No office rate
This code describes excision or curettage of a clavicular bone cyst or benign tumor. Code 23200 describes radical tumor resection, not limited lesion treatment.
On this page
CMS RVU26D · Effective 2026-10-01
23200 Clavicle tumor resection Medicare reimbursement rates in Nevada
Reports radical surgical removal of a tumor involving the clavicle, typically performed by an orthopedic oncologist when extensive tumor resection is required. Compare 23200 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 23200 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
No supported rate
Facility setting
$1339.51
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 23200: Radical clavicle tumor resection
Reports radical surgical removal of a tumor involving the clavicle, typically performed by an orthopedic oncologist when extensive tumor resection is required.
This service involves extensive surgical removal of a tumor involving the clavicle, rather than a limited excision or curettage. It is typically performed by an orthopedic oncologist in an operating room, often in a hospital setting, for a tumor whose extent and surgical plan call for radical resection. The operative approach and structures removed depend on the tumor’s location and extent.
Select the code based on the radical nature of the tumor resection and the clavicular site. The operative report should identify the tumor, its relationship to the clavicle, and the extent of resection; imaging and pathology records can support the clinical picture. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, 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 23200
- 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 RVU22.14 · 54%
- Practice expense (office) RVU14.01 · 34%
- Malpractice RVU4.73 · 12%
20
Medicare services in 2024 · #5909 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.
23200 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
This code describes partial clavicle removal. Use 23200 when the operation is a radical resection for a tumor, rather than a partial claviculectomy.
No office rate
Both are radical tumor resection codes; 23210 applies when the tumor involves the scapula, while 23200 applies to the clavicle.
No office rate
Both are radical tumor resection codes; 23220 applies when the tumor involves the proximal humerus, while 23200 applies to the clavicle.
Compare 23200 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
Unavailable
Facility
$1339.51
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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 23200 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
2,185
- Code
- 23200
- Physician work
- 22.14
- Practice expense
- 14.01
- Malpractice
- 4.73
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.14 | × 1.000 | 22.1400 |
| Practice expense | 14.01 | × 1.001 | 14.0240 |
| Malpractice | 4.73 | × 0.833 | 3.9401 |
| Total RVUs | 40.1041 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$1339.51
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.14 | 1 |
| Practice expense | 14.01 | 1.001 |
| Malpractice | 4.73 | 0.833 |
(22.14 × 1 + 14.01 × 1.001 + 4.73 × 0.833) × $33.4009 = $1339.51
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.
23200 billing questions
How is this distinguished from clavicle excision or curettage?
This code is for radical tumor resection. A limited excision or curettage of a benign bone lesion is a different service; use the code that matches the documented procedure and extent.
Does the 90-day global period include related postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is the code paid when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures subject to the multiple-procedure rule are paid at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How is bilateral clavicle surgery reported?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS rule for this code.
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.
2,18223184,,Prtl excision bone prox hum,A,,9.65,9.16,NA,9.16,,2.04,20.85,20.85,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18323190,,Ostectomy scapula partial,A,,7.28,7.60,NA,7.60,,1.54,16.42,16.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18423195,,Resection humeral head,A,,10.10,9.00,NA,9.00,,2.15,21.25,21.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18523200,,Radical rescj tumor clavicle,A,,22.14,14.01,NA,14.01,,4.73,40.88,40.88,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18623210,,Radical rescj tumor scapula,A,,26.53,15.41,NA,15.41,,5.64,47.58,47.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18723220,,Radical rescj tumor prox hum,A,,29.45,16.31,NA,16.31,,6.26,52.02,52.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18823330,,Remove shoulder foreign body,A,,1.85,7.58,,2.73,,0.40,9.83,4.98,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,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