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See a sample rate comparisonCPT 23174 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 11 - Office |
| Common Modifiers | None RT - Right side of body 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23174 |
| Medicaid Fee Schedule | View Medicaid rates for 23174 |
National average reimbursement for CPT 23174 by major payers:
$946.62
$1,022.83
$1,033.98
$1,256.13
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CPT 23174
5 of 25 sample ratesHigher to lower in this preview
Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan
$8,869.00Published rateSapling Grove Ambulatory Surgery Center, LLC
Sapling Grove Ambulatory Surgery Center LLC
$3,455.00Published rateChristus Surgery Center Villages LLC, Christus Surgery Center - Shreveport
Christus Surgery Center Villages LLC
$2,517.00Published rateAmerican Surgical Centers II, LLC, American Surgical Centers
American Surgical Centers II LLC
$1,400.00Published rateTennessee Pain Surgery Center, LLC
Tennessee Pain Surgery Center LLC
$724.00Published rate
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See a sample payer proposalCPT 23174 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23174 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 23174 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 |
|---|---|---|
| 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. |
| 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 23174. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23174 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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