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See a sample rate comparisonCPT 23532 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.
Open Treatment Of Sternoclavic, Open Treatment Of Sternoclavicular Dislocation Acute Orchronic With Fascial Graft (Includes Obtaining Graft) Open Treatment Of Sternoclavicular Dislocation Acute Or
| 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 |
| Medicaid Fee Schedule | View Medicaid rates for 23532 |
National average reimbursement for CPT 23532 by major payers:
$884.06
$841.59
$856.30
$1,030.06
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CPT 23532
5 of 25 sample ratesHigher to lower in this preview
Surgicare Of Freehold Limited Liability Company
$3,422.00Published rateBurnside Surgery Center LLC
$1,420.00Published rateSurgical Associates Northwest, PC, Rainier Surgical Center
Surgical Associates Northwest, PC
$1,192.00Published rateScottsdale Eye Institute, Plc, Scottsdale Eye Institute, Plc
Scottsdale Eye Institute Plc
$979.00Published rateFresno Endoscopy Center
$544.00Published rate
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See a sample payer proposalCPT 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 |
|---|---|---|
| 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 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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