No office rate
Both address a bone cyst or benign tumor in the proximal humerus. Choose 23155 when an autograft is used; 23150 is for removal without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
23150 Bone lesion removal Medicare reimbursement rates in Maine
Reports curettage or excision of a bone cyst or benign tumor in the proximal humerus when the surgeon does not use a graft. Compare 23150 office and facility rates across CMS payment localities in Maine.
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 23150 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$586.81–$607.29
2 of 2 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.
Orthopedic surgery
About 23150: Proximal humerus benign lesion removal
Reports curettage or excision of a bone cyst or benign tumor in the proximal humerus when the surgeon does not use a graft.
An orthopedic surgeon typically uses this service to remove or curette a bone cyst or benign tumor in the proximal humerus, the upper portion of the arm bone near the shoulder. The work is performed in an operating room and may be part of treatment for a symptomatic or structurally concerning lesion. The code represents removal without bone grafting; graft use changes the applicable code within this family.
The operative report should identify the lesion and its proximal humerus location, describe the removal or curettage, and establish that no graft was used. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays 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 23150
- 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 RVU8.69 · 46%
- Practice expense (office) RVU8.40 · 44%
- Malpractice RVU1.85 · 10%
106
Medicare services in 2024 · #4831 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.
23150 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
Both address a bone cyst or benign tumor in the proximal humerus. Choose 23156 when an allograft is used; 23150 is for removal without a graft.
No office rate
23150 is for curettage or excision of a benign lesion in the proximal humerus. 23184 describes partial bone excision there for a different indication.
No office rate
23140 concerns bone cyst or benign tumor removal at a different shoulder-girdle bone site; 23150 is specific to the proximal humerus.
Compare 23150 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$586.81
Southern Maine →
Office / nonfacility
Unavailable
Facility
$607.29
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23150 billing questions
When should 23150 be selected instead of 23155 or 23156?
Use 23150 for removal or curettage of a proximal humerus bone cyst or benign tumor without a graft. The graft type determines which sibling code applies when a graft is used.
What documentation supports reporting 23150?
Document the benign lesion or bone cyst, its location in the proximal humerus, the removal or curettage performed, and that no graft was used.
Does the code include the related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure. When both sides are treated and modifier 50 is reported, payment is at 150%.
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.
How does CMS handle 23150 with another procedure 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%.
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.
2,17123140,,Removal of bone lesion,A,,6.94,7.50,NA,7.50,,1.47,15.91,15.91,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17223145,,Removal of bone lesion,A,,9.17,8.55,NA,8.55,,1.95,19.67,19.67,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17323146,,Removal of bone lesion,A,,7.88,8.29,NA,8.29,,1.68,17.85,17.85,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17423150,,Removal of humerus lesion,A,,8.69,8.40,NA,8.40,,1.85,18.94,18.94,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17523155,,Removal of humerus lesion,A,,10.59,9.57,NA,9.57,,2.25,22.41,22.41,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17623156,,Removal of humerus lesion,A,,8.88,8.46,NA,8.46,,1.90,19.24,19.24,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,17723170,,Sequestrectomy clavicle,A,,7.03,7.68,NA,7.68,,1.48,16.19,16.19,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00