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See a sample rate comparisonCPT 23462 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 Any Typ; W/ Coracoid Process Trnsfer, Capsulorrhaphy Anterior Any Type; With Coracoid Process Transfer
| 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 23462 |
| Medicaid Fee Schedule | View Medicaid rates for 23462 |
National average reimbursement for CPT 23462 by major payers:
$1,404.94
$1,451.68
$1,508.35
$1,750.28
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CPT 23462
5 of 25 sample ratesHigher to lower in this preview
St. David'S Healthcare Partnership, L.P., LLP, St. David'S Medical Center
$12,577.00Published rateRiva Road Surgical Center, LLC
Riva Road Surgical Center LLC
$5,249.00Published rateMeadow Lake Surgery Center Inc
$3,003.00Published rateJoon Y. Kim, Md, PC, Clayton Cataract & Laser Surgery Center
$1,604.00Published rateCentral Florida Eye Institute Pl
$702.22Published rate
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See a sample payer proposalCPT 23462 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23462 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 23462 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 |
|---|---|---|
| 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 |
| 23462-CPT | High | Capsulorrhaphy Anterio Any Typ; W/ Coracoid Process Trnsfer, Capsulorrhaphy Anterior Any Type; With Coracoid Process Transfer |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23462. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23462 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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