$307.89–$385.56
23931 is for drainage of an upper-arm or elbow bursa. Choose 23930 when the target is a deep abscess or hematoma outside the bursa.
On this page
CMS RVU26D · Effective 2026-10-01
23930 Deep drainage Medicare reimbursement rates in New York
Surgical drainage of a deep abscess or hematoma in the upper arm or elbow area when the collection requires operative access. Compare 23930 office and facility rates across CMS payment localities in New York.
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 23930 in New York?
New York has 5 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 5 payment areas shown below, using the same CMS release.
Office / nonfacility
$361.89–$454.55
5 of 5 localities have a supported rate.
Facility setting
$194.67–$245.26
5 of 5 localities have a supported rate.
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.
Where 23930 pays more and less in New York
5 payment localities
$361.89 to $454.55
Musculoskeletal surgery
About 23930: Deep upper arm or elbow drainage
Surgical drainage of a deep abscess or hematoma in the upper arm or elbow area when the collection requires operative access.
Code 23930 covers operative opening and evacuation of a deep abscess or hematoma in the upper arm or elbow region. An orthopedic or other surgeon typically performs it when the collection lies beyond a superficial skin or subcutaneous pocket and requires deeper exposure for drainage. The procedure may take place in an operating room or, when appropriate, an office procedure room. The target is a deep collection, not an elbow bursa.
Report the service for the documented drainage, specifying the side and region, the collection and its depth, and the work performed to expose and evacuate it. Documentation should distinguish a deep collection from a skin-level abscess or bursal process. CMS assigns a 10-day minor-procedure global period, including related postoperative visits during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral performance with modifier 50 is paid at 150%. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 23930
- 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 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 RVU2.92 · 26%
- Practice expense (office) RVU7.88 · 69%
- Malpractice RVU0.61 · 5%
1.1K
Medicare services in 2024 · #2888 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.
23930 compared with similar codes
Office rates for New York, from the same CMS release.
$450.13–$565.04
Both address deep abscess or hematoma drainage, but 23030 is for the shoulder region; 23930 is for the upper arm or elbow area.
$123.08–$150.83
10060 describes simple drainage of a superficial skin or subcutaneous abscess. Use 23930 for a deep upper-arm or elbow collection requiring deeper exposure.
$166.47–$205.56
10140 describes drainage of a hematoma, seroma, or fluid collection. Consider 23930 when the service is deep drainage in the upper arm or elbow region.
Compare 23930 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.
5 of 5 payment localities
Manhattan →
Office / nonfacility
$441.92
Facility
$237.39
Nyc Suburbs/Long Island →
Office / nonfacility
$454.55
Facility
$245.26
Poughkpsie/N Nyc Suburbs →
Office / nonfacility
$414.78
Facility
$222.03
Queens →
Office / nonfacility
$444.25
Facility
$236.20
Rest Of New York →
Office / nonfacility
$361.89
Facility
$194.67
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23930 billing questions
How does this differ from drainage of an elbow bursa?
Use 23930 for a deep abscess or hematoma in the upper arm or elbow region. A collection specifically involving the bursa is described by 23931.
Can this code be used for a superficial skin abscess?
No. For a simple skin or subcutaneous abscess, consider 10060; 23930 is for a deep collection in the upper arm or elbow area.
What documentation supports reporting 23930?
Document the anatomical region and side, whether the target is an abscess or hematoma, its depth, and the operative exposure and drainage performed.
Are related postoperative visits separately included?
CMS assigns this procedure a 10-day global period. Related postoperative visits during those 10 days are included.
How does Medicare handle bilateral reporting and assistants?
CMS pays bilateral performance reported with modifier 50 at 150%. An assistant at surgery is not paid, and co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and pays the other procedures at 50% when multiple procedures are performed in the same session.
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.
2,25023920,,Disarticulation shoulder,A,,15.82,11.79,NA,11.79,,3.36,30.97,30.97,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25123921,,Disarticulation sho sec clsr,A,,5.58,6.97,NA,6.97,,1.20,13.75,13.75,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25223929,,Unlisted procedure shoulder,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25323930,,I&d upr a/e dp absc/hmtma,A,,2.92,7.88,,2.61,,0.61,11.41,6.14,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25423931,,I&d upr a/e bursa,A,,1.79,7.56,,2.61,,0.35,9.70,4.75,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25523935,,Inc dp opn b1 crtx hum/elbw,A,,6.22,7.31,NA,7.31,,1.30,14.83,14.83,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,25624000,,Arthrt elbw expl drg/rmvl fb,A,,5.93,6.66,NA,6.66,,1.22,13.81,13.81,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00