551.96
Open 23120 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.21 | 1 |
| Practice expense | 8.22 | 1 |
| Malpractice | 1.48 | 0.74 |
(7.21 × 1 + 8.22 × 1 + 1.48 × 0.74) × $33.4009 = $551.96
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
23120 · 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 | $551.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $551.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $551.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $551.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $573.71 | RVU25D |
| 2025-07-01 | Not available in this setting | $573.71 | RVU25C |
| 2025-04-01 | Not available in this setting | $573.71 | RVU25B |
| 2025-01-01 | Not available in this setting | $573.71 | RVU25A |
23120 billing questions
When is partial claviculectomy used instead of complete claviculectomy?
Use this code when the surgeon removes only part of the clavicle. Complete removal is reported with 23125.
Is distal clavicle excision for acromioclavicular joint arthritis a typical example?
Yes. Partial removal of the distal clavicle for symptomatic acromioclavicular joint disease is a common example.
How should bilateral partial claviculectomy be reported?
CMS specifies modifier 50 for a bilateral procedure, paid at 150%. The operative documentation should support treatment of both sides.
What happens when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What documentation supports this code?
The operative report should identify the side, the reason for surgery, and the portion and extent of clavicle removed.
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.
2,16523105,,Arthrotomy glenohumeral jt,A,,8.27,8.13,NA,8.13,,1.72,18.12,18.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16623106,,Arthrotomy strnclav joint,A,,5.98,7.35,NA,7.35,,1.28,14.61,14.61,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16723107,,Arthrt glenhumrl jt w/expl,A,,8.65,8.30,NA,8.30,,1.80,18.75,18.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16823120,,Claviculectomy partial,A,,7.21,8.22,NA,8.22,,1.48,16.91,16.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16923125,,Claviculectomy total,A,,9.40,8.63,NA,8.63,,2.00,20.03,20.03,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17023130,,Acromp/acromionectomy prtl,A,,7.58,8.52,NA,8.52,,1.59,17.69,17.69,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17123140,,Removal of bone lesion,A,,6.94,7.50,NA,7.50,,1.47,15.91,15.91,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,