$606.60
Choose 23675 for closed treatment with manipulation of a shoulder dislocation and surgical-neck fracture; 23680 describes open treatment.
On this page
CMS RVU26D · Effective 2026-10-01
23680 Shoulder fracture-dislocation Medicare reimbursement rates in New Mexico
Open operative treatment of a shoulder dislocation accompanied by a humeral surgical-neck fracture, including fixation when performed. Compare 23680 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 23680 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
No supported rate
Facility setting
$854.72
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 surgery
About 23680: Open treatment of shoulder dislocation with surgical neck fracture
Open operative treatment of a shoulder dislocation accompanied by a humeral surgical-neck fracture, including fixation when performed.
Code 23680 describes operative management of a shoulder whose humeral head is dislocated and whose humerus is fractured through the surgical neck. The surgeon exposes the injury, restores joint alignment, and treats the associated fracture; internal fixation is included when performed. Orthopedic surgeons typically perform this combined procedure in an operating room for traumatic fracture-dislocations requiring open treatment rather than closed reduction alone.
Report the code when the operative record supports both the shoulder dislocation and surgical-neck fracture and documents open treatment; identify the fracture location and work performed. The code includes fixation when performed, so do not separately report the same operative work as an unrelated dislocation or fracture procedure. Its 90-day global period includes the day before surgery and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 23680
- 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 RVU12.82 · 49%
- Practice expense (office) RVU10.35 · 40%
- Malpractice RVU2.73 · 11%
77
Medicare services in 2024 · #5080 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.
23680 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Both describe open treatment of a shoulder dislocation with an associated humeral fracture, but 23670 is for a greater-tuberosity fracture, not a surgical-neck fracture.
No office rate
23615 addresses open fixation of a proximal humeral fracture. Use 23680 when the treated injury also includes a shoulder dislocation and the fracture is at the surgical neck.
Compare 23680 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
Unavailable
Facility
$854.72
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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 23680 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
2,245
- Code
- 23680
- Physician work
- 12.82
- Practice expense
- 10.35
- Malpractice
- 2.73
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.82 | × 1.000 | 12.8200 |
| Practice expense | 10.35 | × 0.917 | 9.4909 |
| Malpractice | 2.73 | × 1.201 | 3.2787 |
| Total RVUs | 25.5897 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$854.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.82 | 1 |
| Practice expense | 10.35 | 0.917 |
| Malpractice | 2.73 | 1.201 |
(12.82 × 1 + 10.35 × 0.917 + 2.73 × 1.201) × $33.4009 = $854.72
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.
23680 billing questions
How does 23680 differ from 23675?
Use 23680 for open treatment of the shoulder dislocation with a surgical-neck fracture. Code 23675 describes closed treatment with manipulation.
Is fracture fixation included in 23680?
Yes. Internal fixation is included when performed as part of the open treatment, so do not separately report the same fixation work.
Can modifier 50 be reported for bilateral treatment?
The CMS rule identifies this as a bilateral procedure; when reported bilaterally with modifier 50, payment is 150%.
What documentation supports reporting 23680?
Document the shoulder dislocation, the humeral fracture at the surgical neck, and the open treatment performed. The operative report should make clear that both injuries were treated.
How are assistant and co-surgeon claims handled?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation.
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.
2,24223665,,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
2,24823802,,Arthrd glenohumeral jt w/grf,A,,17.96,13.61,NA,13.61,,3.83,35.40,35.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,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