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See a sample rate comparisonCPT 23540 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.
Treat Dislocated Collarbone, Treatment Of Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 54 - Surgical Care Only RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23540 |
| Medicaid Fee Schedule | View Medicaid rates for 23540 |
National average reimbursement for CPT 23540 by major payers:
$318.91
$303.18
$324.52
$382.75
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CPT 23540
5 of 25 sample ratesHigher to lower in this preview
Rockland Surgical Project, LLC, Ramapo Valley Surgical Center
Rockland Surgical Project LLC
$1,886.00Published rateSouthhealth Asc, LLC, Edina Specialty Surgery Center
Southhealth Asc LLC
$606.00Published rateWebster Ambulatory Surgery Center, Lp, Landmark Surgery Center
$381.00Published rateVision Surgery Center, LLC
Vision Surgery Center LLC
$123.00Published rateLiberty Eye Surgical Center, Liberty Surgical Center
Liberty Eye Surgical Center, LLC
$68.00Published rate
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See a sample payer proposalCPT 23540 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23540 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 23540 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 |
|---|---|---|
| 23540-CPT | Moderate | Treat Dislocated Collarbone, Treatment Of Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
| 23545-CPT | Moderate | Treat Dislocated Collarbone, Treatment Of Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
| 23550-CPT | Moderate | Correct Dislocated Collarbone, Surgery To Correct A Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
| 23552-CPT | Moderate | Correct Dislocated Collarbone, Surgery To Correct A Dislocated Joint Between A Point Of The Shoulder (Acromion Process) And Collarbone (Clavicle). A Sling Or Brace Is Applied To The Shoulder And Arm. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23540 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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