$266.64
23540 is closed treatment without manipulation. Choose 23550 when the surgeon performs open treatment of the acromioclavicular dislocation.
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CMS RVU26D · Effective 2026-10-01
23550 AC joint repair Medicare reimbursement rates in Vermont
Report open surgical repair or stabilization of an acute or chronic acromioclavicular dislocation when the reconstruction is performed without a graft. Compare 23550 office and facility rates across CMS payment localities in Vermont.
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 23550 in Vermont?
Vermont 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
$514.22
1 of 1 localities have a supported rate.
Payment area: Vermont
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 23550: Open acromioclavicular dislocation repair
Report open surgical repair or stabilization of an acute or chronic acromioclavicular dislocation when the reconstruction is performed without a graft.
An orthopedic surgeon uses an open approach to treat an acromioclavicular joint dislocation, typically by repairing or stabilizing the disrupted joint and supporting ligaments. The injury is commonly a traumatic separation at the top of the shoulder. This code covers open treatment without the graft-based reconstruction represented by its related code, 23552. These procedures are generally performed in a surgical facility.
Select the code based on the documented joint injury and the treatment actually performed: open repair or stabilization without a graft, rather than closed management or treatment of a clavicle fracture. The operative report should identify the acromioclavicular dislocation and describe the open treatment. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 23550
- 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 RVU7.40 · 46%
- Practice expense (office) RVU7.33 · 45%
- Malpractice RVU1.46 · 9%
715
Medicare services in 2024 · #3240 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.
23550 compared with similar codes
Office rates for Vermont, from the same CMS release.
$484.69
23545 is closed treatment with manipulation; 23550 describes open surgical treatment.
No office rate
Both describe open treatment of an acromioclavicular dislocation; 23552 is the graft-based reconstruction code.
No office rate
23530 treats a sternoclavicular dislocation. Code 23550 is for an acromioclavicular dislocation.
Compare 23550 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
Vermont →
Office / nonfacility
Unavailable
Facility
$514.22
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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 23550 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,227
- Code
- 23550
- Physician work
- 7.40
- Practice expense
- 7.33
- Malpractice
- 1.46
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.40 | × 1.000 | 7.4000 |
| Practice expense | 7.33 | × 0.990 | 7.2567 |
| Malpractice | 1.46 | × 0.506 | 0.7388 |
| Total RVUs | 15.3955 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$514.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.4 | 1 |
| Practice expense | 7.33 | 0.99 |
| Malpractice | 1.46 | 0.506 |
(7.4 × 1 + 7.33 × 0.99 + 1.46 × 0.506) × $33.4009 = $514.22
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.
23550 billing questions
When should 23550 be chosen instead of 23552?
Use 23550 for open treatment of an acromioclavicular dislocation without graft-based reconstruction. Use 23552 when the open treatment includes a graft.
How does 23550 differ from 23545?
23550 describes open surgical treatment. 23545 is for closed treatment of an acromioclavicular dislocation with manipulation.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
How is bilateral treatment reported under the CMS facts?
Report modifier 50 for bilateral treatment; CMS pays the procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
2,22423532,,Optx strclv dslc aq/chrn grf,A,,8.00,8.18,NA,8.18,,1.70,17.88,17.88,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22523540,,Cltx acromclav dislc wo mnpj,A,,2.30,5.49,,4.90,,0.49,8.28,7.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22623545,,Cltx acromclav dislc w/mnpj,A,,3.34,10.86,,8.59,,0.83,15.03,12.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22723550,,Optx acromclv dislc aqt/chrn,A,,7.40,7.33,NA,7.33,,1.46,16.19,16.19,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22823552,,Optx acrclv dslc aq/chrn grf,A,,8.60,8.04,NA,8.04,,1.69,18.33,18.33,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22923570,,Cltx scapular fx w/o mnpj,A,,2.30,5.19,,4.80,,0.47,7.96,7.57,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,23023575,,Cltx scap fx w/mnpj +-tractj,A,,4.12,8.74,,6.35,,0.88,13.74,11.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817