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See a sample rate comparisonCPT 23120 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.
Claviculectomy Partial
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23120 |
| Medicaid Fee Schedule | View Medicaid rates for 23120 |
National average reimbursement for CPT 23120 by major payers:
$788.48
$783.83
$837.32
$965.46
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CPT 23120
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$6,904.00Published ratePalm Beach Surgical Suites LLC
$3,570.00Published rateOlol Pontchartrain Surgery Center, LLC, Our Lady Of The Lake Pontchartrain Surgery Center
Olol Pontchartrain Surgery Cente
$2,596.00Published rateChicago Vascular Asc LLC
$1,823.00Published rateSouth Carolina Endoscopy Center
$602.00Published rate
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See a sample payer proposalCPT 23120 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23120 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 23120 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 |
|---|---|---|
| 23120-CPT | Moderate | Claviculectomy Partial |
| 23125-CPT | Moderate | Claviculectomy; Total |
| 23180-CPT | Moderate | Partial Xcision (Craterizat Saucerizati Or Diaphysectomy) Bone, Partial Excision (Craterization Saucerization Or Diaphysectomy) Bone |
| 23184-CPT | High | Partial Excision (Craterizatio, Partial Excision (Craterization Saucerization Ordiaphysectomy) Bone (Eg Osteomyelitis) Proximal Humerus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23120 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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