Billing code 23150: Bone lesion removalMedicare rate & RVUs in Nebraska
Reports curettage or excision of a bone cyst or benign tumor in the proximal humerus when the surgeon does not use a graft.
CMS doesn’t publish an office rate for 23150 in Nebraska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 23150 covers
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.
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 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $572.57 |
How the 23150 rate is calculated
Each of 23150’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 23150
RVUs × geographic indexes × conversion factor
Work8.69
8.69 RVUs× 1.000 GPCI
Practice expense8.40
8.40 RVUs× 1.000 GPCI
Malpractice1.85
1.85 RVUs× 1.000 GPCI
Adjusted RVUs
18.9400
Conversion factor
$33.4009
Medicare rate
$632.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 23150
23150 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23150
Bone lesion removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 23150
Bone lesion removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
23150 without 50 · national facility
$632.61
Bone lesion removal
23150-50 · Bilateral: 150%
$948.92
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
23150 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 23155Bone lesion excision
- 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.
- 23156Bone lesion surgery
- 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.
- 23184Bone excision
- 23150 is for curettage or excision of a benign lesion in the proximal humerus. 23184 describes partial bone excision there for a different indication.
- 23140Bone lesion removal
- 23140 concerns bone cyst or benign tumor removal at a different shoulder-girdle bone site; 23150 is specific to the proximal humerus.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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