2025 CPT code 23440
(Active) Effective Date: N/A Revision Date: N/A Surgery - Repair, Revision, and/or Reconstruction Procedures on the Shoulder Musculoskeletal System Feed
Resection or transplantation of the long tendon of the biceps.
Modifiers may be applicable depending on the circumstances; for example, modifier -59 for distinct procedural services, -76 for repeat procedure by the same physician, or -77 for repeat procedure by a different physician.
Medical necessity is established by documentation of significant pain, instability, and functional limitations due to biceps tendon pathology. Imaging studies must demonstrate the need for the procedure.
The orthopedic surgeon is responsible for the entire procedure, from prepping and anesthetizing the patient to performing the resection or transplant, achieving hemostasis, closing the wound, and post-operative care instructions, including sling application.
In simple words: This surgery involves either removing or moving the long tendon of the biceps muscle in the shoulder.The doctor does this to make the shoulder joint more stable.
This procedure involves the surgical resection (removal) or transplantation of the long tendon of the biceps muscle in the shoulder.The surgeon may remove a damaged tendon or transplant it to a new location on the humerus to improve shoulder joint stability. The procedure includes incision, dissection through subcutaneous tissue, access to the biceps tendon, resection or transplantation, hemostasis (stopping bleeding), and layered closure of the wound. A sling may be applied postoperatively.
Example 1: A patient presents with a complete tear of the long head of the biceps tendon resulting in significant pain and instability. The surgeon performs a tenodesis (surgical reattachment of the tendon) using this code., A patient has undergone a previous rotator cuff repair and now experiences persistent biceps tendon issues. The surgeon resects the portion of the biceps tendon that is contributing to the problem., A patient with a chronically unstable shoulder requiring extensive reconstruction has the long head of the biceps tendon transplanted to a different location for improved shoulder stability. This procedure is part of a more extensive shoulder reconstruction.
Preoperative diagnosis and history, including imaging (MRI/Ultrasound), operative report detailing the procedure performed (resection or transplant), post-operative care instructions, and any complications.
** This code is utilized for both resection and transplantation of the long head of the biceps tendon.The specific technique will determine the level of complexity and therefore may influence reimbursement.
- Revenue Code: P3D (Major Procedure, Orthopedic - Other)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Office