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See a sample rate comparisonCPT 23150 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.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From An Upper Arm Bone (Humerus).
| 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 23150 |
| Medicaid Fee Schedule | View Medicaid rates for 23150 |
National average reimbursement for CPT 23150 by major payers:
$899.69
$892.04
$907.38
$1,091.86
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CPT 23150
5 of 25 sample ratesHigher to lower in this preview
Mckinney Surgery Center, Lp, The Surgery Centre At Craig Ranch
$6,342.00Published rateSurgcenter Pinellas, LLC
$3,623.00Published rateEndo-Surgi Of Union Asc LLC
Endo-Surgi Center, P.A.
$2,717.00Published rateColumbus Orthopedic Outpatient
$1,307.00Published rateBarnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
$626.00Published rate
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See a sample payer proposalCPT 23150 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23150 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 23150 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 |
|---|---|---|
| 23140-CPT | Moderate | Xcision/Curettag Of Bone Cyst Or Bnign Tumor Of Clavicl Or Scap, Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Clavicle Or Scap |
| 23150-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From An Upper Arm Bone (Humerus). |
| 23155-CPT | High | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From An Upper Arm Bone (Humerus). The Procedure Uses A Bone Graft To Repair The Area. |
| 23156-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From An Upper Arm Bone (Humerus). The Procedure Uses A Bone Graft To Repair The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23150 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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