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See a sample rate comparisonCPT 23530 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, 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23530 |
| Medicaid Fee Schedule | View Medicaid rates for 23530 |
National average reimbursement for CPT 23530 by major payers:
$760.92
$764.26
$787.81
$941.73
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CPT 23530
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center, Ltd, Northwest Surgery Center Red Oak
Northwest Surgery Center Ltd
$9,358.00Published rateThe Surgery Center, LLC
The Surgery Center LLC
$5,006.00Published rateSurgery Nevada LLC
$3,600.00Published rateSouthern Urology Surgery Center, LLC
Southern Urology Surgery Center LLC
$2,407.00Published ratePmtc Surgery Center, Inc
Pmtc Surgery Center Inc
$859.00Published rate
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See a sample payer proposalCPT 23530 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23530 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 23530 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 |
|---|---|---|
| 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. |
| 23532-CPT | Moderate | Open Treatment Of Sternoclavic, Open Treatment Of Sternoclavicular Dislocation Acute Orchronic With Fascial Graft (Includes Obtaining Graft) Open Treatment Of Sternoclavicular Dislocation Acute Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23530 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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