$241.54–$257.58
Choose 23570 for closed treatment of a scapular fracture without manipulation; this code is for open treatment.
On this page
CMS RVU26D · Effective 2026-10-01
23585 Scapular fracture repair Medicare reimbursement rates in Missouri
Report this code for open surgical treatment of a scapular fracture involving the body, glenoid, or acromion, with internal fixation when performed. Compare 23585 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 23585 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
$846.38–$879.44
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 23585 pays more and less in Missouri
Orthopedic surgery
About 23585: Open scapular fracture fixation
Report this code for open surgical treatment of a scapular fracture involving the body, glenoid, or acromion, with internal fixation when performed.
An orthopedic surgeon uses this service to treat a scapular fracture through an open approach, addressing the fracture and stabilizing it with internal fixation when performed. The code covers fractures of the scapular body, glenoid, or acromion. These operations are generally performed in a hospital or ambulatory surgery setting when the fracture pattern and clinical circumstances call for open treatment rather than closed management.
Report the code for the open treatment, not simply because imaging shows a scapular fracture. The operative report should identify the fracture site and describe the open procedure and fixation performed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 23585
- 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 RVU13.87 · 52%
- Practice expense (office) RVU10.12 · 38%
- Malpractice RVU2.82 · 11%
1K
Medicare services in 2024 · #2965 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.
23585 compared with similar codes
Office rates for Missouri, from the same CMS release.
$417.88–$444.97
Choose 23575 for closed treatment with manipulation, with or without skeletal traction. Open fracture treatment is reported with this code.
Compare 23585 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
$872.69
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$879.44
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$846.38
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23585 billing questions
When is this code selected instead of a closed-treatment scapular fracture code?
Use this code when the surgeon performs open treatment of the scapular fracture. Closed treatment without manipulation or with manipulation and possible skeletal traction is described by 23570 or 23575, respectively.
Does the code require internal fixation?
The code includes internal fixation when performed. The operative documentation should describe the open treatment and any fixation used.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150% under the listed bilateral rule.
What happens when another procedure is performed 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.
2,22823552,,Optx acrclv dslc aq/chrn grf,A,,8.60,8.04,NA,8.04,,1.69,18.33,18.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22923570,,Cltx scapular fx w/o mnpj,A,,2.30,5.19,,4.80,,0.47,7.96,7.57,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23023575,,Cltx scap fx w/mnpj +-tractj,A,,4.12,8.74,,6.35,,0.88,13.74,11.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23123585,,Optx scapular fx w/int fixj,A,,13.87,10.12,NA,10.12,,2.82,26.81,26.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23223600,,Cltx prox humrl fx w/o mnpj,A,,2.93,7.87,,6.40,,0.61,11.41,9.94,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23323605,,Cltx prx hmrl fx mnpj+-tract,A,,4.93,10.00,,7.19,,1.08,16.01,13.20,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23423615,,Optx prox humrl fx w/int fix,A,,11.99,10.18,NA,10.18,,2.49,24.66,24.66,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00