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See a sample rate comparisonCPT 23515 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.
Repair Broken Collarbone, Surgery To Repair A Broken Collarbone (Clavicle). The Procedure May Involve Holding The Bones Together With Pins Or Wires.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23515 |
| Medicaid Fee Schedule | View Medicaid rates for 23515 |
National average reimbursement for CPT 23515 by major payers:
$960.77
$950.01
$1,025.38
$1,167.36
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CPT 23515
5 of 25 sample ratesHigher to lower in this preview
Fish Pond Surgery Center, LLC
Fish Pond Surgery Center LLC
$7,888.00Published rateSurgcenter Of Deer Valley, LLC
Surgcenter Of Deer Valley LLC
$6,087.00Published rateCardiovascular Institute Of The South Asc, LLC
Cardiovascular Institute Of The South Asc LLC
$3,297.00Published rateGeorgia Eye Surgicenter, LLC, Georgia Eye Institute Surgery Center
$2,125.00Published rateAllegany Ambulatory Surgery Center LLC
$1,305.00Published rate
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See a sample payer proposalCPT 23515 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23515 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 23515 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 |
|---|---|---|
| 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. |
| 23525-CPT | Moderate | Realign Dislocated Collarbone, Treatment Of Dislocated Joint Between Breastbone (Sternum) And Collarbone (Clavicle). A Splint Or Brace Is Applied To Hold The Joint In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23515 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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