2025 CPT code 23505
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Treatment Musculoskeletal System Feed
Closed treatment of a clavicular fracture with manipulation.
Modifiers such as -22 (increased procedural services), -54 (surgical care only), or -76 (repeat procedure by the same physician) may be applicable in specific circumstances, supported by adequate documentation.
Medical necessity is established by the presence of a displaced clavicular fracture causing pain, functional limitation, or risk of malunion/nonunion.Closed reduction is medically necessary to restore anatomical alignment and facilitate healing, minimizing the need for more invasive surgical interventions.
The physician or qualified healthcare professional is responsible for evaluating the fracture, performing the manipulation to reduce the fracture, and applying immobilization (sling or brace). They may also order and interpret imaging studies to confirm reduction and monitor healing.
- Musculoskeletal System
- Musculoskeletal System > Fracture and/or Dislocation Treatment > Clavicle
In simple words: This code covers fixing a broken collarbone without surgery. The doctor will gently move the broken pieces back into place and then use a sling or brace to keep it stable while it heals.
This CPT code describes the closed treatment of a clavicular fracture that involves manipulation to realign the fractured bone fragments.The procedure is performed without surgical incision, utilizing manual techniques to restore proper alignment and facilitate healing.Post-reduction stabilization, such as with a sling or brace, is typically included.Additional procedures, like X-rays to confirm reduction, may be separately reported.
Example 1: A patient presents with a displaced midshaft clavicular fracture after a fall. The physician performs closed reduction under fluoroscopy guidance, realigning the fracture fragments. A figure-of-eight brace is applied for immobilization., A patient sustains a clavicular fracture in a motor vehicle accident.The emergency physician performs closed reduction, manually manipulating the bone segments. The patient is placed in a sling and referred to an orthopedist for follow-up care., An athlete suffers a clavicular fracture during a sporting event. The physician performs closed reduction, realigning the bone fragments.Post-reduction X-rays confirm proper alignment.The athlete is fitted with a sling for a period of 6 weeks.
* Pre-procedure and post-procedure imaging (X-rays) demonstrating the fracture and its reduction.* Detailed description of the manipulation technique used.* Type and duration of immobilization applied (sling, brace, etc.).* Patient's clinical presentation and mechanism of injury.* Follow-up plan and instructions given to the patient.
** This code specifically addresses closed treatment; open surgical techniques for clavicle fracture repair would be coded differently.The complexity of the manipulation (e.g., use of image guidance) may affect the relative value units assigned.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code.
- Specialties:Orthopedics, Emergency Medicine
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility