2025 CPT code 23077

Radical resection of tumor (e.g., sarcoma), soft tissue of shoulder area; less than 5 cm.

Refer to CPT coding guidelines for proper code selection and reporting.

Modifiers may be applicable.Refer to current CPT guidelines for appropriate modifier usage.

Medical necessity must be established by documenting the diagnosis of malignancy and the need for surgical removal with wide margins to prevent recurrence.Specific payer requirements may apply.

The physician is responsible for performing the surgical procedure, including incision, tumor dissection with appropriate margins, identification and preservation of neurovascular structures, closure, and postoperative care.

IMPORTANT For tumors 5 cm or greater, use 23078.For excision of benign lesions of cutaneous origin (e.g., sebaceous cyst), see 11400-11446. If surrounding soft tissue is removed during radical resection of bone tumors, do not report soft tissue tumor codes separately.

In simple words: This procedure removes a cancerous tumor from the shoulder area. The surgery takes out the tumor and some surrounding healthy tissue to ensure all cancerous cells are removed. The tumor and the removed margin is less than 2 inches across.

This code describes a radical resection of a soft tissue tumor, such as a sarcoma, in the shoulder area.The procedure involves removing the tumor along with a wide margin of surrounding healthy tissue. The size of the tumor and margin combined is less than 5 cm at its greatest diameter. The shoulder area includes the clavicle, scapula, humerus head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint.

Example 1: A patient presents with a 3 cm sarcoma located in the deltoid muscle. The surgeon performs a radical resection, removing the tumor and a margin of surrounding muscle tissue, totaling less than 5 cm., A patient has a 4 cm malignant soft tissue tumor located near the clavicle. The surgeon performs a radical resection, taking care to avoid damage to surrounding nerves and blood vessels. The total excised diameter is less than 5 cm., A biopsy confirms a 2 cm malignant tumor near the acromioclavicular joint. The surgeon performs a radical resection, ensuring wide margins while preserving joint function. The combined size of the tumor and margin is less than 5 cm.

Documentation should include the diagnosis, size and location of the tumor, operative report detailing the procedure, margins obtained, and any complications encountered. Pathology report confirming diagnosis is also required.

** It's crucial to differentiate between excision and resection codes. Excision implies removal of the lesion only, while resection denotes removal of the lesion and surrounding tissue. This code represents a radical resection, thus emphasizing the extensive removal of tissue beyond the immediate tumor margins.

  • RVU: This information requires specific payer data and location.
  • Global Days : Global days vary depending on payer policies.
  • Payment Status: Active
  • Modifier TC rule: Information not found.
  • Fee Schedule : Fee schedules vary by payer and location and are subject to change. Consult historical fee data for specific information.
  • Specialties:Surgical Oncology, Orthopedic Oncology
  • Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient
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