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See a sample rate comparisonCPT 23900 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.
Interthoracoscapular Amputation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 23900 |
| Medicaid Fee Schedule | View Medicaid rates for 23900 |
National average reimbursement for CPT 23900 by major payers:
$1,880.84
$1,858.30
$1,881.68
$2,250.83
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CPT 23900
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$12,746.00Published rateAdvanced Surgical Care Of Boerne, LLC
Advanced Surgical Care Of Boerne LLC
$6,365.00Published rateNorthern Westchester Facility Project LLC, Yorktown Center For Specialty Surgery
Northern Westchester Facility Project LLC
$4,656.00Published rateTenaya Surgical Center, LLC
Tenaya Surgical Center LLC
$2,900.00Published rateBarnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
$1,064.00Published rate
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See a sample payer proposalCPT 23900 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23900 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 23900 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 |
|---|---|---|
| 23900-CPT | High | Interthoracoscapular Amputation |
| 23920-CPT | High | Disarticulation Of Shoulder |
| 23921-CPT | Moderate | Disarticulation Sho Sec Clsr, Revision Of Scar Or Wound Closure Following Removal Of Arm And Shoulder Blade At Shoulder Joint |
| 24160-CPT | High | Removal Of Prosthesis Includes Debridement And Synovectomy When Performed; Humeral And Ulnar Components (Revised 01/01/2014) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23900 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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