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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 23334 |
| Medicaid Fee Schedule | View Medicaid rates for 23334 |
National average reimbursement for CPT 23334 by major payers:

$1,513.70

$1,481.60

$1,458.99

$1,775.99
Choose a payer to see a sample of rates for CPT 23334.
St Louis Womens Surgery Center LLC
Belmar Ambulatory Surgical Center LLC
Tampa Fl Endoscopy Asc LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 23334 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23334 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 23334 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 |
|---|---|---|
| 23105-CPT | Moderate | Shoulder Joint Surgery, Surgery To Remove Tissue From Inside A Shoulder Joint. The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 23330-CPT | Moderate | Removal Of Foreign Body Shoul, Removal Of Foreign Body Shoulder Subcutaneousremoval Of Foreign Body Shoulder Subcutaneous |
| 23333-CPT | Moderate | Remval Of Foreign Body Shlder; Deep (Subfasci Or Intramuscul), Removal Of Foreign Body Shoulder; Deep (Subfascial Or Intramuscular) |
| 23334-CPT | High | Shoulder Prosthesis Removal, Removal Of Prosthesis Includes Debridement And Synovectomy When Performed Humeral Or Glenoid Component |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23334. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23334 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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