No office rate
Both describe open treatment of an acute or chronic sternoclavicular dislocation. Choose 23532 when a fascial graft is used; choose 23530 when treatment does not include one.
On this page
CMS RVU26D · Effective 2026-10-01
23532 Joint reconstruction Medicare reimbursement rates in Wyoming
Reports open surgical treatment of an acute or chronic sternoclavicular dislocation when reconstruction uses a fascial graft to restore joint stability. Compare 23532 office and facility rates across CMS payment localities in Wyoming.
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 23532 in Wyoming?
Wyoming 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
$582.44
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 23532: Open sternoclavicular reconstruction with fascial graft
Reports open surgical treatment of an acute or chronic sternoclavicular dislocation when reconstruction uses a fascial graft to restore joint stability.
An orthopedic surgeon uses this code for open treatment of a sternoclavicular joint dislocation, at the junction of the sternum and clavicle, when a fascial graft is used. It can describe graft-assisted reconstruction for an acute or chronic dislocation, including a chronic or recurrent instability case requiring operative restoration of joint stability. The operative report should identify the affected joint, the dislocation, and the graft-based work performed.
Report this code rather than the open-treatment code without a graft when the fascial graft is part of the procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral treatment reported with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 23532
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.00 · 45%
- Practice expense (office) RVU8.18 · 46%
- Malpractice RVU1.70 · 10%
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.
23532 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$266.47
23520 is closed treatment without manipulation. It does not describe the open graft reconstruction reported with 23532.
$439.38
23525 describes closed treatment with manipulation; 23532 describes open treatment that includes a fascial graft.
No office rate
23552 is the graft-assisted open-treatment code for an acromioclavicular dislocation. Code 23532 is for a sternoclavicular dislocation.
Compare 23532 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$582.44
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 23532 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,224
- Code
- 23532
- Physician work
- 8.00
- Practice expense
- 8.18
- Malpractice
- 1.70
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.00 | × 1.000 | 8.0000 |
| Practice expense | 8.18 | × 1.000 | 8.1800 |
| Malpractice | 1.70 | × 0.740 | 1.2580 |
| Total RVUs | 17.4380 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$582.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8 | 1 |
| Practice expense | 8.18 | 1 |
| Malpractice | 1.7 | 0.74 |
(8 × 1 + 8.18 × 1 + 1.7 × 0.74) × $33.4009 = $582.44
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.
23532 billing questions
When is 23532 used instead of 23530?
Use 23532 when open treatment of the sternoclavicular dislocation includes a fascial graft. Use 23530 for open treatment without a fascial graft.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral sternoclavicular treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
How does the multiple-procedure rule affect payment?
When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
What documentation supports 23532?
Document the sternoclavicular dislocation, the side treated, and the open procedure and fascial graft work. The record should make clear why the graft was part of the treatment.
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.
2,22123520,,Cltx strnclav dislc w/o mnpj,A,,2.23,5.40,,4.68,,0.47,8.10,7.38,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22223525,,Cltx strnclav dislc w/mnpj,A,,3.70,8.87,,6.50,,0.79,13.36,10.99,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22323530,,Optx strnclav dislc aqt/chrn,A,,7.29,7.61,NA,7.61,,1.54,16.44,16.44,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,22423532,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,