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See a sample rate comparisonCPT 23675 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 Surgical Oranatomical Neck Fracture With Manipulation Closed Treatment Of Shoulder Dislocation With Surgical Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 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 23675 |
| Medicaid Fee Schedule | View Medicaid rates for 23675 |
National average reimbursement for CPT 23675 by major payers:
$780.75
$732.83
$757.31
$930.54
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CPT 23675
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$1,979.00Published rateManchester Surgery Center, LLC
$566.00Published rateAdvanced Surgical Care Of Wyoming, LLC
Advanced Surgical Care Of Wyoming LLC
$253.00Published rateBanner Peoria Surgery Center LLC
$225.00Published rateCenter Of Surgical Excellence, Cose Anesthesia Billing
$78.00Published rate
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See a sample payer proposalCPT 23675 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23675 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 23675 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 |
|---|---|---|
| 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. |
| 23675-CPT | Moderate | Closed Treatment Of Shoulder D, Closed Treatment Of Shoulder Dislocation With Surgical Oranatomical Neck Fracture With Manipulation Closed Treatment Of Shoulder Dislocation With Surgical Or |
| 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. |
| 23700-CPT | Moderate | Manipulation Under Anesthesia, Shoulder Joint, Including Application Of Fixation Apparatus- Rn Review: Medicaid 5/14/11-9/9/21, Commercial 7/5/11-9/9/21 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23675. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23675 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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