Billing code 23334: Prosthesis removalMedicare rate & RVUs in Ohio
Report this service when a surgeon removes a prosthetic implant from the shoulder joint, such as during a staged treatment or implant-removal operation.
CMS doesn’t publish an office rate for 23334 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 23334 covers
The surgeon removes a prosthesis or implant from the shoulder joint, commonly in an operating room when an implant must be explanted, including in staged treatment or before a later reconstruction. The operative report should identify the shoulder, the prosthetic components removed, the reason for removal, and the work performed. Removal of a prosthesis is distinct from taking out a nonprosthetic foreign body in the shoulder region.
Select this code when the documented service is removal of the shoulder prosthesis; use the applicable sibling or revision code when the operation’s extent supports that choice. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
23334 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $944.68 |
How the 23334 rate is calculated
Each of 23334’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 23334
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 15.11Practice expense 11.05Malpractice 3.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 23334
23334 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23334
Prosthesis removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 23334
Prosthesis removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
23334 without 50 · national facility
$975.97
Prosthesis removal
23334-50 · Bilateral: 150%
$1,463.96
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
23334 compared with similar codes
Compare codes
23334 vs 23335 vs 23330 vs 23333: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 23335Prosthesis removal
- This is the related shoulder-prosthesis removal code. Distinguish the codes by the complexity and extent documented for the removal.
- 23330Foreign-body removal
- This code concerns removal of a shoulder foreign body, not removal of a shoulder joint prosthesis.
- 23333Foreign body removal
- This code concerns removal of a deep shoulder foreign body, not removal of a shoulder joint prosthesis.
23334 billing questions
How does this differ from 23335?
Both concern shoulder prosthesis removal. Choose the sibling that matches the documented complexity and operative work; the operative report should support that distinction.
Can this be reported with a shoulder revision arthroplasty?
When removal is part of a same-session revision, code selection should reflect the revision procedure performed. Do not report isolated prosthesis removal automatically for work included in the revision.
What documentation supports this code?
Document the shoulder involved, the prosthesis or components removed, the indication, and the operative work. State whether the procedure was unilateral or bilateral.
How does Medicare handle bilateral reporting?
For bilateral shoulder prosthesis removal, report modifier 50; CMS pays the bilateral procedure at 150%.
Is an assistant surgeon payable for this procedure?
CMS applies a statutory restriction, so an assistant at surgery is not paid. Co-surgeons are paid only when supporting documentation is provided.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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