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See a sample rate comparisonCPT 23655 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 Shoulder D, Closed Treatment Of Shoulder Dislocation With Manipulationrequiring Anesthesia Closed Treatment Of Shoulder Dislocation With Manipulation
| 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 23655 |
| Medicaid Fee Schedule | View Medicaid rates for 23655 |
National average reimbursement for CPT 23655 by major payers:
$549.48
$530.26
$564.99
$679.16
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CPT 23655
5 of 25 sample ratesHigher to lower in this preview
North Austin Surgery Center, L.P.
North Austin Surgery Center Lp
$2,782.00Published rateLake Endoscopy Center, LLC
Lake Endoscopy Center LLC
$1,233.00Published rateArchibald Surgery Center, LLC
Archibald Surgery Center
$770.00Published rateOphthalmology Surgery Center Of Illinois, LLC
Ophthalmology Surgery Center Of Illinois LLC
$606.00Published rateCasa Colina Surgery Center LLC
Casa Colina Surgery Center L.P.
$355.00Published rate
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See a sample payer proposalCPT 23655 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23655 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 23655 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 |
|---|---|---|
| 23625-CPT | Moderate | Closed Treatment Of Greater Hu, Closed Treatment Of Greater Humeral Tuberosity Fracturewith Manipulation Closed Treatment Of Greater Humeral Tuberosity Fracture |
| 23630-CPT | High | Repair Broken Shoulder, Surgery To Repair A Broken Shoulder Involving The End Of The Bone In The Upper Arm (Humerus). This May Involve The Use Of Wires Pins Plates Rings Or Screws To Hold The Bone Together. |
| 23650-CPT | Moderate | Closed Treatment Of Shoulder D, Closed Treatment Of Shoulder Dislocation With Manipulationwithout Anesthesia Closed Treatment Of Shoulder Dislocation With Manipulation |
| 23655-CPT | Moderate | Closed Treatment Of Shoulder D, Closed Treatment Of Shoulder Dislocation With Manipulationrequiring Anesthesia Closed Treatment Of Shoulder Dislocation With Manipulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23655. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23655 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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