No office rate
Use 23200 when the radical tumor resection is performed at the clavicle. Code 23210 is specific to the scapula.
On this page
CMS RVU26D · Effective 2026-10-01
23210 Tumor resection Medicare reimbursement rates in Washington
Reports radical removal of a tumor involving the scapula, when the surgeon performs an oncologic resection rather than limited lesion excision or curettage. Compare 23210 office and facility rates across CMS payment localities in Washington.
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 23210 in Washington?
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1582.99–$1715.89
2 of 2 localities have a supported rate.
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.
Musculoskeletal surgery
About 23210: Radical scapular tumor resection
Reports radical removal of a tumor involving the scapula, when the surgeon performs an oncologic resection rather than limited lesion excision or curettage.
An orthopedic oncologic surgeon performs this major operation to remove tumor-bearing scapular bone through a radical resection, usually in a hospital operating room. The code is selected for a radical resection at the scapula, not for a tumor resection of the clavicle or proximal humerus. It distinguishes this extensive approach from limited curettage or local excision of a scapular lesion.
Report the service based on the operative site and extent of resection. The operative report should identify the scapular tumor, the bone removed, and the radical nature of the procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 23210
- 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 RVU26.53 · 56%
- Practice expense (office) RVU15.41 · 32%
- Malpractice RVU5.64 · 12%
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Medicare services in 2024 · #5747 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.
23210 compared with similar codes
Office rates for Washington, from the same CMS release.
No office rate
Use 23220 for radical tumor resection at the proximal humerus; 23210 applies when the resection site is the scapula.
No office rate
Code 23140 describes excision or curettage of a scapular bone cyst or benign tumor. Code 23210 is for radical tumor resection, not limited lesion treatment.
Compare 23210 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.
2 of 2 payment localities
Rest Of Washington →
Office / nonfacility
Unavailable
Facility
$1582.99
Seattle (King Cnty) →
Office / nonfacility
Unavailable
Facility
$1715.89
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23210 billing questions
How does 23210 differ from 23140?
23210 is for radical resection of a scapular tumor. Use 23140 for excision or curettage of a scapular bone cyst or benign tumor when that limited procedure is performed instead.
When should 23200 or 23220 be used instead?
Choose 23200 when the radical tumor resection is at the clavicle, and 23220 when it is at the proximal humerus. Code 23210 identifies the scapula as the resection site.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral resection reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session 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 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.
2,18323190,,Ostectomy scapula partial,A,,7.28,7.60,NA,7.60,,1.54,16.42,16.42,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18423195,,Resection humeral head,A,,10.10,9.00,NA,9.00,,2.15,21.25,21.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18523200,,Radical rescj tumor clavicle,A,,22.14,14.01,NA,14.01,,4.73,40.88,40.88,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18623210,,Radical rescj tumor scapula,A,,26.53,15.41,NA,15.41,,5.64,47.58,47.58,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18723220,,Radical rescj tumor prox hum,A,,29.45,16.31,NA,16.31,,6.26,52.02,52.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18823330,,Remove shoulder foreign body,A,,1.85,7.58,,2.73,,0.40,9.83,4.98,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,18923333,,Remove shoulder fb deep,A,,5.85,6.66,NA,6.66,,1.25,13.76,13.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00