2025 CPT code 23130
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Musculoskeletal System Feed
Acromioplasty; surgical reshaping of the acromion process to alleviate rotator cuff compression.
Modifiers may be applicable depending on the circumstances. For example, modifier 51 (multiple procedures) could be used if performed in conjunction with other procedures. Modifier 76 (repeat procedure by the same physician) may apply if the procedure is repeated.
Acromioplasty is medically necessary when conservative treatments (physical therapy, medication) have failed to provide adequate pain relief and improved shoulder function in patients with subacromial impingement syndrome, rotator cuff tendinopathy, or acromial spurs causing impingement.The procedure aims to restore shoulder mechanics and reduce pain by improving subacromial space and relieving pressure on the rotator cuff.
The orthopedic surgeon or a qualified healthcare professional performs the acromioplasty. Responsibilities include patient assessment, surgical planning, incision and dissection, acromial reshaping, ligament release (if necessary), hemostasis, wound closure, and post-operative care instructions.
In simple words: The doctor reshapes a part of your shoulder blade to relieve pressure on the tendons that help you move your arm, thus improving shoulder mobility and reducing pain. This might involve partially removing bone and/or releasing a ligament.
Acromioplasty involves the surgical reshaping of the acromion process, a bony projection on the shoulder blade.This procedure is performed to relieve compression on the rotator cuff tendons, improving shoulder motion and reducing pain. The procedure may involve partial removal of the acromion and/or release of the coracoacromial ligament.The approach typically involves a skin incision, dissection through subcutaneous tissues to the deltoid muscle, detachment of the deltoid from the acromion, and then reshaping of the acromion using an osteotome or bone saw.Post-operative care includes wound closure and monitoring for complications.
Example 1: A 55-year-old presents with chronic right shoulder pain and limited range of motion due to subacromial impingement syndrome.Acromioplasty is performed to alleviate compression of the rotator cuff tendons., A 40-year-old athlete experiences persistent pain following a fall resulting in rotator cuff tear.Acromioplasty is performed to address impingement and facilitate rotator cuff repair., A 60-year-old patient suffers from osteoarthritis of the shoulder with significant acromial spurring and rotator cuff pathology.Acromioplasty is done to improve joint mechanics and reduce pain.
Pre-operative: Diagnostic imaging (X-ray, MRI, CT), physical examination findings, patient history detailing symptoms and limitations.Intra-operative: Operative report with details of the procedure performed, including acromial reshaping technique and any ligament releases.Any complications noted during the procedure should be documented.Post-operative: Post-operative orders including pain management, physical therapy, and follow-up appointments.
** The CPT code 23130 describes acromioplasty.Accurate documentation of the extent of bone resection and any ligament releases is essential for proper coding.Pre-operative and post-operative care should be documented appropriately.
- Revenue Code: P5B
- Payment Status: Active
- Specialties:Orthopedic Surgery
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital