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See a sample rate comparisonCPT 23406 Fee Schedule
Last Verified: September 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.
Tenotomy Shlder Area; Multi Tendons Through Same Ncision, Tenotomy Shoulder Area; Multiple Tendons Through Same Incision
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 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 23406 |
| Medicaid Fee Schedule | View Medicaid rates for 23406 |
National average reimbursement for CPT 23406 by major payers:
$1,013.66
$1,045.65
$1,076.84
$1,247.18
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CPT 23406
5 of 25 sample ratesHigher to lower in this preview
Hackensack Musculoskeletal Surgery Center, LLC
Hackensack Musculoskeletal Surgery Center LLC
$5,634.00Published rateSurgcenter Of White Marsh, LLC
$3,570.00Published rateNortheast Regional Surgery Center LLC
$2,500.00Published rateBay Surgery Centers, Clearway Surgery Center Of Glen Burnie
Bay Surgery Centers
$1,334.00Published rateLake Surgery & Endoscopy Center Ltd
Lake Surgery Endoscopy Center Ltd
$550.00Published rate
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See a sample payer proposalCPT 23406 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23406 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 23406 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 |
|---|---|---|
| 23395-CPT | High | Transfer Muscle Shoulder Single |
| 23400-CPT | High | Reposition Shoulder Blade, Surgery To Reposition The Shoulder Blade (Scapula) And Reorient The Associated Muscles And Tendons. |
| 23405-CPT | Moderate | Tenomyotomy, Shoulder Area; Single |
| 23406-CPT | High | Tenotomy Shlder Area; Multi Tendons Through Same Ncision, Tenotomy Shoulder Area; Multiple Tendons Through Same Incision |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23406. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23406 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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