2025 CPT code 23515
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Treatment Musculoskeletal System Feed
Open treatment of a clavicular fracture, including internal fixation when performed.
Modifiers such as 51 (multiple procedures), 59 (distinct procedural service), 76 (repeat procedure), and others may apply depending on the specific circumstances of the procedure.
Medical necessity is established by the presence of a displaced or unstable clavicular fracture that is not amenable to conservative (non-surgical) management.The severity of displacement, the presence of associated injuries, and the patient's functional limitations should be documented.
The physician or qualified healthcare professional is responsible for the surgical incision, dissection of subcutaneous tissue, reduction of the fracture, internal fixation (if necessary), wound closure, and post-operative care including application of a sling or brace.
In simple words: This surgery repairs a broken collarbone. The doctor makes an incision, realigns the broken pieces, and may use pins or screws to hold it together.The wound is stitched, and a sling or brace is used for healing.
Open treatment of a clavicular fracture involves a surgical incision over the fractured clavicle.Subcutaneous tissue is dissected, protecting nerves and vessels. Muscles are retracted to expose the fracture. The bone fragments are reduced (realigned), and internal fixation (such as screws, nails, or wires) may be used for stabilization. The wound is closed with sutures, and a sling or brace is applied for 4-6 weeks for healing.Post-operative X-ray may be performed separately.
Example 1: A patient presents with a displaced midshaft clavicular fracture after a fall. Open reduction and internal fixation with plates and screws is performed., A patient with a comminuted clavicular fracture (multiple bone fragments) undergoes open reduction and internal fixation with Kirschner wires., A patient with an open clavicular fracture (bone protruding through skin) undergoes open reduction, internal fixation, and wound debridement.
Preoperative and postoperative x-rays, operative report detailing the surgical technique, type of fixation used, and any complications encountered.Imaging studies confirming fracture reduction, medical records documenting the patient's history and physical examination.
** This code encompasses open reduction and internal fixation of clavicular fractures.Separate codes should be used for associated procedures such as bone grafting or nerve repair.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Orthopedic Surgery, Trauma Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center