No office rate
Both codes describe glenohumeral arthrodesis; select 23802 when bone graft is used and 23800 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
23802 Shoulder fusion Medicare reimbursement rates in Delaware
Reports surgical fusion of the shoulder’s glenohumeral joint using bone graft, typically as a salvage procedure for a painful or unstable shoulder. Compare 23802 office and facility rates across CMS payment localities in Delaware.
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 23802 in Delaware?
Delaware 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
$1167.02
1 of 1 localities have a supported rate.
Payment area: Delaware
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 23802: Glenohumeral fusion with bone graft
Reports surgical fusion of the shoulder’s glenohumeral joint using bone graft, typically as a salvage procedure for a painful or unstable shoulder.
An orthopedic surgeon fuses the humeral head to the glenoid with fixation and bone graft to create a stable shoulder. This is a salvage operation for situations such as a painful, unstable shoulder after failed reconstruction or when joint replacement is unsuitable. The procedure is performed in an operating room, with graft placement supporting bony union across the joint.
Report this code when the operative record supports glenohumeral arthrodesis with bone graft; use the no-graft sibling code when the fusion is performed without graft. Document the joint fused, graft use, fixation, and clinical reason for fusion. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are reduced to 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 23802
- 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 RVU17.96 · 51%
- Practice expense (office) RVU13.61 · 38%
- Malpractice RVU3.83 · 11%
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.
23802 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
23472 describes total shoulder joint replacement. This code describes fusion of the glenohumeral joint with bone graft.
No office rate
23470 describes shoulder hemiarthroplasty, while this code is for fusing the glenohumeral joint with bone graft.
Compare 23802 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
Delaware →
Office / nonfacility
Unavailable
Facility
$1167.02
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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 23802 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,248
- Code
- 23802
- Physician work
- 17.96
- Practice expense
- 13.61
- Malpractice
- 3.83
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.96 | × 1.005 | 18.0498 |
| Practice expense | 13.61 | × 0.988 | 13.4467 |
| Malpractice | 3.83 | × 0.899 | 3.4432 |
| Total RVUs | 34.9397 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1167.02
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.96 | 1.005 |
| Practice expense | 13.61 | 0.988 |
| Malpractice | 3.83 | 0.899 |
(17.96 × 1.005 + 13.61 × 0.988 + 3.83 × 0.899) × $33.4009 = $1167.02
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.
23802 billing questions
When should I report this instead of 23800?
Report 23802 when the glenohumeral fusion includes bone graft. Use 23800 for the fusion without graft.
Can the bone graft harvest be billed separately?
The graft is part of this grafted arthrodesis service. Do not separately report a graft-harvest service for work included in the procedure.
What documentation supports this code?
The operative report should identify the glenohumeral joint fusion, bone graft use, fixation, and the clinical reason for the salvage procedure.
How are bilateral procedures handled?
CMS pays bilateral reporting with modifier 50 at 150%. Document the procedure on both shoulders.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,24523680,,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
2,24923900,,Interthoracoscplr amputation,A,,20.20,13.13,NA,13.13,,4.30,37.63,37.63,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25023920,,Disarticulation shoulder,A,,15.82,11.79,NA,11.79,,3.36,30.97,30.97,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25123921,,Disarticulation sho sec clsr,A,,5.58,6.97,NA,6.97,,1.20,13.75,13.75,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503