# CPT 23430

> Medicare paid $770.39 for CPT 23430 in the office (non-facility) setting and $770.39 in a facility under the Q4 2018 Physician Fee Schedule, effective October 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.3%.

## What it is

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.

## Selected release

- Release: Q4 2018 (2018 D)
- Effective: October 1 – December 31, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $770.39
- Facility national allowed amount: $770.39
- Sequestration: not applied

## RVUs and formula

- Work RVU: 10.17
- Office (non-facility) practice expense RVU: 9.31
- Facility practice expense RVU: 9.31
- Malpractice RVU: 1.92
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18d.zip
- Parsed file: PPRRVU18_OCT.csv, row 6,182
- Canonical page: https://localishealth.com/cpt/23430/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/23430/2018/D
- Last significant update: 2026-08-04T03:08:37+00:00