No office rate
This code is for a cyst or benign tumor in the scapula; 23140 is for the clavicle.
On this page
CMS RVU26D · Effective 2026-10-01
23140 Bone lesion removal Medicare reimbursement rates in Connecticut
Reports surgical excision or curettage of a cyst or benign tumor in the clavicle, rather than removal of a broader segment of bone. Compare 23140 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 23140 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$565.64
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 23140: Clavicular benign bone lesion removal
Reports surgical excision or curettage of a cyst or benign tumor in the clavicle, rather than removal of a broader segment of bone.
An orthopedic surgeon removes or curettes a cyst or benign tumor in the clavicle. The service is directed at the lesion itself, rather than removal of the clavicle or a broader portion of bone. It is generally performed in an operating room when a clavicular lesion requires surgical treatment; the removed tissue may be submitted for examination.
Select the code when the operative documentation identifies a cyst or benign tumor in the clavicle and describes its surgical removal or curettage. Document the precise bone site, lesion, and work performed so the service can be distinguished from partial clavicle excision or removal of a lesion from another bone. This major surgery has a 90-day global period, including the day-before preoperative visit 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%. Modifier 50 applies to bilateral performance, paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 23140
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.94 · 44%
- Practice expense (office) RVU7.50 · 47%
- Malpractice RVU1.47 · 9%
108
Medicare services in 2024 · #4818 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.
23140 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This code addresses a cyst or benign tumor in the proximal humerus, not the clavicle.
No office rate
Use 23180 for partial excision of clavicular bone when the operation is broader than removal or curettage of a cyst or benign tumor.
Compare 23140 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$565.64
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 23140 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
2,171
- Code
- 23140
- Physician work
- 6.94
- Practice expense
- 7.50
- Malpractice
- 1.47
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.94 | × 1.020 | 7.0788 |
| Practice expense | 7.50 | × 1.077 | 8.0775 |
| Malpractice | 1.47 | × 1.210 | 1.7787 |
| Total RVUs | 16.9350 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$565.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.94 | 1.02 |
| Practice expense | 7.5 | 1.077 |
| Malpractice | 1.47 | 1.21 |
(6.94 × 1.02 + 7.5 × 1.077 + 1.47 × 1.21) × $33.4009 = $565.64
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.
23140 billing questions
When should this code be selected instead of a clavicle excision code?
Use it when the operation targets a cyst or benign tumor in the clavicle through excision or curettage. A broader partial clavicle removal is described by a different procedure.
How does this differ from removal of a lesion in the scapula or humerus?
The bone site determines the code. This code is for the clavicle; related lesion-removal codes identify the scapula or proximal humerus.
What documentation supports reporting this service?
Document the clavicular site, the cyst or benign tumor being treated, and whether the surgeon excised or curetted the lesion.
How is bilateral performance reported?
Report modifier 50 when the procedure is performed bilaterally. CMS pays bilateral performance at 150%.
What payment rules affect other procedures performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code also has a 90-day global period.
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.
2,16823120,,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
2,17223145,,Removal of bone lesion,A,,9.17,8.55,NA,8.55,,1.95,19.67,19.67,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17323146,,Removal of bone lesion,A,,7.88,8.29,NA,8.29,,1.68,17.85,17.85,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17423150,,Removal of humerus lesion,A,,8.69,8.40,NA,8.40,,1.85,18.94,18.94,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808