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See a sample rate comparisonCPT 23800 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery To Fuse Shoulder, Surgery To Join Together Bones Of Shoulder Joint (Glenohumeral Joint). Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 23800 |
| Medicaid Fee Schedule | View Medicaid rates for 23800 |
National average reimbursement for CPT 23800 by major payers:
$1,367.19
$1,390.70
$1,401.61
$1,683.64
Compare published rates across providers.
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CPT 23800
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$28,815.00Published rateGastroenterology Associates, LLC, Gastroenterology Associates Endoscopy Center
Gastroenterology Associates PLLC
$6,365.00Published rateOrthopaedic Associates Surgery Center, LLC
Orthopaedic Associates Surgery Ctr, LLC
$3,413.00Published ratePcet Surgery Center LLC
$2,034.00Published rateSurgery Center At Gateway LLC
$900.00Published rate
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See a sample payer proposalCPT 23800 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23800 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 23800 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. |
| 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 |
| 23800-CPT | High | Surgery To Fuse Shoulder, Surgery To Join Together Bones Of Shoulder Joint (Glenohumeral Joint). Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
| 23802-CPT | High | Surgery To Fuse Shoulder, Surgery To Join Together Bones Of Shoulder Joint (Glenohumeral Joint). Procedure Is Done To Relieve Pain By Eliminating Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23800 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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