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See a sample rate comparisonCPT 23575 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.
Cltx Scap Fx W/Mnpj +-Tractj, Closed Treatment Of Scapular Fracture; With Manipulation With Or Without Skeletal Traction (With Or Without Shoulder Joint Involvement)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 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 23575 |
| Medicaid Fee Schedule | View Medicaid rates for 23575 |
National average reimbursement for CPT 23575 by major payers:
$568.91
$530.83
$553.81
$683.40
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CPT 23575
5 of 25 sample ratesHigher to lower in this preview
Surgicare Of St Andrews Ltd
$2,965.00Published rateDesert Cliffs Surgery Center LLC
$340.00Published rateBethesda Chevy Chase Surgery Center, LLC
Bethesda Chevy Chase Surgery Cen
$207.00Published rateFasa Family Wellness, PLLC
Fasa Family Wellness PLLC
$157.00Published rateMaryland Endoscopy Center LLC, Maryland Endoscopy Center
Maryland Endoscopy Center, LLC.
$73.00Published rate
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See a sample payer proposalCPT 23575 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23575 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 23575 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 23575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23575 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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