No office rate
Both codes address open treatment of a sternoclavicular dislocation. Choose 23532 when a graft is used; 23530 is the option without graft use.
On this page
CMS RVU26D · Effective 2026-10-01
23530 Joint dislocation surgery Medicare reimbursement rates in Missouri
Open surgical treatment of an acute or chronic sternoclavicular dislocation, reported when the dislocated joint is addressed through an operative approach. Compare 23530 office and facility rates across CMS payment localities in Missouri.
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 23530 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$512.70–$537.01
3 of 3 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 23530 pays more and less in Missouri
Orthopedic surgery
About 23530: Open sternoclavicular joint stabilization
Open surgical treatment of an acute or chronic sternoclavicular dislocation, reported when the dislocated joint is addressed through an operative approach.
This service involves open surgery to treat a dislocation where the medial clavicle meets the sternum. Orthopedic or trauma surgeons may perform it for an acute injury or persistent, chronic displacement when operative treatment is chosen. The operative report should establish the sternoclavicular site and describe the open treatment performed; this code represents the option without graft use.
Report 23532 instead when the open sternoclavicular dislocation treatment includes a graft. The code 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 other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 23530
- 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 RVU7.29 · 44%
- Practice expense (office) RVU7.61 · 46%
- Malpractice RVU1.54 · 9%
18
Medicare services in 2024 · #5965 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.
23530 compared with similar codes
Office rates for Missouri, from the same CMS release.
$245.25–$261.92
23520 describes closed treatment without manipulation. Use 23530 when the dislocation is treated through an open surgical approach.
$404.67–$432.07
23525 is closed treatment with manipulation, whereas 23530 is open surgical treatment of the sternoclavicular dislocation.
No office rate
23550 addresses an acromioclavicular dislocation, at the joint between the clavicle and acromion. Code 23530 is for the sternoclavicular joint.
Compare 23530 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$532.42
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$537.01
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$512.70
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23530 billing questions
When should 23530 be used instead of 23532?
Use 23530 for open treatment of a sternoclavicular dislocation without a graft. Use 23532 when the treatment includes graft use.
How does 23530 differ from 23520 or 23525?
23530 represents open surgical treatment. Codes 23520 and 23525 describe closed treatment, with the latter specifying manipulation.
What documentation supports 23530?
Document the sternoclavicular dislocation, its acute or chronic status, and the open treatment performed. The operative record should also make clear whether a graft was used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can 23530 be reported bilaterally or with an assistant?
Bilateral reporting with modifier 50 is paid at 150%, and assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
How are other same-session procedures paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
2,22023515,,Optx clavicular fx w/int fix,A,,9.45,8.94,NA,8.94,,1.94,20.33,20.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22123520,,Cltx strnclav dislc w/o mnpj,A,,2.23,5.40,,4.68,,0.47,8.10,7.38,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22223525,,Cltx strnclav dislc w/mnpj,A,,3.70,8.87,,6.50,,0.79,13.36,10.99,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22323530,,Optx strnclav dislc aqt/chrn,A,,7.29,7.61,NA,7.61,,1.54,16.44,16.44,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22423532,,Optx strclv dslc aq/chrn grf,A,,8.00,8.18,NA,8.18,,1.70,17.88,17.88,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22523540,,Cltx acromclav dislc wo mnpj,A,,2.30,5.49,,4.90,,0.49,8.28,7.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22623545,,Cltx acromclav dislc w/mnpj,A,,3.34,10.86,,8.59,,0.83,15.03,12.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00