$462.12
Choose 23031 when the infected structure is a shoulder bursa; 23030 is for a deep shoulder-region abscess or hematoma outside that specific target.
On this page
CMS RVU26D · Effective 2026-10-01
23030 Shoulder drainage Medicare reimbursement rates in Nevada
Reports surgical incision and drainage of a deep shoulder-region abscess or hematoma, rather than a superficial collection, infected bursa, or joint infection. Compare 23030 office and facility rates across CMS payment localities in Nevada.
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 23030 in Nevada?
Nevada 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
$470.39
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$240.03
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 23030: Deep shoulder abscess or hematoma drainage
Reports surgical incision and drainage of a deep shoulder-region abscess or hematoma, rather than a superficial collection, infected bursa, or joint infection.
An orthopedic surgeon or other qualified surgeon makes an incision to reach and drain a deep abscess or hematoma in the shoulder region. The service addresses a collection in deep soft tissue, not drainage of an infected shoulder bursa or an abscess confined to the skin and superficial tissue. It may be performed in an operating room or another setting appropriate to the collection and the patient’s condition.
The operative note should identify the collection as an abscess or hematoma and document its deep shoulder-region location and the incision and drainage performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. CMS payment for an assistant at surgery is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 23030
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.38 · 24%
- Practice expense (office) RVU10.11 · 71%
- Malpractice RVU0.70 · 5%
800
Medicare services in 2024 · #3147 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.
23030 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
23040 involves entry into the glenohumeral joint for exploration or drainage. 23030 targets a deep soft-tissue collection in the shoulder region.
$127.95
10060 is for simple, superficial abscess drainage. 23030 is the shoulder-region code for a deep abscess or hematoma.
$218.40
10061 addresses complicated or multiple superficial abscesses; it is not the deep shoulder-region drainage service described by 23030.
Compare 23030 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
Nevada** →
Office / nonfacility
$470.39
Facility
$240.03
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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 23030 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
2,150
- Code
- 23030
- Physician work
- 3.38
- Practice expense
- 10.11
- Malpractice
- 0.70
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.38 | × 1.000 | 3.3800 |
| Practice expense | 10.11 | × 1.001 | 10.1201 |
| Malpractice | 0.70 | × 0.833 | 0.5831 |
| Total RVUs | 14.0832 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$470.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.38 | 1 |
| Practice expense | 10.11 | 1.001 |
| Malpractice | 0.7 | 0.833 |
(3.38 × 1 + 10.11 × 1.001 + 0.7 × 0.833) × $33.4009 = $470.39
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.38 | 1 |
| Practice expense | 3.22 | 1.001 |
| Malpractice | 0.7 | 0.833 |
(3.38 × 1 + 3.22 × 1.001 + 0.7 × 0.833) × $33.4009 = $240.03
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.
23030 billing questions
When is 23030 appropriate instead of 23031?
Use 23030 for a deep shoulder-region abscess or hematoma. Use 23031 when the procedure drains an infected shoulder bursa.
Can 23030 be used for an abscess confined to the skin?
No. This code is for a deep shoulder-region collection; a superficial skin abscess is reported with the applicable superficial abscess drainage code, such as 10060 or 10061.
How does 23030 differ from shoulder joint drainage?
23030 describes drainage of a deep soft-tissue abscess or hematoma. For a procedure entering the glenohumeral joint to explore or drain it, consider 23040.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 or an assistant-at-surgery claim be reported?
Modifier 50 is inappropriate for this shoulder service. CMS payment for an assistant at surgery is statutorily restricted.
What happens when another procedure is 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.
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.
2,14722999,,Unlisted px abdomen muscskel,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14823000,,Rmvl sbdltd clcreous dep opn,A,,4.37,12.04,,4.99,,0.70,17.11,10.06,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,14923020,,Capsular contracture release,A,,9.13,8.44,NA,8.44,,1.91,19.48,19.48,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15023030,,I&d shoulder deep absc/hmtma,A,,3.38,10.11,,3.22,,0.70,14.19,7.30,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15123031,,I&d shoulder infected bursa,A,,2.72,10.63,,3.17,,0.57,13.92,6.46,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15223035,,Incision bone cortex sho,A,,8.93,8.23,NA,8.23,,1.84,19.00,19.00,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,15323040,,Arthrt gh jt expl/drg/rmv fb,A,,9.51,8.68,NA,8.68,,1.96,20.15,20.15,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097