Billing code 23585: Scapular fracture repairMedicare rate & RVUs in Oklahoma
Report this code for open surgical treatment of a scapular fracture involving the body, glenoid, or acromion, with internal fixation when performed.
CMS doesn’t publish an office rate for 23585 in Oklahoma.
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 23585 covers
An orthopedic surgeon uses this service to treat a scapular fracture through an open approach, addressing the fracture and stabilizing it with internal fixation when performed. The code covers fractures of the scapular body, glenoid, or acromion. These operations are generally performed in a hospital or ambulatory surgery setting when the fracture pattern and clinical circumstances call for open treatment rather than closed management.
Report the code for the open treatment, not simply because imaging shows a scapular fracture. The operative report should identify the fracture site and describe the open procedure and fixation performed. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; 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.
23585 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $838.31 |
How the 23585 rate is calculated
Each of 23585’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 · 23585
RVUs × geographic indexes × conversion factor
Work13.87
13.87 RVUs× 1.000 GPCI
Practice expense10.12
10.12 RVUs× 1.000 GPCI
Malpractice2.82
2.82 RVUs× 1.000 GPCI
Adjusted RVUs
26.8100
Conversion factor
$33.4009
Medicare rate
$895.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 23585
23585 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23585
Scapular fracture repair
| 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) | 2 | Paid. |
| 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 · 23585
Scapular fracture repair
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
23585 without 50 · national facility
$895.48
Scapular fracture repair
23585-50 · Bilateral: 150%
$1,343.22
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).
23585 compared with similar codes
Compare codes · National
23585 vs 23570 vs 23575: Medicare rates
How to choose
23585 billing questions
When is this code selected instead of a closed-treatment scapular fracture code?
Use this code when the surgeon performs open treatment of the scapular fracture. Closed treatment without manipulation or with manipulation and possible skeletal traction is described by 23570 or 23575, respectively.
Does the code require internal fixation?
The code includes internal fixation when performed. The operative documentation should describe the open treatment and any fixation used.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How is bilateral treatment handled?
For bilateral procedures reported with modifier 50, CMS pays at 150% under the listed bilateral rule.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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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