2025 CPT code 23120
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Musculoskeletal System Feed
Partial claviculectomy (Mumford procedure): Resection of a portion of the clavicle to alleviate pain from chronic shoulder conditions.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., modifier 51 for multiple procedures, 76 for repeat procedure, etc.).Consult the current CPT coding guidelines for appropriate modifier usage.
Medical necessity for a partial claviculectomy is established when conservative treatment (e.g., physical therapy, medication) fails to alleviate chronic shoulder pain and limited range of motion associated with acromioclavicular joint pathology.The procedure is medically necessary to improve the patient's function and quality of life.
The orthopedic surgeon is responsible for performing the partial claviculectomy.This includes pre-operative planning, incision and dissection, bone resection, muscle and fascia repair, hemostasis, wound closure, and post-operative care instruction.
In simple words: A partial claviculectomy, or Mumford procedure, is a surgery where a doctor removes part of the collarbone to relieve pain in the shoulder caused by conditions like arthritis.
Partial claviculectomy, also known as the Mumford procedure, involves the surgical removal of a portion of the distal clavicle to address pain stemming from chronic conditions affecting the acromioclavicular (AC) joint, such as osteoarthritis or arthritis.The procedure includes an incision over the AC joint, detachment and subsequent reattachment of associated musculature and fascia, resection of the distal clavicle with smoothing of the cut surface, irrigation, hemostasis, and wound closure.Appreciable vessel exploration or neuroplasty, if required, are separately reported.
Example 1: A 55-year-old male patient presents with chronic right shoulder pain and limited range of motion due to osteoarthritis of the acromioclavicular joint.A partial claviculectomy is performed to remove the painful portion of the clavicle, relieving pressure on the joint and improving range of motion., A 40-year-old female patient suffers from chronic right shoulder pain due to AC joint arthritis following a previous injury. After conservative treatment has failed, a partial claviculectomy is performed to alleviate pain and improve function., A 60-year-old male presents with significant pain and limited mobility in the left shoulder due to degenerative changes in the AC joint.A partial claviculectomy is performed arthroscopically (CPT 29824) to minimize tissue trauma and improve recovery time.
** Always verify code validity and reimbursement policies with the specific payer before submitting claims.The information provided here is for informational purposes only and should not be considered a substitute for professional coding advice.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: The relative value units (RVUs) for CPT code 23120 will vary based on geographic location, facility type (non-facility or facility), and the specific payment system used (e.g., Medicare, private payers). Consult the appropriate fee schedule for the most accurate RVU values and reimbursement information.
- Global Days: The global period for this procedure is not explicitly defined in the provided data. Consult the payer's specific guidelines and local coverage determinations for clarification on the applicable global surgical period.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) is not applicable to CPT code 23120 as it is a surgical procedure.
- Fee Schedule: Historical fee schedules for CPT code 23120 are not provided, but data can be found in publicly available resources, such as the CMS Physician Fee Schedule database (available online). Keep in mind these fees are subject to change frequently.
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Office