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See a sample rate comparisonCPT 23480 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.
Osteotomy,Clavic,W/Wo Internal Fix;
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 23480 |
| Medicaid Fee Schedule | View Medicaid rates for 23480 |
National average reimbursement for CPT 23480 by major payers:
$1,146.60
$1,110.82
$1,120.64
$1,346.69
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CPT 23480
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, The Emory Clinic Lagrange Surgery Center
Emory University
$7,635.00Published rateThe Surgery Center At Jensen Beach, LLC
The Surgery Center At Jensen B
$5,020.00Published rateBva United LLC, Alpha Surgical Center
Bva United LLC
$3,600.00Published rateProffer Surgical Center, PLLC
Proffer Surgical Center PLLC
$2,800.00Published rateFounders Surgery Center, LLC
$1,406.00Published rate
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See a sample payer proposalCPT 23480 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23480 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 23480 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 |
|---|---|---|
| 23480-CPT | High | Osteotomy,Clavic,W/Wo Internal Fix; |
| 23485-CPT | High | Osteotomy Clavicle With Or W, Osteotomy Clavicle With Or Without Internal Fixation Withbone Graft For Nonunion Or Malunion (Includes Obtaining Graft Andor Necessary Fixation) |
| 23490-CPT | High | Prophylactic Treatment (Nailin, Prophylactic Treatment (Nailing Pinning Plating Or Wiring)With Or Without Methylmethacrylate Clavicle |
| 23491-CPT | High | Prophylactic Treatment (Nailin, Prophylactic Treatment (Nailing Pinning Plating Or Wiring)With Or Without Methylmethacrylate Proximal Humerus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23480. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23480 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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