No office rate
Choose 23700 for manipulation under general anesthesia. Choose 29825 when the surgeon performs arthroscopic capsular release.
On this page
CMS RVU26D · Effective 2026-10-01
23700 Shoulder manipulation Medicare reimbursement rates in Wyoming
Reports manipulation of a stiff shoulder joint under general anesthesia, including fixation apparatus when used, to restore motion without arthroscopic release. Compare 23700 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 23700 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
$180.45
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 procedure
About 23700: Shoulder manipulation under anesthesia
Reports manipulation of a stiff shoulder joint under general anesthesia, including fixation apparatus when used, to restore motion without arthroscopic release.
The surgeon moves the shoulder joint through its range while the patient is under general anesthesia to address substantial stiffness, commonly from adhesive capsulitis. The procedure is typically performed in an operating room or ambulatory surgery setting; the surgeon performs the manipulation and an anesthesia professional provides general anesthesia. The code includes application of fixation apparatus when used. It is distinct from arthroscopic capsular release, which involves operative visualization and tissue release.
Report 23700 for the shoulder manipulation itself, not simply for administering anesthesia or documenting limited motion. The operative note should identify the affected shoulder, the indication, the manipulation performed, and any fixation apparatus applied. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 23700
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.51 · 45%
- Practice expense (office) RVU2.53 · 46%
- Malpractice RVU0.49 · 9%
2.4K
Medicare services in 2024 · #2336 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.
23700 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Code 23655 concerns closed treatment of a shoulder dislocation requiring manipulation. Code 23700 addresses manipulation of a stiff shoulder joint.
$67.68
Code 20610 reports aspiration or injection of a major joint. It does not represent manipulation to restore shoulder motion.
Compare 23700 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
$180.45
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 23700 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,246
- Code
- 23700
- Physician work
- 2.51
- Practice expense
- 2.53
- Malpractice
- 0.49
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.51 | × 1.000 | 2.5100 |
| Practice expense | 2.53 | × 1.000 | 2.5300 |
| Malpractice | 0.49 | × 0.740 | 0.3626 |
| Total RVUs | 5.4026 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$180.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.51 | 1 |
| Practice expense | 2.53 | 1 |
| Malpractice | 0.49 | 0.74 |
(2.51 × 1 + 2.53 × 1 + 0.49 × 0.74) × $33.4009 = $180.45
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.
23700 billing questions
When should 23700 be chosen over arthroscopic capsular release?
Use 23700 when the surgeon restores shoulder motion by manipulation under general anesthesia. Arthroscopic capsular release involves surgical release of the capsule under arthroscopic visualization.
What documentation supports reporting 23700?
Document the shoulder and side treated, the reason for stiffness, the manipulation performed, and any fixation apparatus applied. The record should support that the shoulder was manipulated under general anesthesia.
How are bilateral shoulder procedures reported?
For bilateral reporting, use modifier 50; CMS pays the bilateral procedure at 150%. Document the procedure performed on each shoulder.
Are postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in 23700.
Can an assistant or co-surgeon be reported?
CMS does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are 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.
2,24323670,,Optx sho dislc fx,A,,11.97,9.99,NA,9.99,,2.52,24.48,24.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24423675,,Cltx sho dislc neck fx mnpj,A,,6.11,11.40,,7.86,,1.33,18.84,15.30,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24523680,,Optx sho dislc neck fx fixj,A,,12.82,10.35,NA,10.35,,2.73,25.90,25.90,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24623700,,Mnpj anes sho jt fixj aprats,A,,2.51,2.53,NA,2.53,,0.49,5.53,5.53,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24723800,,Arthrodesis glenohumeral jt,A,,14.36,10.93,NA,10.93,,3.05,28.34,28.34,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24823802,,Arthrd glenohumeral jt w/grf,A,,17.96,13.61,NA,13.61,,3.83,35.40,35.40,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,24923900,,Interthoracoscplr amputation,A,,20.20,13.13,NA,13.13,,4.30,37.63,37.63,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,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.,,,,,,