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See a sample rate comparisonCPT 23107 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.
Arthrotomy Glenohumeral Joint, Arthrotomy Glenohumeral Joint With Joint Exploration Withor Without Removal Of Loose Or Foreign Body Arthrotomy Glenohumeral Joint With Joint Exploration With
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23107 |
| Medicaid Fee Schedule | View Medicaid rates for 23107 |
National average reimbursement for CPT 23107 by major payers:
$913.65
$893.99
$905.94
$1,093.56
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CPT 23107
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Saxony Surgery Center
$6,285.00Published rateSurgcenter Of Greater Jacksonville, LLC
Surgcenter Of Greater Jacksonville LLC
$3,570.00Published rateAdvanced Surgery Center Of Lancaster, LLC
Advanced Surgery Center Of Lancaster LLC
$2,202.00Published ratePrecision Vision Surgery Center, LLC
Edward D. Glinski, D.O. & Accociates, Inc.
$1,339.00Published rateOsi, LLC
$992.00Published rate
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See a sample payer proposalCPT 23107 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23107 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 23107 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 |
|---|---|---|
| 23100-CPT | Moderate | Shoulder Surgery With Biopsy, Exploratory Surgery Of A Shoulder Joint. The Procedure Includes Removal Of A Sample Of Tissue For Testing (Biopsy). |
| 23101-CPT | Moderate | Collarbone Surgery, Surgery On The Joint Between Collarbone And Shoulder Blade. The Procedure May Include Draining An Infection Removing A Foreign Object Or Taking A Sample Of Tissue For Testing (Biopsy). |
| 23105-CPT | Moderate | Shoulder Joint Surgery, Surgery To Remove Tissue From Inside A Shoulder Joint. The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 23107-CPT | Moderate | Arthrotomy Glenohumeral Joint, Arthrotomy Glenohumeral Joint With Joint Exploration Withor Without Removal Of Loose Or Foreign Body Arthrotomy Glenohumeral Joint With Joint Exploration With |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23107. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23107 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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