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See a sample rate comparisonCPT 23450 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.
Capsulorrhaphy Anterio; Putti-Platt Proc Or Magnuson Typ Opera, Capsulorrhaphy Anterior; Putti-Platt Procedure Or Magnuson Type Opera
| 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 23450 |
| Medicaid Fee Schedule | View Medicaid rates for 23450 |
National average reimbursement for CPT 23450 by major payers:
$1,327.33
$1,288.59
$1,310.63
$1,554.91
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CPT 23450
5 of 25 sample ratesHigher to lower in this preview
Surgery Center At South Ogden, LLC
Surgery Center At South Ogden LLC
$7,620.00Published rateCentral Utah Surgicenter, LLC
Central Utah Surgicenter LLC
$5,019.00Published ratePrime Surgical Suites, LLC, Scsv, LLC
Prime Surgical Suites LLC
$4,268.00Published rateCenter For Digestive Health
The Center For Digestive Health, LLC
$1,101.00Published rateBay Area Endoscopy Center Limited Partnership
$360.00Published rate
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See a sample payer proposalCPT 23450 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23450 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 23450 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 |
|---|---|---|
| 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 |
| 23460-CPT | High | Capsul-Recur.Disloc,Any;Bone Block |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23450 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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