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See a sample rate comparisonCPT 23500 Fee Schedule
Last Verified: October 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.
Closed Treatment Of Clavicular, Closed Treatment Of Clavicular Fracture Withoutmanipulation Closed Treatment Of Clavicular Fracture Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 54 - Surgical Care Only LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23500 |
| Medicaid Fee Schedule | View Medicaid rates for 23500 |
National average reimbursement for CPT 23500 by major payers:
$313.68
$290.16
$320.55
$358.30
Compare published rates across providers.
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CPT 23500
5 of 25 sample ratesHigher to lower in this preview
Carolina Regional Surgery Center. Ltd
Carolina Regional Surgery Center Ltd
$2,491.00Published rateAloe Surgical Center Scottsdale, LLC
Aloe Surgical Center Scottsdale LLC
$665.00Published rateLebonheur East Surgery Center II Lp, Lebonheur East Surgery Center Lp
Lebonheur East Surgery Center II Lp
$409.00Published rateEye 35 Asc. LLC
Eye 35 Asc LLC
$150.00Published rateApex Medical Surgery Center, LLC
Apex Medical Surgery Center LLC
$64.00Published rate
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See a sample payer proposalCPT 23500 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23500 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 23500 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 |
| 23500-CPT | Moderate | Closed Treatment Of Clavicular, Closed Treatment Of Clavicular Fracture Withoutmanipulation Closed Treatment Of Clavicular Fracture Without |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23500 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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