CPT 23532 Fee Schedule
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.
| 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 23532 |
National average reimbursement for CPT 23532 by major payers:
$884.06
$841.59
$856.30
$1,055.53
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 23532 | ||||||
United | 23532 | $999.00 | 1306283957 - MICHIGAN ENDOSCOPY CENTER AT PROVIDENCE PARK | 455323684 - (MI) MICHIGAN ENDOSCOPY CENTER AT PROVIDENCE PARK | MI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $544.00 | 1225245723 - FRESNO ENDOSCOPY CENTER | 770462622 - (CA) FRESNO ENDOSCOPY CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $1530.00 | 1174502561 - YANKTON MEDICAL CLINIC PC | 460363830 - (SD) YANKTON MEDICAL CLINIC, P.C. | SD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $1209.00 | 1962706655 - ADVANCED GASTROENTEROLOGY | 263436044 | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $3291.00 | 1952874182 - SAME DAY SC OF CENTRAL NJ LLC | 831832261 - (NJ) SAME DAY SC OF CENTRAL NJ LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $1023.00 | 1881770592 - ST GEORGE SURGICAL CENTER LP | 521797779 - (UT) ST. GEORGE SURGICAL CENTER | UT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $886.00 | 1346270428 - BALTIMORE AMBULATORY CENTER FOR ENDOSCOPY | 521913193 - (MD) BALTIMORE AMBULATORY CENTER FO | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $1148.00 | 1295798346 - SUNRISE FLAMINGO SURGERY CENTER, LLC, FLAMINGO SURGERY CENTER | 621679326 - (NV) SUNRISE FLAMINGO SURGERY CENTER LLC | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $965.00 | 1235376104 - GASTROENTEROLOGY & SURGERY CENTER OF ARKANSAS, II, LLC. | 264039931 - (TN) GASTROENTEROLOGY SURGERY CENTER OF ARKANSAS II LLC | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $750.00 | 1225387640 - PCET SURGERY CENTER LLC | 454288531 - (TN) PCET SURGERY CENTER LLC | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $2353.00 | 1326114869 - EL PASO CENTER FOR GASTROINTESTINAL ENDOSCOPY, LLC | 201482218 - (TX) EL PASO CENTER FOR GASTROINTESTINAL ENDOSCOPY LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $2388.00 | 1518154517 - SUMMIT AMBULATORY SURGICAL CENTER, LLC | 522148280 | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $982.00 | 1427028919 - CASCADE ENDOSCOPY CENTER, LLC, CASCADE ENDOSCOPY CENTER | 931331197 - (OR) CASCADE ENDOSCOPY CENTER, LLC | OR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $753.00 | 1720161771 - EYE CARE SURGERY CENTER OF OLIVE BRANCH,LLC | 470920340 | MS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 23532 | $1283.00 | 1588785208 - AMBER MEADOWS SURGERY CENTER LLC | 208756114 - (MD) AMBER MEADOWS SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 23532 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23532 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 23532 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 |
|---|---|---|
| 23485-CPT | High | Osteotomy, Clavicle, With Or Without Internal Fixation; With Bone Graft For Nonunion Or Malunion (Includes Obtaining Graft And/Or Necessary Fixation) |
| 23515-CPT | Moderate | Red Fx Open-Clavicle |
| 23520-CPT | Moderate | Clo Tx Sternoclavic Disloc Wo Manip |
| 23532-CPT | Moderate | Red Disloc Open-Sternoclav W Graft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23532. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23532 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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