# CPT 23412: Repair of rotator cuff, chronic, open

Medicare CPT 23412 pays $791.60 in a non-facility setting and $791.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $707.07 in Arkansas to $970.66 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/23412-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $791.60 |
| National facility | $791.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $970.66 | $970.66 |
| District of Columbia | $879.11 | $879.11 |
| New York | $876.26 | $876.26 |
| Florida | $868.88 | $868.88 |
| New Jersey | $858.90 | $858.90 |
| Illinois | $855.41 | $855.41 |
| Connecticut | $841.12 | $841.12 |
| Washington | $832.03 | $832.03 |
| Massachusetts | $829.93 | $829.93 |
| California | $827.81 | $827.81 |
| Maryland | $816.61 | $816.61 |
| Michigan | $804.72 | $804.72 |
| Hawaii | $801.92 | $801.92 |
| Rhode Island | $800.94 | $800.94 |
| Colorado | $799.28 | $799.28 |
| New Hampshire | $794.77 | $794.77 |
| Pennsylvania | $794.04 | $794.04 |
| Puerto Rico | $793.94 | $793.94 |
| Virgin Islands | $793.94 | $793.94 |
| Georgia | $793.16 | $793.16 |
| Montana | $791.44 | $791.44 |
| Oregon | $789.71 | $789.71 |
| West Virginia | $784.03 | $784.03 |
| Texas | $783.02 | $783.02 |
| Delaware | $781.54 | $781.54 |
| New Mexico | $781.00 | $781.00 |
| Nevada | $778.48 | $778.48 |
| Wyoming | $770.67 | $770.67 |
| Arizona | $770.01 | $770.01 |
| Louisiana | $767.32 | $767.32 |
| Ohio | $764.17 | $764.17 |
| Utah | $764.03 | $764.03 |
| Missouri | $763.77 | $763.77 |
| Virginia | $762.45 | $762.45 |
| South Carolina | $755.01 | $755.01 |
| Kentucky | $748.94 | $748.94 |
| Vermont | $748.61 | $748.61 |
| Maine | $747.18 | $747.18 |
| Minnesota | $744.29 | $744.29 |
| North Dakota | $743.79 | $743.79 |
| North Carolina | $740.92 | $740.92 |
| Oklahoma | $739.13 | $739.13 |
| South Dakota | $738.15 | $738.15 |
| Indiana | $726.67 | $726.67 |
| Mississippi | $725.74 | $725.74 |
| Tennessee | $724.97 | $724.97 |
| Idaho | $723.37 | $723.37 |
| Wisconsin | $722.35 | $722.35 |
| Kansas | $720.70 | $720.70 |
| Nebraska | $716.69 | $716.69 |
| Alabama | $716.33 | $716.33 |
| Iowa | $715.64 | $715.64 |
| Arkansas | $707.07 | $707.07 |

## Related codes

- 20100: Exploration of penetrating wound, neck — https://www.med-reveal.com/rates/20100-cpt-fee-schedule
- 20103: Exploration of penetrating wound, extremity — https://www.med-reveal.com/rates/20103-cpt-fee-schedule
- 20200: Biopsy, muscle, superficial — https://www.med-reveal.com/rates/20200-cpt-fee-schedule
- 20220: Biopsy, bone, trocar or needle, superficial — https://www.med-reveal.com/rates/20220-cpt-fee-schedule
- 20245: Biopsy, bone, open, deep — https://www.med-reveal.com/rates/20245-cpt-fee-schedule
- 20500: Injection of sinus tract — https://www.med-reveal.com/rates/20500-cpt-fee-schedule
- 20526: Injection, carpal tunnel — https://www.med-reveal.com/rates/20526-cpt-fee-schedule
- 20550: Injection, single tendon sheath or ligament — https://www.med-reveal.com/rates/20550-cpt-fee-schedule

Commercial negotiated rates for 23412 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules