This info listed here to assist Dr. W. with coding procedures.
Shoulder (23000-23929)
Clavicle, scapula, humerus head and neck, sternoclavicular joint, acromioclavicular joint and shoulder joint.
Incision (23000-23044)
23000 Removal of subdeltoid calcareous deposits, open
(For arthroscopic removal of bursal deposits, use 29999)
23020 Capsular contracture release (eg, Sever type procedure)
(For incision and drainage procedures, superficial, see 10040 10060 10061 10080 10081 10120 10121 10140 -10160)
23030 Incision and drainage, shoulder area; deep abscess or hematoma
23031 Incision and drainage, shoulder area; infected bursa
23035 Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area
23040 Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body
23044 Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body
Excision (23065-23222)
23065 Biopsy, soft tissue of shoulder area; superficial
23066 Biopsy, soft tissue of shoulder area; deep
(For needle biopsy of soft tissue, use 20206)
23075 Excision, soft tissue tumor, shoulder area; subcutaneous
23076 Excision, soft tissue tumor, shoulder area; deep, subfascial or intramuscular
23077 Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area
23100 Arthrotomy, glenohumeral joint, including biopsy
23101 Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage
23105 Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy
23106 Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy
23107 Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body
23120 Claviculectomy; partial
(For arthroscopic procedure, use 29824)
23125 Claviculectomy; total
23130 Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release
23140 Excision or curettage of bone cyst or benign tumor of clavicle or scapula;
23145 Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)
23146 Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft
23150 Excision or curettage of bone cyst or benign tumor of proximal humerus;
23155 Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)
23156 Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft
23170 Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle
23172 Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula
23174 Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck
23180 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle
23182 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula
23184 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus
23190 Ostectomy of scapula, partial (eg, superior medial angle)
23195 Resection, humeral head
(For replacement with implant, see 23470)
23200 Radical resection for tumor; clavicle
23210 Radical resection for tumor; scapula
23220 Radical resection of bone tumor, proximal humerus;
23221 Radical resection of bone tumor, proximal humerus; with autograft (includes obtaining graft)
23222 Radical resection of bone tumor, proximal humerus; with prosthetic replacement
Introduction or Removal (23330-23350)
(For arthrocentesis or needling of bursa, see 20610)
(For K-wire or pin insertion or removal, see 20650, 20670, 20680)
23330 Removal of foreign body, shoulder; subcutaneous
23331 Removal of foreign body, shoulder; deep (eg, Neer hemiarthroplasty removal)
23332 Removal of foreign body, shoulder; complicated (eg, total shoulder)
23350 Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography
(For radiographic arthrography, radiological supervision and interpretation, use 73040. Fluoroscopy (76003) is inclusive of radiographic arthrography)
(When fluoroscopic guided injection is performed for enhanced CT arthrography, use codes 23350, 76003, and 73201 or 73202)
(When fluoroscopic guided injection is performed for enhanced MR arthrography, use codes 23350, 76003, and 73222 or 73223)
(For enhanced CT or enhanced MRI arthrography, use 76003 and either 73201, 73202, 73222 or 73223)
Repair, Revision, and/or Reconstruction (23395-23491)
23395 Muscle transfer, any type, shoulder or upper arm; single
23397 Muscle transfer, any type, shoulder or upper arm; multiple
23400 Scapulopexy (eg, Sprengel’s deformity or for paralysis)
23405 Tenotomy, shoulder area; single tendon
23406 Tenotomy, shoulder area; multiple tendons through same incision
23410 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute
23412 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
(For arthtoscopic procedure, use 29827)
23415 Coracoacromial ligament release, with or without acromioplasty
23420 Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
23430 Tenodesis of long tendon of biceps
23440 Resection or transplantation of long tendon of biceps
23450 Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation
(To report arthroscopic thermal capsulorrhaphy, use 29999)
23455 Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)
(For arthroscopic procedure, use 29806 )
23460 Capsulorrhaphy, anterior, any type; with bone block
23462 Capsulorrhaphy, anterior, any type; with coracoid process transfer
(To report open thermal capsulorrhaphy, use 23929)
23465 Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block
(For sternoclavicular and acromioclavicular reconstruction, see 23530, 23550)
23466 Capsulorrhaphy, glenohumeral joint, any type multi-directional instability
23470 Arthroplasty, glenohumeral joint; hemiarthroplasty
23472 Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
(For removal of total shoulder implants, see 23331, 23332)
(For osteotomy, proximal humerus, see 24400)
23480 Osteotomy, clavicle, with or without internal fixation;
23485 Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation)
23490 Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle
23491 Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus
Fracture and/or Dislocation (23500-23680)
23500 Closed treatment of clavicular fracture; without manipulation
23505 Closed treatment of clavicular fracture; with manipulation
23515 Open treatment of clavicular fracture, with or without internal or external fixation
23520 Closed treatment of sternoclavicular dislocation; without manipulation
23525 Closed treatment of sternoclavicular dislocation; with manipulation
23530 Open treatment of sternoclavicular dislocation, acute or chronic;
23532 Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
23540 Closed treatment of acromioclavicular dislocation; without manipulation
23545 Closed treatment of acromioclavicular dislocation; with manipulation
23550 Open treatment of acromioclavicular dislocation, acute or chronic;
23552 Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
23570 Closed treatment of scapular fracture; without manipulation
23575 Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement)
23585 Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation
23600 Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation
23605 Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction
23615 Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without internal or external fixation, with or without repair of tuberosity(s);
23616 Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without internal or external fixation, with or without repair of tuberosity(-ies); with proximal humeral prosthetic replacement
23620 Closed treatment of greater humeral tuberosity fracture; without manipulation
23625 Closed treatment of greater humeral tuberosity fracture; with manipulation
23630 Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation
23650 Closed treatment of shoulder dislocation, with manipulation; without anesthesia
23655 Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia
23660 Open treatment of acute shoulder dislocation
(Repairs for recurrent dislocations, see 23450 23455 23460 23462 23465 -23466)
23665 Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation
23670 Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or external fixation
23675 Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation
23680 Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external fixation
Manipulation (23700-23700)
23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
Arthrodesis (23800-23802)
23800 Arthrodesis, glenohumeral joint;
23802 Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)
Amputation (23900-23921)
23900 Interthoracoscapular amputation (forequarter)
23920 Disarticulation of shoulder;
23921 Disarticulation of shoulder; secondary closure or scar revision
Other Procedures (23929-23929)
23929 Unlisted procedure, shoulder
