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A total claviculectomy, as described by CPT® Code 23125, involves the complete surgical removal of the clavicle, which is the bone connecting the arm to the body at the sternum. This procedure is typically indicated for various medical conditions such as tumors, infections, nonunion of the clavicle, or vascular compromise. During the surgery, an open approach is utilized, allowing the surgeon to fully expose the clavicle and meticulously dissect it from surrounding connective tissues, including its attachments at both the acromioclavicular and sternoclavicular joints. The goal of this procedure is to eliminate the entire clavicle to address the underlying pathology effectively. Following the excision, the surgeon will repair the surrounding soft tissues and may place drains as necessary to prevent fluid accumulation. The incision is then closed in layers to promote optimal healing and recovery.
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The total claviculectomy procedure (CPT® Code 23125) is indicated for the following conditions:
The total claviculectomy procedure involves several critical steps to ensure the complete removal of the clavicle:
Post-procedure care following a total claviculectomy includes monitoring for any signs of complications such as infection or excessive bleeding. Patients may require pain management and physical therapy to aid in recovery and restore function. The surgical site should be kept clean and dry, and any drains placed during the procedure will need to be monitored and managed according to the surgeon's instructions. Follow-up appointments are essential to assess healing and determine the need for further interventions or rehabilitation.
| Short Descr | CLAVICULECTOMY TOTAL | Medium Descr | CLAVICULECTOMY TOTAL | Long Descr | Claviculectomy; total | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 142 - Partial excision bone |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |
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