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See a sample rate comparisonCPT 23525 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23525 |
| Medicaid Fee Schedule | View Medicaid rates for 23525 |
National average reimbursement for CPT 23525 by major payers:
$528.73
$501.23
$529.84
$586.99
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CPT 23525
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Surgery Center Of Silicon Valley LLC
$2,830.00Published rateNewport Beach Endoscopy Center, LLC
Newport Beach Endoscopy Center LLC
$803.00Published rateRye Surgical Center, LLC
Rye Surgical Center LLC
$500.00Published rateSouth Sound Surgery, PLLC, Auburn Surgical Center
South Sound Surgery PLLC
$300.00Published rateVision Correction Center, LLC
Vision Correction Center LLC
$69.00Published rate
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See a sample payer proposalCPT 23525 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23525 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 23525 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 |
|---|---|---|
| 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. |
| 23520-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. |
| 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. |
| 23530-CPT | Moderate | Realign Dislocated Collarbone, Surgery To Correct A Dislocated Joint Between Breastbone (Sternum) And Collarbone (Clavicle). A Splint Or Brace May Be Applied To The Outside Of The Chest. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23525 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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