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See a sample rate comparisonCPT 23335 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Shoulder Prosthesis Removal, Removal Of Prosthesis Includes Debridement And Synovectomy When Performed Humeral And Glenoid Components Eg Total Shoulder
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 23335 |
| Medicaid Fee Schedule | View Medicaid rates for 23335 |
National average reimbursement for CPT 23335 by major payers:
$1,681.13
$1,766.91
$1,779.47
$2,114.65
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CPT 23335
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$8,791.00Published rateSurgery Center Of Scottsdale, LLC, Mountain View Surgery Center Of Scottsdale
Surgery Center Of Scottsdale LLC
$2,353.00Published rateTexas Midwest Surgery Center, LLC
Texas Midwest Surgery Center LLC
$1,554.00Published rateNorth Country Ec LLC, Northeastern New York Surgical Center
North Country Ec LLC
$1,120.00Published rateMaryland Aesthetic And Reconstructive Ambulatory Surgical Center LLC
$345.00Published rate
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See a sample payer proposalCPT 23335 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23335 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 23335 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 |
|---|---|---|
| 23335-CPT | High | Shoulder Prosthesis Removal, Removal Of Prosthesis Includes Debridement And Synovectomy When Performed Humeral And Glenoid Components Eg Total Shoulder |
| 23470-CPT | High | Arthroplasty Glenohumeral Joi, Arthroplasty Glenohumeral Joint Hemiarthroplastyarthroplasty Glenohumeral Joint Hemiarthroplasty |
| 23473-CPT | High | Fix Shoulder Replacement, Surgery To Fix An Artificial Shoulder Replacement That Was Done Sometime In The Past. The Procedure May Include Transplanting Tissue. |
| 23474-CPT | High | Fix Shoulder Replacement, Surgery To Fix An Artificial Shoulder Replacement That Was Done Sometime In The Past. The Procedure May Include Transplanting Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23335 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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