CPT^® 23473, Under Repair, Revision, and/or Reconstruction Procedures on the Shoulder

The Current Procedural Terminology (CPT^®) code 23473 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Shoulder.

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Summary

In this procedure, the provider performs a revision arthroplasty of the shoulder joint, or he removes a previous artificial shoulder joint implant, or prosthesis, and replaces it with a new prosthesis. He revises either the glenoid or humeral component. He may use an allograft to perform this procedure. The provider performs this procedure to remove a loose or damaged prosthesis before it does irreversible harm to the joint.

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Revision of a reverse TSA

[QUOTE="jovibon110@gmail.com, post: 499657, member: 145984"] If the provider only revises the Glenoid and Humeral tray do you bill the revision code both components with a 52 mod ? [/QUOTE] If the pro... [ Read More ]

Infected Total Shoulder Arthroplasty

In 23334, the component is not replaced, so I would not use that code. For 23473, this code is used if humeral OR glenoid component is replaced. He did replace the Humeral head, so I would think you c... [ Read More ]

Infected Total Shoulder Arthroplasty

Patient has systemic bacteremia with septic arthritis of total shoulder arthroplasty. The physician examined the glenoid component & there was significant wear of the polyethylene component with the p... [ Read More ]

Help on Total Shoulder Question Please

Thank you for your reply, much appreciated! So on the day 2 surgery with the modifier 78, would you bill for a revision to a total shoulder (23473)? I realize I haven't posted the complete op note...... [ Read More ]

Reverse Total Shoulder

[QUOTE="amanda.sainsbury, post: 332224, member: 277434"]Has anyone coded for a reverse total shoulder, without having anything previously done? Should it be coded with 23472 or 23473 with an increase?... [ Read More ]

Reverse Total Shoulder

Has anyone coded for a reverse total shoulder, without having anything previously done? Should it be coded with 23472 or 23473 with an increase? Any suggestions or ideas would be greatly appreciated!!... [ Read More ]

conversion to total shoulder

I can't be certain without the medical record but if the physician is revising an arthoplasty in 2013 it is 23473 (humeral or glenoid) or 23474 (humeral and glenoid), prior to 2013 these codes did not... [ Read More ]

Removal and revision of screws ORIF

Please help with codes! Surgeon previously performed ORIF of humerus (24516). Patient complains of shoulder pain, he finds 2 screws are loose. He removes them and then puts them back. I looked at 23... [ Read More ]

Reverse Shoulder Conversion HELP needed!

If I am reading your OP note correctly, this is a revision of the humeral component of a total shoulder. If this is the case, I would use code 23473 only. Hope this helps.... [ Read More ]

help with hemiarthroplasty revision to TSA

Should I use the new codes 23473 or23474 for a revision of a hemiarthroplasty of the shoulder to a total shoulder? Or should I use the code 23331 for removal of the hemi and code 23472 for placement o... [ Read More ]

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