No office rate
Both involve deep shoulder-region tumor excision; the size distinction is under 5 cm for 23076 versus at least 5 cm for 23073.
On this page
CMS RVU26D · Effective 2026-10-01
23073 Shoulder tumor excision Medicare reimbursement rates in Guam
Reports surgical removal of a deep soft-tissue tumor in the shoulder region measuring at least 5 cm, rather than a superficial or radical resection. Compare 23073 office and facility rates across CMS payment localities in Guam.
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 23073 in Guam?
Guam 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
$661.39
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 23073: Deep shoulder soft-tissue tumor excision, 5 cm or larger
Reports surgical removal of a deep soft-tissue tumor in the shoulder region measuring at least 5 cm, rather than a superficial or radical resection.
Code 23073 describes operative removal of a soft-tissue tumor in the shoulder region when the lesion lies beneath the superficial fascia, such as within muscle, and measures at least 5 cm. Orthopedic surgeons and orthopedic oncologists commonly perform the procedure in an operating room; it may also be performed in an appropriately equipped outpatient surgical setting. The code concerns the tumor’s location and depth, not removal from the shoulder joint itself.
Select this code when the operative report supports the shoulder-region site, deep tissue plane, lesion size, and excision performed. Distinguish a deep lesion under 5 cm from one at least 5 cm, and distinguish excision from radical resection. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 23073
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.88 · 50%
- Practice expense (office) RVU7.57 · 38%
- Malpractice RVU2.27 · 12%
1.2K
Medicare services in 2024 · #2831 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.
23073 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
23071 applies to a subcutaneous lesion measuring 3 cm or larger. Code 23073 requires a deep lesion measuring at least 5 cm.
No office rate
23078 describes radical resection of a shoulder-region tumor at least 5 cm. Code 23073 describes excision, not radical resection.
$674.99
23066 is for biopsy of deep shoulder-region tissue; 23073 is for excision of a deep tumor at least 5 cm.
Compare 23073 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$661.39
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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 23073 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,158
- Code
- 23073
- Physician work
- 9.88
- Practice expense
- 7.57
- Malpractice
- 2.27
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.88 | × 1.000 | 9.8800 |
| Practice expense | 7.57 | × 1.137 | 8.6071 |
| Malpractice | 2.27 | × 0.579 | 1.3143 |
| Total RVUs | 19.8014 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$661.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.88 | 1 |
| Practice expense | 7.57 | 1.137 |
| Malpractice | 2.27 | 0.579 |
(9.88 × 1 + 7.57 × 1.137 + 2.27 × 0.579) × $33.4009 = $661.39
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.
23073 billing questions
How does 23073 differ from 23076?
Both describe removal of a deep shoulder-region soft-tissue tumor. Use 23073 for a lesion measuring at least 5 cm and 23076 for one under 5 cm.
How does 23073 differ from 23071?
23073 is for a deep lesion measuring at least 5 cm. Code 23071 addresses a subcutaneous shoulder-region lesion measuring 3 cm or larger.
When is radical resection coded instead?
Use 23077 or 23078 when the surgeon performs a radical resection, rather than the excision represented by 23073. The radical-resection code selection also depends on whether the tumor is under 5 cm or at least 5 cm.
What documentation supports reporting 23073?
The operative report should identify the shoulder-region site, show that the tumor was deep to the superficial fascia, document its size as at least 5 cm, and describe the removal performed.
Can modifier 50 be used for tumors on both shoulders?
CMS lists this as a bilateral procedure. When bilateral reporting is appropriate, modifier 50 is paid at 150% under the CMS rule.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
2,15523065,,Biopsy shoulder tissues,A,,2.24,4.34,,1.80,,0.35,6.93,4.39,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15623066,,Biopsy shoulder tissues,A,,4.19,13.62,,5.86,,0.92,18.73,10.97,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15723071,,Exc shoulder les sc 3 cm/>,A,,5.76,5.06,NA,5.06,,1.37,12.19,12.19,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15823073,,Exc shoulder tum deep 5 cm/>,A,,9.88,7.57,NA,7.57,,2.27,19.72,19.72,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15923075,,Exc shoulder les sc < 3 cm,A,,4.10,11.59,,4.60,,0.92,16.61,9.62,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16023076,,Exc shoulder tum deep < 5 cm,A,,7.22,6.82,NA,6.82,,1.63,15.67,15.67,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,16123077,,Rad rescj tum shoulder<5 cm,A,,17.22,10.33,NA,10.33,,3.93,31.48,31.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014