2025 CPT code 23000
(Active) Effective Date: N/A Revision Date: N/A Surgery - Incision Procedures on the Shoulder Musculoskeletal System Feed
Open removal of subdeltoid calcareous deposits.
Modifiers such as 51 (multiple procedures), 59 (distinct procedural service), and LT/RT (laterality) may be applicable depending on the circumstances of the surgical procedure. Consult the CPT manual for appropriate modifier usage.
The medical necessity for this procedure is established by the presence of symptomatic calcareous deposits in the subdeltoid region that cause significant pain and functional impairment despite conservative management (physical therapy, medication).Imaging findings must support the clinical diagnosis.The procedure is considered medically necessary to alleviate pain and improve function.
The surgeon's responsibilities include: patient preparation, anesthesia, incision creation, access to the subdeltoid bursa, excision of calcareous deposits, hemostasis (control of bleeding), irrigation, wound closure, and post-operative care instructions (including sling placement).
In simple words: The doctor makes a small cut near the shoulder to remove calcium deposits that have built up, often from previous injuries.After removing the deposits, the doctor stitches up the cut and may put the arm in a sling.
This CPT code describes the open surgical removal of calcareous (calcium) deposits located in the subdeltoid region of the shoulder.The procedure involves an incision through the skin and deltoid muscle to access the subdeltoid bursa, where the deposits are excised.The incision is then closed, and a sling may be applied.
Example 1: A 55-year-old patient presents with chronic shoulder pain and limited range of motion due to calcific tendinitis.An open surgical excision of the subdeltoid calcareous deposits is performed using code 23000., A 40-year-old patient with a history of shoulder injury experiences recurring pain localized to the subdeltoid bursa.Following imaging confirmation of calcareous deposits, an open surgical excision is undertaken (23000)., A 60-year-old patient with significant shoulder pain and limited mobility undergoes an open surgical procedure (23000) to remove calcareous deposits after conservative treatment failed to provide adequate relief.Post-operatively, a sling is used for immobilization.
* Preoperative diagnosis (e.g., calcific tendinitis, subacromial bursitis) with appropriate imaging studies (e.g., x-ray, ultrasound, MRI) demonstrating the presence of calcareous deposits.* Operative report detailing the surgical approach (open), the location and size of the deposits removed, and the technique used for excision.* Intraoperative photographs (if available).* Postoperative diagnosis and assessment of range of motion.* Any complications encountered during or after the procedure.
** Always refer to the most current CPT codebook and payer guidelines for the most up-to-date coding and reimbursement information.This information is for educational purposes only and does not constitute medical advice.
- Revenue Code: P5B (Ambulatory Procedures - Musculoskeletal)
- RVU: This information is not available in the provided text.Consult the current CPT codebook or relevant payer fee schedule for RVU values and reimbursement rates.
- Global Days: The global period for this procedure is not specified in the provided text.Consult the current CPT codebook or relevant payer guidelines for details on the global period.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not applicable to this code.
- Fee Schedule: Historical fee schedule information is not provided. Consult your specific payer's fee schedule and coding guidelines.
- Specialties:Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office