Billing code 23140: Bone lesion removalMedicare rate & RVUs in Delaware
Reports surgical excision or curettage of a cyst or benign tumor in the clavicle, rather than removal of a broader segment of bone.
CMS doesn’t publish an office rate for 23140 in Delaware.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 23140 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $524.60 |
How the 23140 rate is calculated
Each of 23140’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 23140
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.94Practice expense 7.50Malpractice 1.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 23140
23140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23140
Bone lesion removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 23140
Bone lesion removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
23140 without 50 · national facility
$531.41
Bone lesion removal
23140-50 · Bilateral: 150%
$797.12
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
23140 compared with similar codes
Compare codes
23140 vs 23145 vs 23150 vs 23180: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 23145Bone lesion removal
- This code is for a cyst or benign tumor in the scapula; 23140 is for the clavicle.
- 23150Bone lesion removal
- This code addresses a cyst or benign tumor in the proximal humerus, not the clavicle.
- 23180Clavicle excision
- Use 23180 for partial excision of clavicular bone when the operation is broader than removal or curettage of a cyst or benign tumor.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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