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See a sample rate comparisonCPT 23172 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 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23172 |
| Medicaid Fee Schedule | View Medicaid rates for 23172 |
National average reimbursement for CPT 23172 by major payers:
$754.20
$758.90
$762.80
$957.11
Compare published rates across providers.
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CPT 23172
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$9,270.00Published rateWest Wilshire Medical Surgical Center Inc.
West Wilshire Medical Surgical C
$3,200.00Published rateBarrington Surgical Care LLC, Barrington Surgical Care
Barrington Surgical Care LLC
$2,175.00Published rateLaurel Md Endoscopy Asc LLC, Ambulatory Endoscopy Center Of Maryland
Laurel Md Endoscopy Asc LLC
$1,442.00Published rateLee Surgery Center LLC
$756.00Published rate
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See a sample payer proposalCPT 23172 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23172 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 23172 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 23172. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23172 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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