{
    "code": "23430",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/23430/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/23430/2017/C",
    "description": "Open shoulder surgery to detach the long head of the biceps tendon from its frayed attachment inside the shoulder joint and reattach it lower down on the upper arm bone. Moving the anchor point out of the joint removes a common source of front-of-shoulder pain while keeping the muscle working. This is the open version; the same reattachment done through arthroscopic portals is coded differently.",
    "answer": {
        "question": "How much did Medicare pay for CPT 23430 in Q3 2017?",
        "text": "Medicare paid $768.38 for CPT 23430 in the office (non-facility) setting and $768.38 in a facility under the Q3 2017 Physician Fee Schedule, effective July 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 0.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "C",
        "label": "Q3 2017",
        "effective": "July 1 – September 30, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 768.38,
        "facility": 768.38,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 10.17,
        "practice_expense_non_facility": 9.28,
        "practice_expense_facility": 9.28,
        "malpractice": 1.96
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q3 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/C",
        "file": "PPRRVU17_JULY_V0503.csv",
        "row": 6027,
        "sha256": "900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce"
    },
    "modified_at": "2026-08-04T03:07:49+00:00"
}