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2025 CPT code 23174

Sequestrectomy (e.g., for osteomyelitis or bone abscess), humeral head to surgical neck

This code includes debridement of surrounding infected tissue. Separate coding for soft tissue abscess drainage in the same area is not allowed.

Modifiers may be applicable to indicate specific circumstances of the procedure (e.g., increased procedural services, bilateral procedure).

Medical necessity is established by the presence of infection or abscess in the humerus that requires surgical removal of the dead bone to prevent further complications.

The surgeon makes an incision, exposes the bone, removes the dead bone fragment, cleans the area, may fill the defect with soft tissue, and closes the incision.

In simple words: The surgeon removes a piece of dead bone from your upper arm bone near the shoulder. This is usually done because of an infection in the bone.

Surgical removal of a sequestrum (dead bone fragment) from the humeral head to the surgical neck of the humerus, typically due to osteomyelitis or a bone abscess.

Example 1: A patient with chronic osteomyelitis of the humeral head undergoes sequestrectomy to remove the infected bone and promote healing., Following a fracture of the surgical neck of the humerus, a patient develops a bone abscess and requires a sequestrectomy., A patient with a persistent draining sinus tract in the shoulder region is found to have a sequestrum in the proximal humerus, necessitating sequestrectomy.

Documentation should include evidence of osteomyelitis or bone abscess, the size and location of the sequestrum, and the surgical approach used.

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