$479.05
That code is for a dislocation associated with a greater-tuberosity fracture. This code identifies the surgical-neck fracture pattern.
On this page
CMS RVU26D · Effective 2026-10-01
23675 Shoulder reduction Medicare reimbursement rates in New Mexico
Report this service when a shoulder dislocation with an associated humeral surgical-neck fracture is treated closed by manipulation to restore alignment. Compare 23675 office and facility rates across CMS payment localities in New Mexico.
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 23675 in New Mexico?
New Mexico 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
$606.60
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$498.17
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 treatment
About 23675: Closed shoulder fracture-dislocation reduction
Report this service when a shoulder dislocation with an associated humeral surgical-neck fracture is treated closed by manipulation to restore alignment.
This service is for a shoulder fracture-dislocation involving the surgical neck of the humerus when the clinician restores alignment through closed manipulation rather than an open operation. An orthopedic surgeon commonly performs the reduction in a hospital or other acute-care setting, often with analgesia or sedation. The code distinguishes this injury from a shoulder dislocation without a fracture and from a fracture-dislocation involving the greater tuberosity.
Report it when the documentation identifies both the shoulder dislocation and surgical-neck fracture and supports the closed manipulation performed. The fracture-dislocation treatment is represented by this combined service; do not separately report closed treatment of that same fracture as though it were an independent injury. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment with modifier 50, payment is at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 23675
- 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
- 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 RVU6.11 · 32%
- Practice expense (office) RVU11.40 · 61%
- Malpractice RVU1.33 · 7%
83
Medicare services in 2024 · #5013 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.
23675 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Both address a shoulder dislocation with a surgical-neck fracture, but 23680 is for open treatment; this code is for closed manipulation.
$415.18
23650 covers closed manipulation of a shoulder dislocation without an associated fracture. Use this code when the dislocation includes a surgical-neck fracture.
Compare 23675 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
New Mexico →
Office / nonfacility
$606.60
Facility
$498.17
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 23675 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
2,244
- Code
- 23675
- Physician work
- 6.11
- Practice expense
- 11.40
- Malpractice
- 1.33
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.11 | × 1.000 | 6.1100 |
| Practice expense | 11.40 | × 0.917 | 10.4538 |
| Malpractice | 1.33 | × 1.201 | 1.5973 |
| Total RVUs | 18.1611 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$606.60
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.11 | 1 |
| Practice expense | 11.4 | 0.917 |
| Malpractice | 1.33 | 1.201 |
(6.11 × 1 + 11.4 × 0.917 + 1.33 × 1.201) × $33.4009 = $606.60
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.11 | 1 |
| Practice expense | 7.86 | 0.917 |
| Malpractice | 1.33 | 1.201 |
(6.11 × 1 + 7.86 × 0.917 + 1.33 × 1.201) × $33.4009 = $498.17
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.
23675 billing questions
How is this different from a code for shoulder dislocation alone?
Use this code when the dislocation is accompanied by a surgical-neck fracture and closed manipulation treats the fracture-dislocation. Codes for dislocation alone are for cases without that associated fracture.
Can the surgical-neck fracture be reported separately?
The fracture-dislocation treatment is represented by this combined service. Do not separately report closed treatment of the same surgical-neck fracture as an independent injury.
Does anesthesia determine whether this code applies?
The defining distinction is the surgical-neck fracture accompanying the dislocation and closed manipulation, not whether anesthesia or sedation is used.
What documentation supports reporting this code?
Document the shoulder dislocation, the associated humeral surgical-neck fracture, and the closed manipulation used to restore alignment.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in this major-surgery global period.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are 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.
2,24123660,,Optx acute shoulder dislc,A,,7.47,7.55,NA,7.55,,1.48,16.50,16.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24223665,,Cltx sho dslc fx gr hmrl tbr,A,,4.54,9.38,,6.93,,1.00,14.92,12.47,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24323670,,Optx sho dislc fx,A,,11.97,9.99,NA,9.99,,2.52,24.48,24.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24423675,,Cltx sho dislc neck fx mnpj,A,,6.11,11.40,,7.86,,1.33,18.84,15.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24523680,,Optx sho dislc neck fx fixj,A,,12.82,10.35,NA,10.35,,2.73,25.90,25.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24623700,,Mnpj anes sho jt fixj aprats,A,,2.51,2.53,NA,2.53,,0.49,5.53,5.53,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24723800,,Arthrodesis glenohumeral jt,A,,14.36,10.93,NA,10.93,,3.05,28.34,28.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210