Orthopedic Coding Alert

Reader Questions:

Follow These Steps to Correct Sternoclavicular Dislocation Code

Question: What is a sternoclavicular dislocation, and how do I report surgical repairs of the injury?

Illinois Subscriber

Answer: You’ll report sternoclavicular dislocation repairs with one of the following codes, depending on encounter specifics:

  • 23520 (Closed treatment of sternoclavicular dislocation; without manipulation)
  • 23525 (… with manipulation)
  • 23530 (Open treatment of sternoclavicular dislocation, acute or chronic)
  • 23532 (Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft))

Injury defined: A sternoclavicular dislocation is a rare but potentially very serious injury that is typically seen as a result of high-impact injuries, often occurring during auto accidents and contact sports. “Subluxation and dislocation of sternoclavicular joint refers to partial or complete displacement of the joint of the sternum and clavicle or collar bone, caused by motor vehicle accident, falls or other trauma,” according to Codify by AAPC.

You should always check with individual payers for their policies, but potential diagnosis codes for use with CPT® codes 23520-23532 include:

  • S43.20 — (Unspecified subluxation and dislocation of sternoclavicular joint)
  • S43.21 — (Anterior subluxation and dislocation of sternoclavicular joint)
  • S43.22 — (Posterior subluxation and dislocation of sternoclavicular joint).

 


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