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CPT 23073 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Exc Tumor Soft Tissue Shoulder Subfascial 5 Cm
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

22 - On Campus Outpatient Hospital

24 - Ambulatory Surgical Center

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelModerate

National average reimbursement for CPT 23073 by major payers:

bcbs

$952.13

uhc

$952.06

aetna

$986.33

cigna

$1,182.10

Preview provider-level rates for...
For billing codeCPT 23073
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 23073

United
23073$2043.001073944039 - THE POLYCLINIC, THE POLYCLINIC PLASTIC SURGERY CENTER910369070 - (WA) THE POLYCLINIC, PLLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$1000.001942553300 - COLUMBIA SURGICAL INSTITUTE, LLC454449408 - (MD) COLUMBIA SURGICAL INSTITUTE LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$4453.001063442077 - INOVA LOUDOUN AMBULATORY SURGERY203523190 - (VA) INOVA LOUDOUN AMBULATORY SURGERYVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$1550.001144827114 - GULFSTREAM SURGICAL FORT WORTH LLC851495125 - (TX) GULFSTREAM SURGICAL FORT WORTHTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$1317.001053632372 - ORTHOATLANTA SURGERY CENTER OF AUSTELL, LLC272363967 - (GA) ORTHOATLANTA SURGERY CENTER OF AUSTELL LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$1369.001831746007 - GC SURGERY CENTER LLC823013393 - (GA) GC SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$1188.001447223938 - CHATTANOOGA ENDOSCOPY ASC LLC, CHATTANOOGA ENDOSCOPY CENTER621789882 - (TN) CHATTANOOGA ENDOSCOPY, ASC, LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$2051.001558344846 - ALGONQUIN ROAD SURGERY CENTER, LLC364337493 - (IL) ALGONQUIN ROAD SURGERY CENTERILAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$861.001528153111 - MECHANICSVILLE AMBULATORY SURGERY CENTER, LLC200767912 - (MD) MECHANICSVILLE AMBULATORY SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$806.001326494147 - CENTER FOR SPINE & PAIN MEDICINE PC, CSPM GAINESVILLE ASC341976829 - CENTER FOR SPINE AND PAIN MEDICIGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$2353.001821421256 - MONOCACY SURGERY CENTER LLC462861862 - (MD) MONOCACY SURGERY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$1540.001922052364 - AMARILLO SURGERY AND ENDOSCOPY, LP, ADC ENDOSCOPY SPECIALISTS203590535 - (TX) AMARILLO SURGERY AND ENDOSCOPY LPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$916.001770551517 - SOUTHERN MARYLAND ENDOSCOPY CENTER522315798 - (MD) SOUTHERN MARYLAND ENDOSCOPY CENTERMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$1600.001114552338 - GEORGIA INTERVENTIONAL PAIN842028147 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
23073$519.001285120352 - AKDHC SURGERY CENTER, LLC753052504AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 23073 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 23073 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 23073 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
23065-CPTModerateBiopsy,Soft Tissue Of Shoulder Area; Sup
23066-CPTModerateBiopsy Soft Tissue Shoulder Deep
23071-CPTModerateExcision Tumor Soft Tissue Shoulder Subq 3 Cm
23073-CPTModerateExc Tumor Soft Tissue Shoulder Subfascial 5 Cm

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 23073 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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