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See a sample rate comparisonCPT 23505 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 With Manipulationclosed Treatment Of Clavicular Fracture With Manipulation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None LT - Left side of body 54 - Surgical Care Only |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23505 |
| Medicaid Fee Schedule | View Medicaid rates for 23505 |
National average reimbursement for CPT 23505 by major payers:
$474.71
$470.53
$498.55
$583.98
Compare published rates across providers.
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CPT 23505
5 of 25 sample ratesHigher to lower in this preview
Meridian Medical Group PC, Meridian Endoscopy Center
$2,307.00Published rateFlushing Endoscopy Center, LLC
Flushing Endoscopy Center LLC
$1,283.00Published rateRoswell Surgery Center LLC, Roswell Surgery Center
Roswell Surgery Center LLC
$953.00Published rateBonita Community Health Center Inc, Bonita Springs Health Center
Bonita Community Health Center
$580.00Published rateEye Surgery Center LLC, The Eye Surgery Center
$230.00Published rate
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See a sample payer proposalCPT 23505 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23505 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 23505 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; |
| 23500-CPT | Moderate | Closed Treatment Of Clavicular, Closed Treatment Of Clavicular Fracture Withoutmanipulation Closed Treatment Of Clavicular Fracture Without |
| 23505-CPT | Moderate | Closed Treatment Of Clavicular, Closed Treatment Of Clavicular Fracture With Manipulationclosed Treatment Of Clavicular Fracture With Manipulation |
| 23515-CPT | Moderate | Repair Broken Collarbone, Surgery To Repair A Broken Collarbone (Clavicle). The Procedure May Involve Holding The Bones Together With Pins Or Wires. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23505 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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