© Copyright 2025 American Medical Association. All rights reserved.
Partial ostectomy of the scapula, as defined by CPT® Code 23190, is a surgical procedure aimed at removing a portion of the scapula, which is the bone commonly referred to as the shoulder blade. This procedure is typically indicated for patients experiencing pain, deformity, lesions, or other pathological conditions affecting the scapula. The superior medial angle of the scapula is a frequently targeted area for resection during this operation. The procedure begins with a skin incision made in the upper back, directly over the affected area of the scapula. Following the incision, the surgeon carefully dissects the soft tissues to access the scapula, ensuring minimal damage to surrounding structures. Once the site of deformity or lesion is adequately exposed, the surgeon excises the diseased bone or any bony overgrowth. This excised tissue is often sent for a pathology examination to assess the nature of the lesion. After the removal of the affected bone, the remaining bone surface is smoothed to promote healing and reduce discomfort. Finally, the overlying soft tissues and skin are meticulously closed in layers to ensure proper healing and minimize scarring.
© Copyright 2025 Coding Ahead. All rights reserved.
Partial ostectomy of the scapula is performed for various indications, primarily related to conditions affecting the scapula that may cause pain or functional impairment. The following are the explicitly provided indications for this procedure:
The procedure for partial ostectomy of the scapula involves several critical steps, each designed to ensure the effective removal of the affected bone while preserving surrounding structures. The following outlines the procedural steps:
Post-procedure care following a partial ostectomy of the scapula typically involves monitoring for any signs of complications, such as infection or excessive bleeding. Patients may be advised to limit shoulder movement for a specified period to allow for proper healing. Pain management strategies, including medications, may be implemented to ensure patient comfort during the recovery phase. Follow-up appointments are essential to assess the healing process and to evaluate the need for any additional interventions or rehabilitation to restore shoulder function.
| Short Descr | PARTIAL REMOVAL OF SCAPULA | Medium Descr | OSTECTOMY SCAPULA PARTIAL | Long Descr | Ostectomy of scapula, partial (eg, superior medial angle) | 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). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 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) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.