No office rate
23172 is for sequestrectomy of the scapula. Use 23182 when the documented service is partial scapular bone excision rather than removal of a sequestrum.
On this page
CMS RVU26D · Effective 2026-10-01
23182 Bone excision Medicare reimbursement rates in Illinois
Reports surgical removal of part of the scapula for a documented bone condition when the procedure is not specifically a sequestrectomy or lesion excision. Compare 23182 office and facility rates across CMS payment localities in Illinois.
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 23182 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$648.22–$721.42
4 of 4 localities have a supported rate.
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.
Where 23182 pays more and less in Illinois
Orthopedic surgery
About 23182: Partial excision of scapular bone
Reports surgical removal of part of the scapula for a documented bone condition when the procedure is not specifically a sequestrectomy or lesion excision.
An orthopedic surgeon reports this service when surgery removes a portion of scapular bone. The operative report should identify the affected area and describe the bone removal and its clinical purpose. The work is distinct from removing a sequestrum or performing a procedure specifically directed at a bone cyst or benign tumor. CMS utilization data show this code is performed in facility settings, such as a hospital operating room.
Choose the code from the operation documented, not just the diagnosis: record the scapular site, extent of bone removed, and whether the surgeon treated a sequestrum or a defined lesion. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 23182
- 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 RVU8.39 · 44%
- Practice expense (office) RVU9.02 · 47%
- Malpractice RVU1.78 · 9%
70
Medicare services in 2024 · #5140 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.
23182 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
23140 addresses excision or curettage of a bone cyst or benign tumor. 23182 describes partial scapular bone excision without that lesion-specific service.
No office rate
Both concern partial removal of scapular bone. Distinguish them by the procedure documented and the specific service performed; do not select solely from the diagnosis.
Compare 23182 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$721.42
East St. Louis →
Office / nonfacility
Unavailable
Facility
$677.15
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$648.22
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$696.96
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23182 billing questions
How does this differ from scapular sequestrectomy?
Use 23182 for partial removal of scapular bone when the procedure is not specifically removal of a sequestrum. When the operative service is sequestrectomy, consider 23172.
When would a bone-lesion code be a better fit?
A code such as 23140 is for a procedure directed at a bone cyst or benign tumor. Select 23182 when the documented service is partial scapular bone excision rather than lesion-specific excision or curettage.
What should the operative report document?
Document the scapular location, the portion and extent of bone removed, the reason for removal, and whether the procedure addressed a sequestrum or a defined lesion.
How is bilateral scapular surgery reported?
For bilateral work, CMS lists modifier 50, with payment at 150%.
What is included in the global period?
The 90-day global period 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.
2,17823172,,Sequestrectomy scapula,A,,7.13,7.71,NA,7.71,,1.50,16.34,16.34,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17923174,,Sqstrctmy humrl head srg nck,A,,9.80,9.81,NA,9.81,,2.09,21.70,21.70,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18023180,,Prtl excision bone clavicle,A,,8.77,8.98,NA,8.98,,1.86,19.61,19.61,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18123182,,Prtl excision bone scapula,A,,8.39,9.02,NA,9.02,,1.78,19.19,19.19,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18223184,,Prtl excision bone prox hum,A,,9.65,9.16,NA,9.16,,2.04,20.85,20.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18323190,,Ostectomy scapula partial,A,,7.28,7.60,NA,7.60,,1.54,16.42,16.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18423195,,Resection humeral head,A,,10.10,9.00,NA,9.00,,2.15,21.25,21.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00