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See a sample rate comparisonCPT 23170 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.
Removal Of Dead Bone, Surgery To Remove A Piece Of Dead Bone From A Diseased Section Of Any Of The Bones In The Arm Shoulder Or Collarbone.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 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 23170 |
| Medicaid Fee Schedule | View Medicaid rates for 23170 |
National average reimbursement for CPT 23170 by major payers:
$795.94
$749.69
$768.09
$925.35
Compare published rates across providers.
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CPT 23170
5 of 25 sample ratesHigher to lower in this preview
Grove City Medical Center
$8,999.88Published rateYuma Advanced Surgical Suites LLC
Yuma Advanced Surgical Suites, LLC
$3,500.00Published rateDallas Surgi Center, Inc.
Dallas Surgi Center Inc
$1,735.00Published rateMetropolitan Medical Center, LLC
Metropolitan Medical Center LLC
$915.00Published rateGastroenterology Specialists Inc, Endoscopy Center
Gastroenterology Specialists, Inc.
$627.00Published rate
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See a sample payer proposalCPT 23170 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23170 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 23170 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 |
| 23170-CPT | Moderate | Removal Of Dead Bone, Surgery To Remove A Piece Of Dead Bone From A Diseased Section Of Any Of The Bones In The Arm Shoulder Or Collarbone. |
| 23172-CPT | Moderate | Removal Of Dead Bone, Surgery To Remove A Piece Of Dead Bone From A Diseased Section Of Any Of The Bones In The Arm Shoulder Or Collarbone. |
| 23174-CPT | Moderate | Removal Of Dead Bone, Surgery To Remove A Piece Of Dead Bone From A Diseased Section Of Any Of The Bones In The Arm Shoulder Or Collarbone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23170 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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