No office rate
Choose 23462 when the operative stabilization includes coracoid transfer. Choose 23450 for anterior capsular stabilization without that transfer.
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CMS RVU26D · Effective 2026-10-01
23462 Shoulder stabilization Medicare reimbursement rates in Rhode Island
Open anterior shoulder stabilization with transfer of the coracoid process is reported for recurrent instability requiring this specific bony augmentation. Compare 23462 office and facility rates across CMS payment localities in Rhode Island.
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 23462 in Rhode Island?
Rhode Island 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
$987.04
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 23462: Anterior shoulder stabilization with coracoid transfer
Open anterior shoulder stabilization with transfer of the coracoid process is reported for recurrent instability requiring this specific bony augmentation.
This open operation stabilizes an unstable shoulder by moving the coracoid process, with its attached tendon, to the front of the glenoid and securing it there. Orthopedic surgeons typically perform it for recurrent anterior shoulder dislocations or instability when the operative plan calls for coracoid transfer as part of the stabilization. It is distinct from capsular repair alone and from procedures using a different bone-block method.
Report the code when the operative documentation supports both anterior stabilization and coracoid transfer; the transfer is part of the coded service, not a separate procedure to report again. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23462
- 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 RVU15.33 · 52%
- Practice expense (office) RVU10.67 · 36%
- Malpractice RVU3.26 · 11%
55
Medicare services in 2024 · #5294 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.
23462 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
23455 is the relevant choice when anterior stabilization includes labral repair but not coracoid transfer; 23462 describes the coracoid-transfer approach.
No office rate
Both address anterior shoulder stabilization with bony augmentation, but 23462 specifies transfer of the coracoid process; 23460 describes a different bone-block approach.
No office rate
23465 addresses posterior capsular stabilization. Use 23462 for anterior stabilization involving coracoid transfer.
Compare 23462 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$987.04
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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 23462 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
2,207
- Code
- 23462
- Physician work
- 15.33
- Practice expense
- 10.67
- Malpractice
- 3.26
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.33 | × 1.019 | 15.6213 |
| Practice expense | 10.67 | × 1.033 | 11.0221 |
| Malpractice | 3.26 | × 0.892 | 2.9079 |
| Total RVUs | 29.5513 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$987.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.33 | 1.019 |
| Practice expense | 10.67 | 1.033 |
| Malpractice | 3.26 | 0.892 |
(15.33 × 1.019 + 10.67 × 1.033 + 3.26 × 0.892) × $33.4009 = $987.04
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.
23462 billing questions
When should this code be chosen over a shoulder capsular repair code?
Use it when the documented stabilization includes transfer of the coracoid process. A capsular repair without that transfer is not this service.
Is the coracoid transfer separately billable?
No. The transfer is included in this shoulder stabilization service and should not be reported a second time as a separate procedure.
What documentation supports reporting this code?
The operative report should describe anterior stabilization and the coracoid process transfer, including the transfer’s role in the reconstruction.
How is bilateral reporting handled?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,20423450,,Repair shoulder capsule,A,,13.36,9.89,NA,9.89,,2.85,26.10,26.10,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20523455,,Repair shoulder capsule,A,,14.30,9.33,NA,9.33,,2.73,26.36,26.36,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20623460,,Repair shoulder capsule,A,,15.42,11.26,NA,11.26,,3.28,29.96,29.96,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20723462,,Repair shoulder capsule,A,,15.33,10.67,NA,10.67,,3.26,29.26,29.26,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20823465,,Repair shoulder capsule,A,,15.89,11.41,NA,11.41,,3.38,30.68,30.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,20923466,,Repair shoulder capsule,A,,15.41,12.43,NA,12.43,,3.14,30.98,30.98,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,21023470,,Reconstruct shoulder joint,A,,17.44,11.57,NA,11.57,,3.56,32.57,32.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537