CPT^® 23615, Under Fracture and/or Dislocation Procedures on the Shoulder

The Current Procedural Terminology (CPT^®) code 23615 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Shoulder.

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Summary

In this procedure, the provider performs an open treatment of a surgical or anatomical neck fracture of the upper end of the humerus. He may or may not use internal fixation implants such as pins or screws to fix the fracture. Also, he may repair the tuberosities, or the rounded projections on the upper end of the humerus.

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23615 or 23470?

hi all, if patient is having shoulder proximal humerus hemiarthroplasty with long head bicpes tenodesis for proximal humerus fracture. should i use 23615 or 23470. thank you.... [ Read More ]

followup visits after fracture care billed with modifier 55

If there was a transfer of care, the physician performing the operative care would need to bill 23615-54 and the physician performing the post-operative care would bill 23615-55, both with the date of... [ Read More ]

followup visits after fracture care billed with modifier 55

This global surgery charge was shared by 2 orthopedists and billed by Dr. B as 23615-55. The patient then had 4 followup visits in the ortho clinic by Dr. B. Would these followup visits be billed as... [ Read More ]

ORIF Prox humerus after failed non-operative treatment

Hi all, Am interested in opinions on how you would code this scenario. Patient sustained a displaced proximal humerus fracture that was reduced in the ER, casted and patient set up to see Orthopod i... [ Read More ]

Intramedullary nailing of proximal Humerus?

I have a case where my doc did an IM nail for a proximal humerus fx. I am getting conflicting information on how to code this. Some are saying this is still 23615 and others say that this is actually ... [ Read More ]

Need help with Denial

My practice has received a denial from Cigna saying procedure codes 29806 & 23615 are bundled and cannot be billed together. I've checked everywhere and, from what I've seen, they are not bundled and ... [ Read More ]

DISPLACED FRACTURE HUMERUS AND HUMERAL HEAD

Need help coding this Procedure: ORIF proximal humerus and humeral head Brief summary of op note Patient brought in to operative theater....... ..........Fracture identified and reduced. First s... [ Read More ]

76000-26 with 23615

[B]We have submitted 76000-26 with 23615 on a professional claim to the insurance, and they have responded that 76000-26 should not be reported in addition to 23615. Here is their specific response: ... [ Read More ]

Proximal Humeral Fracture Dislocation

23410 can be billed with 23615. However, 23605 is a column 2 code for 23615. I would not charge for the attempted reduction in the same session. If it was the day before, yes, adding a 58 modifier to ... [ Read More ]

two inpt procedures, same day

Patient seen for 23472 (arthoplasty, glenohumeral joint, total shoulder) d/t lt shldr OA. Later in the day, it was determined that she sustained an intraoperative periprosthetic fracture, which led to... [ Read More ]

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