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See a sample rate comparisonCPT 23076 Fee Schedule
Last Verified: October 2026
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.
Xcision Tumor Sft Tissue Of Shlder Area Subfasci (Eg Myomecto, Excision Tumor Soft Tissue Of Shoulder Area Subfascial (Eg Intramu
| Key Fact | Detail |
|---|---|
| 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 Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23076 |
| Medicaid Fee Schedule | View Medicaid rates for 23076 |
National average reimbursement for CPT 23076 by major payers:
$786.78
$733.95
$757.36
$891.30
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CPT 23076
5 of 25 sample ratesHigher to lower in this preview
Denton Surgicare Partners Ltd, Baylor Scott & White Surgicare - Denton
Denton Surgicare Partners Ltd
$2,172.00Published rateSurgicare Of Miramar LLC
$1,233.00Published rateBaptist Surgery And Endoscopy Centers LLC, Baptist Health Surgery Center At Northpoint
$803.00Published rateMid-Atlantic Endoscopy Center, LLC, Mid-Atlantic Gastrointestinal Center II
Midatlantic Endoscopy Center LLC
$616.00Published rateEye Surgery Center Of Western Ohio LLC, Eye Surgery Center Of Western Ohio
Eye Surgery Center Of Western Ohio LLC
$397.00Published rate
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See a sample payer proposalCPT 23076 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23076 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 23076 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.
| Code | Complexity | Description |
|---|---|---|
| 23065-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 23066-CPT | Moderate | Biopsy Soft Tissue Shoulder Deep |
| 23071-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subcutane 3 Cm Or G, Excision Tumor Soft Tissue Of Shoulder Area Subcutaneous; 3 Cm Or G |
| 23076-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subfasci (Eg Myomecto, Excision Tumor Soft Tissue Of Shoulder Area Subfascial (Eg Intramu |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23076. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23076 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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