CPT^® 23552, Under Fracture and/or Dislocation Procedures on the Shoulder

The Current Procedural Terminology (CPT^®) code 23552 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Shoulder.

Additional/Related Information

Tabs

Summary

In this procedure, the provider performs an open treatment of an acute or chronic acromioclavicular dislocation, which is an abnormal separation of a joint, using a graft of fascia. He uses internal fixation implants such as pins or screws to fix the dislocation.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 23552 ? Start a discussion here

shoulder scope

There are significant issues with this documentation if you have included everything. 29823 is not supported because the debridement, not related to a restorative procedure, is just debridement of the... [ Read More ]

shoulder scope

thank you so much for the input. Here's the note. We are billing 29823, 23552 and 29828. BCBS is bundling and other coders think that the 29823 shouldn't be billed in this case because the note is n... [ Read More ]

Please check code: AC separation

This pt several yrs ago suffered an AC separation, 3d degree , and did not treat it surgically and has had more and more symptoms MRI study revealed that he had no intrinsic shoulder abnormalities, a... [ Read More ]

Arthroscopic AC ligament reconstruction

I'd use the unlisted scope code 29999 and compare to 23550 without fascial graft; or 23552 with fascial graft.... [ Read More ]

23552, 23395, & 23120 billed together

23552[LT], 23395[LT], & 23120[LT] were are billed together. 23552 was paid. Under what circumstances would the others be payable? What modifiers can be used? FYI: There are no bundling issues in CCI... [ Read More ]

Odd shoulder case

[QUOTE="Desperate Denise, post: 80672, member: 91113"]This will be final shoulder thing with this audit - sorry to trouble everyone - I just don't know where to turn at this point. Patient has a hist... [ Read More ]

Odd shoulder case

This will be final shoulder thing with this audit - sorry to trouble everyone - I just don't know where to turn at this point. Patient has a history of a distal clavicle excision several years ago. ... [ Read More ]

Coracoclavicular Ligament Reconstruction w/ allograft

Per the Coders' Desk Reference, in 23552 the graft would have to be an autograft because the harvesting is done from a separate site on the patient. Unfortunately opening the allograft container doesn... [ Read More ]

Coracoclavicular Ligament Reconstruction w/ allograft

I need clarification regarding the wording for code 23552. The code states with fascial graft (including harvesting). Does this mean using only an autograft or can it also be interrpeted as allograf... [ Read More ]

Help with shoulder surgery for re-injury

Hi, I agree with your codes; But what I feel is: CPT 20680 is bundled. Can avoid. CPT 23552 can be coded again. Because this is a new operation. LM... [ Read More ]

View All