No office rate
Use 23473 when revising only the humeral or glenoid component. Use 23474 when the surgeon revises both components.
On this page
CMS RVU26D · Effective 2026-10-01
23473 Shoulder revision Medicare reimbursement rates in Kansas
Reports revision of a total shoulder replacement when the surgeon revises the humeral or glenoid component, but not both components. Compare 23473 office and facility rates across CMS payment localities in Kansas.
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 23473 in Kansas?
Kansas 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
$1314.83
1 of 1 localities have a supported rate.
Payment area: Kansas
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 23473: Single-component shoulder arthroplasty revision
Reports revision of a total shoulder replacement when the surgeon revises the humeral or glenoid component, but not both components.
An orthopedic surgeon reports this service when revising one component of an existing total shoulder replacement: the humeral component or the glenoid component. Revision may involve removing or exchanging the component and addressing bone loss, including use of graft material when performed. These operations are typically done in a hospital or ambulatory surgery center for problems such as component loosening, wear, instability, or other implant-related failure. The operative report should establish that a total shoulder prosthesis was already present and identify which component was revised.
Choose this code when only one component is revised; when both humeral and glenoid components are revised, use the separate code for both. The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is paid at 150% for bilateral services. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 23473
- 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 RVU24.38 · 57%
- Practice expense (office) RVU13.85 · 32%
- Malpractice RVU4.89 · 11%
3K
Medicare services in 2024 · #2164 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.
23473 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
23472 is for primary total shoulder arthroplasty; 23473 requires revision of an existing total shoulder replacement.
No office rate
23470 describes shoulder hemiarthroplasty, not revision of one component of an existing total shoulder replacement.
Compare 23473 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
Kansas →
Office / nonfacility
Unavailable
Facility
$1314.83
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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 23473 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,212
- Code
- 23473
- Physician work
- 24.38
- Practice expense
- 13.85
- Malpractice
- 4.89
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.38 | × 1.000 | 24.3800 |
| Practice expense | 13.85 | × 0.904 | 12.5204 |
| Malpractice | 4.89 | × 0.504 | 2.4646 |
| Total RVUs | 39.3650 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1314.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.38 | 1 |
| Practice expense | 13.85 | 0.904 |
| Malpractice | 4.89 | 0.504 |
(24.38 × 1 + 13.85 × 0.904 + 4.89 × 0.504) × $33.4009 = $1314.83
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.
23473 billing questions
When should the surgeon report 23473 rather than 23474?
Report 23473 when the revision involves the humeral component or the glenoid component alone. Use 23474 when both components are revised.
Can this code be used for a first-time total shoulder replacement?
No. This code describes revision of an existing total shoulder replacement. A primary total shoulder arthroplasty is reported with 23472.
What documentation supports reporting this code?
The operative report should identify the existing total shoulder prosthesis, specify the humeral or glenoid component revised, and describe the revision work performed.
How is bilateral revision handled?
CMS pays bilateral services reported with modifier 50 at 150%. The record should support revision of the specified component on both shoulders.
Is assistant-at-surgery or co-surgeon payment available?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is 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.
2,20923466,,Repair shoulder capsule,A,,15.41,12.43,NA,12.43,,3.14,30.98,30.98,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21023470,,Reconstruct shoulder joint,A,,17.44,11.57,NA,11.57,,3.56,32.57,32.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21123472,,Reconstruct shoulder joint,A,,21.58,12.99,NA,12.99,,4.36,38.93,38.93,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21223473,,Revis reconst shoulder joint,A,,24.38,13.85,NA,13.85,,4.89,43.12,43.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21323474,,Revis reconst shoulder joint,A,,26.53,14.56,NA,14.56,,5.38,46.47,46.47,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21423480,,Revision of collar bone,A,,11.25,9.22,NA,9.22,,2.40,22.87,22.87,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21523485,,Revision of collar bone,A,,13.56,9.77,NA,9.77,,2.76,26.09,26.09,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958