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See a sample rate comparisonCPT 23077 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Shlder Area, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Shoulder Area
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 23077 |
| Medicaid Fee Schedule | View Medicaid rates for 23077 |
National average reimbursement for CPT 23077 by major payers:
$1,506.73
$1,540.63
$1,557.74
$1,839.97
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CPT 23077
5 of 25 sample ratesHigher to lower in this preview
Thousand Oaks Surgery Center, LLC
Thousand Oaks Surgery Center LLC
$5,000.00Published rateVcu Health Ambulatory Surgery Center, LLC
Vcu Health Ambulatory Surgery Center LLC
$1,561.00Published rateWellington Endoscopy Center LLC
$1,179.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$669.00Published rateRenaissance Surgery Center Of Chattanooga, LLC
Renaissance Surgery Center Of Chattanooga LLC
$305.00Published rate
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See a sample payer proposalCPT 23077 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23077 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 23077 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 |
|---|---|---|
| 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 |
| 23073-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subfasci (Eg Myomecto, Excision Tumor Soft Tissue Of Shoulder Area Subfascial (Eg Intramu |
| 23076-CPT | Moderate | Xcision Tumor Sft Tissue Of Shlder Area Subfasci (Eg Myomecto, Excision Tumor Soft Tissue Of Shoulder Area Subfascial (Eg Intramu |
| 23077-CPT | High | Radical Resct Of Tumor (Eg Sarcom) Sft Tissue Of Shlder Area, Radical Resection Of Tumor (Eg Sarcoma) Soft Tissue Of Shoulder Area |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23077 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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