Billing code 23182: Bone excisionMedicare rate & RVUs in Texas
Reports surgical removal of part of the scapula for a documented bone condition when the procedure is not specifically a sequestrectomy or lesion excision.
CMS doesn’t publish an office rate for 23182 in Texas.
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 23182 covers
An orthopedic surgeon reports this service when surgery removes a portion of scapular bone. The operative report should identify the affected area and describe the bone removal and its clinical purpose. The work is distinct from removing a sequestrum or performing a procedure specifically directed at a bone cyst or benign tumor. CMS utilization data show this code is performed in facility settings, such as a hospital operating room.
Choose the code from the operation documented, not just the diagnosis: record the scapular site, extent of bone removed, and whether the surgeon treated a sequestrum or a defined lesion. 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 other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are 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.
Where 23182 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $652.22 |
| Beaumont | Unavailable | $609.63 |
| Brazoria | Unavailable | $627.41 |
| Dallas | Unavailable | $633.84 |
| Fort Worth | Unavailable | $631.60 |
| Galveston | Unavailable | $630.87 |
| Houston | Unavailable | $663.45 |
| Rest Of Texas | Unavailable | $619.83 |
How the 23182 rate is calculated
Each of 23182’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 · 23182
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.39Practice expense 9.02Malpractice 1.78
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 23182
23182 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 23182
Bone excision
| 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) | 0 | Not permitted. |
| 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 · 23182
Bone excision
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
23182 without 50 · national facility
$640.96
Bone excision
23182-50 · Bilateral: 150%
$961.44
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).
23182 compared with similar codes
Compare codes
23182 vs 23172 vs 23140 vs 23190: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 23172Sequestrectomy
- 23172 is for sequestrectomy of the scapula. Use 23182 when the documented service is partial scapular bone excision rather than removal of a sequestrum.
- 23140Bone lesion removal
- 23140 addresses excision or curettage of a bone cyst or benign tumor. 23182 describes partial scapular bone excision without that lesion-specific service.
- 23190Bone removal
- Both concern partial removal of scapular bone. Distinguish them by the procedure documented and the specific service performed; do not select solely from the diagnosis.
23182 billing questions
How does this differ from scapular sequestrectomy?
Use 23182 for partial removal of scapular bone when the procedure is not specifically removal of a sequestrum. When the operative service is sequestrectomy, consider 23172.
When would a bone-lesion code be a better fit?
A code such as 23140 is for a procedure directed at a bone cyst or benign tumor. Select 23182 when the documented service is partial scapular bone excision rather than lesion-specific excision or curettage.
What should the operative report document?
Document the scapular location, the portion and extent of bone removed, the reason for removal, and whether the procedure addressed a sequestrum or a defined lesion.
How is bilateral scapular surgery reported?
For bilateral work, CMS lists modifier 50, with payment at 150%.
What is included in the global period?
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 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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