$235.65
23500 is for closed treatment without manipulation; 23515 is for open surgical treatment of the clavicle fracture.
On this page
CMS RVU26D · Effective 2026-10-01
23515 Clavicle fracture repair Medicare reimbursement rates in Nebraska
Reports open surgical treatment of a clavicle fracture, with internal fixation when performed, rather than closed fracture care. Compare 23515 office and facility rates across CMS payment localities in Nebraska.
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 23515 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$615.74
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
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 23515: Open clavicle fracture repair with fixation
Reports open surgical treatment of a clavicle fracture, with internal fixation when performed, rather than closed fracture care.
The surgeon exposes the fractured clavicle, restores alignment, and stabilizes the fracture; fixation may use hardware such as a plate and screws. Orthopedic surgeons commonly perform this procedure in a hospital operating room or ambulatory surgery center when the fracture is managed surgically. The code is for a clavicle fracture, not a sternoclavicular or acromioclavicular joint dislocation.
Choose this code when the operative approach treats the fracture directly, rather than when care is closed. The operative report should identify the clavicle fracture, describe the open treatment and any fixation, and support the decision to operate. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 23515
- 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 RVU9.45 · 46%
- Practice expense (office) RVU8.94 · 44%
- Malpractice RVU1.94 · 10%
3.5K
Medicare services in 2024 · #2074 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.
23515 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$372.20
23505 describes closed treatment with manipulation. Choose 23515 when the fracture is treated through an open surgical approach.
No office rate
23530 concerns operative treatment of a sternoclavicular dislocation, not a clavicle fracture.
Compare 23515 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.
1 of 1 payment localities
Nebraska →
Office / nonfacility
Unavailable
Facility
$615.74
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 23515 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,220
- Code
- 23515
- Physician work
- 9.45
- Practice expense
- 8.94
- Malpractice
- 1.94
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.45 | × 1.000 | 9.4500 |
| Practice expense | 8.94 | × 0.923 | 8.2516 |
| Malpractice | 1.94 | × 0.378 | 0.7333 |
| Total RVUs | 18.4349 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$615.74
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.45 | 1 |
| Practice expense | 8.94 | 0.923 |
| Malpractice | 1.94 | 0.378 |
(9.45 × 1 + 8.94 × 0.923 + 1.94 × 0.378) × $33.4009 = $615.74
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
23515 billing questions
How does this differ from 23500 or 23505?
Use 23515 for open surgical treatment of a clavicle fracture. Codes 23500 and 23505 describe closed treatment, distinguished by whether manipulation is performed.
Does the code require internal fixation?
The code covers open treatment of the fracture, with internal fixation when performed. The operative report should describe the treatment and document any fixation used.
Can both clavicles be reported?
For bilateral treatment, CMS lists modifier 50 and payment at 150%. The documentation should support treatment of fractures on both sides.
Are postoperative visits included?
Related postoperative care for 90 days is included in the global period, as is the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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.
2,21723491,,Reinforce shoulder bones,A,,14.18,10.87,NA,10.87,,3.02,28.07,28.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21823500,,Cltx clavicular fx w/o mnpj,A,,2.15,5.13,,4.74,,0.45,7.73,7.34,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21923505,,Cltx clavicular fx w/mnpj,A,,3.73,7.70,,5.80,,0.81,12.24,10.34,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22023515,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068