No office rate
This code describes incision of a single tendon or muscle in the shoulder area. It is not the code for repositioning and fixing an elevated scapula.
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CMS RVU26D · Effective 2026-10-01
23400 Scapulopexy Medicare reimbursement rates in Nevada
Scapulopexy surgically repositions and fixes an elevated scapula, most often to correct congenital Sprengel deformity and improve shoulder position or motion. Compare 23400 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 23400 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
$883.05
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.
Shoulder surgery
About 23400: Scapular fixation for Sprengel deformity
Scapulopexy surgically repositions and fixes an elevated scapula, most often to correct congenital Sprengel deformity and improve shoulder position or motion.
Scapulopexy repositions and stabilizes the scapula, commonly as part of surgical correction of congenital Sprengel deformity, in which one shoulder blade sits abnormally high. An orthopedic surgeon performs the operation in an operating room. The approach and fixation method depend on the deformity and the structures involved; the procedure is directed at the position of the scapula, not the rotator cuff or shoulder joint capsule.
Report 23400 when the operative work is scapular fixation or repositioning, supported by documentation of the deformity, the side treated, and the corrective fixation performed. The CMS global period is 90 days, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23400
- 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 RVU13.52 · 50%
- Practice expense (office) RVU10.50 · 39%
- Malpractice RVU2.89 · 11%
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.
23400 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
This code describes incision of multiple tendons or muscles through the same incision. Choose 23400 when the operative objective is scapular fixation, not muscle or tendon incision alone.
No office rate
This code addresses reinforcement of shoulder bones. Scapulopexy instead corrects scapular position, commonly for Sprengel deformity.
Compare 23400 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
$883.05
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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 23400 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
2,195
- Code
- 23400
- Physician work
- 13.52
- Practice expense
- 10.50
- Malpractice
- 2.89
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.52 | × 1.000 | 13.5200 |
| Practice expense | 10.50 | × 1.001 | 10.5105 |
| Malpractice | 2.89 | × 0.833 | 2.4074 |
| Total RVUs | 26.4379 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$883.05
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.52 | 1 |
| Practice expense | 10.5 | 1.001 |
| Malpractice | 2.89 | 0.833 |
(13.52 × 1 + 10.5 × 1.001 + 2.89 × 0.833) × $33.4009 = $883.05
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.
23400 billing questions
When is 23400 appropriate instead of a shoulder repair code?
Use 23400 for surgical fixation or repositioning of the scapula, such as correction of Sprengel deformity. Rotator cuff, biceps tendon, and shoulder capsule repairs describe different operative targets.
Does the 90-day global period include routine postoperative care?
Yes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral scapulopexy reported?
CMS identifies the procedure as bilateral and pays reporting with modifier 50 at 150%. Documentation should establish that both sides were treated.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the multiple-procedure rule affect 23400?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
What operative details support reporting 23400?
Document the scapular deformity, side, and the repositioning and fixation performed. The record should make clear that the work corrects scapular position rather than repairing a tendon or shoulder joint structure.
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.
2,19223350,,Injection for shoulder x-ray,A,,0.98,3.63,,0.19,,0.09,4.70,1.26,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19323395,,Muscle transfer shoulder/arm,A,,18.08,13.46,NA,13.46,,3.72,35.26,35.26,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19423397,,Muscle transfers,A,,16.34,11.40,NA,11.40,,3.48,31.22,31.22,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19523400,,Fixation of shoulder blade,A,,13.52,10.50,NA,10.50,,2.89,26.91,26.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19623405,,Incision of tendon & muscle,A,,8.33,7.31,NA,7.31,,1.56,17.20,17.20,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19723406,,Incise tendon(s) & muscle(s),A,,10.73,7.97,NA,7.97,,1.48,20.18,20.18,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,19823410,,Repair rotator cuff acute,A,,11.11,9.49,NA,9.49,,2.30,22.90,22.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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