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See a sample rate comparisonCPT 23802 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 23802 |
| Medicaid Fee Schedule | View Medicaid rates for 23802 |
National average reimbursement for CPT 23802 by major payers:
$1,748.81
$1,706.65
$1,736.16
$2,077.06
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CPT 23802
5 of 25 sample ratesHigher to lower in this preview
Greenville Surgery Center, LLC, Texas Health Surgery Center Dallas
Greenville Surgery Center LLC
$8,818.00Published rateGs Campus Asc, LLC, Lafayette Surgery Center
Gs Campus Asc LLC
$5,174.00Published rateCentury City Endoscopy, LLC
Century City Endoscopy LLC
$3,573.00Published rateHamilton Surgery Center L.L.C., Surger Center At Hamilton
Hamilton Surgery Center, LLC
$2,864.00Published rateAdvanced Ambulatory Surgery Center, LLC
Advanced Ambulatory Surgery Center LLC
$995.00Published rate
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See a sample payer proposalCPT 23802 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23802 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 23802 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 23802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23802 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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