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See a sample rate comparisonCPT 23440 Fee Schedule
Last Verified: September 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.
Surgery On Upper Arm Tendon, Surgery To Remove Biceps Tendon From Original Attachment On Shoulder Socket And Transplant To Upper Arm Bone.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23440 |
| Medicaid Fee Schedule | View Medicaid rates for 23440 |
National average reimbursement for CPT 23440 by major payers:
$990.17
$902.99
$782.87
$1,291.11
Compare published rates across providers.
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CPT 23440
5 of 25 sample ratesHigher to lower in this preview
Hinsdale Surgical Center, LLC
Adventist Midwest Health
$4,175.00Published rateEndoscopy Consultants, LLC
Endoscopy Consultants LLC
$3,347.00Published rateAdvanced Surgery Center Of Orlando LLC
$2,400.00Published rateFresenius Vascular Care Cincinnati Asc LLC, Azura Surgery Center Cincinnati
Fresenius Vascular Care Cincinnati Asc LLC
$1,750.00Published rateOlivia Cody
Deaconess Hospital Inc
$603.39Published rate
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See a sample payer proposalCPT 23440 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23440 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 23440 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 |
|---|---|---|
| 23430-CPT | Moderate | Move Tendon In Upper Arm, Surgery To Cut The Normal Attachment Of The Biceps Tendon On The Shoulder Socket And Reattach It To The Arm Bone. The Procedure Treats Biceps Tendon Inflammation Or Injury. |
| 23440-CPT | Moderate | Surgery On Upper Arm Tendon, Surgery To Remove Biceps Tendon From Original Attachment On Shoulder Socket And Transplant To Upper Arm Bone. |
| 23450-CPT | High | Capsulorrhaphy Anterio; Putti-Platt Proc Or Magnuson Typ Opera, Capsulorrhaphy Anterior; Putti-Platt Procedure Or Magnuson Type Opera |
| 23455-CPT | High | Repair Shoulder Capsule, Reattachment Of Shoulder Joint Capsule And Cartilage Without Bone Transfer With Repair Of Shoulder Rim |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23440 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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