Billing code 23330: Foreign-body removalMedicare rate & RVUs in Utah

Removal of a foreign object from subcutaneous tissue at the shoulder, selected when the operative report documents a superficial rather than deep location.

CMS RVU26DEffective Oct 1, 20261 payment locality35 Medicare services in 2024

Medicare pays $311.78 for 23330 in the office in Utah (Utah). Which amount applies depends on the service address.

$311.78Office (non-facility)
$159.50Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 23330 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 23330 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 23330 covers

This service covers surgical removal of a foreign object from the subcutaneous tissue of the shoulder. An orthopedic surgeon or another qualified surgeon may perform it when a retained object, such as a fragment beneath the skin, requires removal through an incision. The shoulder location and superficial tissue depth distinguish this service from removal of a deeper object.

Choose this code when the operative report supports a subcutaneous shoulder location; a deep object points to the corresponding deep-removal code. Document the object’s location and depth, the removal performed, and the treated side. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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.

23330 in Utah

23330 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$311.78$159.50

How the 23330 rate is calculated

Each of 23330’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 · 23330

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.85Practice expense 7.58Malpractice 0.40

9.8300 adjusted RVUs×$33.4009 conversion factor=$328.33

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 23330

23330 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 23330

Foreign-body removal

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 23330

Foreign-body removal

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

23330 without 50 · national office

$328.33

Foreign-body removal

23330-50 · Bilateral: 150%

$492.50

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).

When to use modifier 50

23330 compared with similar codes

Compare codes

23330 vs 23333 vs 10120 vs 23334: national Medicare rates

Swap in your local Medicare rate.

  • 23330
    Foreign-body removal · 1.85 wRVU
    $328.33
  • 23333
    Foreign body removal · 5.85 wRVU
    —
  • 10120
    Foreign body removal · 1.19 wRVU
    $157.32−$171.01
  • 23334
    Prosthesis removal · 15.11 wRVU
    —

How to choose

23333Foreign body removal
The key distinction is tissue depth: 23330 is for a subcutaneous shoulder object, while 23333 is for a deep object.
10120Foreign body removal
10120 is a general code for simple removal of a subcutaneous foreign body. Use the shoulder-specific code when the documented site and procedure meet that code's criteria.
23334Prosthesis removal
23334 concerns removal of a shoulder prosthesis. This code is for a separate foreign object in subcutaneous shoulder tissue, not removal of a prosthesis.

23330 billing questions

How do I distinguish this code from 23333?

Use this code when the foreign object is documented in subcutaneous shoulder tissue. Code 23333 is for a deep shoulder foreign object.

Does the 10-day global period include postoperative visits?

Yes. Related postoperative visits during the 10-day global period are included in the procedure payment.

How is bilateral removal reported?

For bilateral procedures, report modifier 50; CMS pays the procedure at 150%.

Can an assistant surgeon be paid?

Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.

What documentation supports selecting this code?

Document the shoulder site, the foreign object's subcutaneous depth, the side treated, and the removal performed. A deep location supports a different code in the shoulder foreign-body removal family.

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
RVUs for 23330PPRRVU2026_Oct_nonQPP.csv, line 2,188 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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