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See a sample rate comparisonCPT 23570 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.
Closed Treatment Of Scapular F, Closed Treatment Of Scapular Fracture Without Manipulation Closed Treatment Of Scapular Fracture Without Manipulation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23570 |
| Medicaid Fee Schedule | View Medicaid rates for 23570 |
National average reimbursement for CPT 23570 by major payers:
$325.84
$307.40
$328.86
$383.49
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CPT 23570
5 of 25 sample ratesHigher to lower in this preview
Baylor Surgicare At Plano, LLC, Baylor Scott & White Surgicare - Plano
$1,301.00Published rateCoastal Surgical Specialists, Inc.
Coastal Surgical Institute
$344.00Published rateBeckley Surgery Center, Inc
Beckley Surgery Center Inc
$130.00Published rateClearer Vision, LLC, Perimeter Surgery Center
Clearer Vision, LLC
$100.00Published ratePark Center For Procedures LLC
$76.00Published rate
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See a sample payer proposalCPT 23570 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23570 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 23570 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 |
|---|---|---|
| 23570-CPT | Moderate | Closed Treatment Of Scapular F, Closed Treatment Of Scapular Fracture Without Manipulation Closed Treatment Of Scapular Fracture Without Manipulation |
| 23575-CPT | Moderate | Cltx Scap Fx W/Mnpj +-Tractj, Closed Treatment Of Scapular Fracture; With Manipulation With Or Without Skeletal Traction (With Or Without Shoulder Joint Involvement) |
| 23585-CPT | High | Broken Shoulder Blade Surgery, Surgery To Repair A Broken Shoulder Blade (Scapula). The Procedure May Involve Holding The Bones Together With Pins Or Wires. |
| 23600-CPT | Moderate | Closed Treatment Of Proximal H, Closed Treatment Of Proximal Humeral (Surgical Or Anatomicalneck) Fracture Without Manipulation Closed Treatment Of Proximal Humeral (Surgical Or Anatomical |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23570 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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