No office rate
Choose 23466 for capsular stabilization addressing instability in multiple directions; 23465 is directed at posterior instability.
On this page
CMS RVU26D · Effective 2026-10-01
23466 Shoulder stabilization Medicare reimbursement rates in Massachusetts
Open capsular stabilization for glenohumeral instability in multiple directions, reported when the surgeon tightens the capsule to control abnormal shoulder translation. Compare 23466 office and facility rates across CMS payment localities in Massachusetts.
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 23466 in Massachusetts?
Massachusetts 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
$1043.71–$1124.87
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.
Shoulder surgery
About 23466: Open multidirectional shoulder stabilization
Open capsular stabilization for glenohumeral instability in multiple directions, reported when the surgeon tightens the capsule to control abnormal shoulder translation.
The surgeon tightens or repairs the glenohumeral capsule to limit abnormal movement in more than one direction. This open stabilization is used for multidirectional shoulder instability, such as recurrent slipping with laxity across several directions of motion. Orthopedic surgeons typically perform it in an operating room. The operative report should identify the instability pattern and describe the capsular work performed; a single-direction repair or a procedure centered on a different structure may point to another code.
Report 23466 for the open capsular stabilization performed for multidirectional instability, supported by the diagnosis and operative details. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery, 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 23466
- 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 RVU15.41 · 50%
- Practice expense (office) RVU12.43 · 40%
- Malpractice RVU3.14 · 10%
196
Medicare services in 2024 · #4342 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.
23466 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
23455 describes anterior capsular stabilization with labral repair. 23466 is selected for open stabilization of multidirectional instability.
No office rate
Both address shoulder instability, but 29806 is the arthroscopic approach; 23466 describes open capsular stabilization for multidirectional instability.
Compare 23466 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1124.87
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1043.71
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23466 billing questions
When is 23466 a better fit than an anterior capsular repair?
Use 23466 when the operative indication and capsular work address instability in multiple directions. A repair directed at anterior instability, particularly one with labral repair, is a different service.
How does 23466 differ from posterior capsular repair?
23466 is for multidirectional instability. A procedure directed specifically at posterior instability is represented by 23465.
What documentation supports reporting 23466?
Document the multidirectional instability and describe the open capsular stabilization performed. The operative note should make clear that the procedure addressed instability in multiple directions.
Can modifier 50 be used when both shoulders are treated?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when performed bilaterally.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the 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.
2,20623460,,Repair shoulder capsule,A,,15.42,11.26,NA,11.26,,3.28,29.96,29.96,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20723462,,Repair shoulder capsule,A,,15.33,10.67,NA,10.67,,3.26,29.26,29.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20823465,,Repair shoulder capsule,A,,15.89,11.41,NA,11.41,,3.38,30.68,30.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20923466,,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