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See a sample rate comparisonCPT 23665 Fee Schedule
Last Verified: September 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 Fracture Ofgreater Humeral Tuberosity With Manipulation Closed Treatment Of Shoulder Dislocation With Fracture Of
| 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 23665 |
| Medicaid Fee Schedule | View Medicaid rates for 23665 |
National average reimbursement for CPT 23665 by major payers:
$592.93
$567.61
$597.20
$730.01
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CPT 23665
5 of 25 sample ratesHigher to lower in this preview
Ann & Robert H. Lurie Children'S Hospital Of Chicago, Lurie Children'S Surgery Center In Northbrook
Ann & Robert H Lurie Childrens Hospital Of Chicago
$1,575.00Published rateWest Suburban Eye Surgery Center LLC, Surgisite North
West Suburban Eye Surgery Center, LLC
$869.00Published rateShore Ambulatory Surgical Center, LLC
Shore Ambulatory Surgical Center LLC
$667.00Published rateEndoscopy Center Of Washington Dc Lp, The Endoscopy Center Of Washington, D.C.
Endoscopy Center Of Washington Dc Lp
$396.00Published rateNorthwest Florida Surgical Center, LLC, North Florida Surgery Center
Northwest Florida Surgical Center
$254.00Published rate
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See a sample payer proposalCPT 23665 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23665 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 23665 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 |
|---|---|---|
| 23660-CPT | Moderate | Open Treatment Of Acute Should, Open Treatment Of Acute Shoulder Dislocationopen Treatment Of Acute Shoulder Dislocation |
| 23665-CPT | Moderate | Closed Treatment Of Shoulder D, Closed Treatment Of Shoulder Dislocation With Fracture Ofgreater Humeral Tuberosity With Manipulation Closed Treatment Of Shoulder Dislocation With Fracture Of |
| 23670-CPT | High | Surgery For Broken Shoulder, Surgery To Repair A Dislocated Shoulder Bone In Which Part Of The Upper Arm Bone Has Been Broken. The Procedure May Involve The Use Of Pins Wires Or Screws To Hold The Bones In Place. |
| 23680-CPT | High | Surgery For Broken Shoulder, Surgery To Repair A Dislocated Shoulder Bone In Which Part Of The Upper Arm Bone Has Been Broken. The Procedure May Involve The Use Of Pins Wires Or Screws To Hold The Bones In Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23665. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23665 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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