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Radical resection of a tumor in the clavicle, as described by CPT® Code 23200, is a surgical procedure primarily indicated for the removal of malignant neoplasms. However, it may also be applicable for benign tumors or tumors of indeterminate nature that necessitate extensive surgical intervention. The procedure begins with the creation of a skin incision directly over the tumor site on the clavicle, or alternatively, a skin flap may be elevated to provide access. During the operation, the surgeon meticulously dissects the overlying tissue to expose the tumor. The radical resection involves the complete removal of all bone and cartilage in the clavicle that is affected by the tumor, ensuring that the tumor is excised en bloc, which means it is taken out in one piece along with a generous margin of healthy surrounding tissue. This approach is critical to minimize the risk of residual tumor cells remaining in the body. The procedure also encompasses the excision of all involved soft tissues, which may include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints that are affected by the tumor. To confirm that the surgical margins are free of malignancy, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain tumor cells, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to prevent fluid accumulation, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed if required.
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Radical resection of the clavicle is indicated for the following conditions:
The procedure for radical resection of the clavicle involves several critical steps:
After the radical resection of the clavicle, patients may require monitoring for complications such as infection or fluid accumulation. The expected recovery process will vary based on the extent of the surgery and the patient's overall health. Patients may need to follow specific post-operative care instructions, including wound care and activity restrictions, to promote healing. Follow-up appointments will be necessary to assess recovery and to ensure that there are no signs of tumor recurrence. Additionally, any reconstructive procedures performed may require further follow-up to evaluate the success of the reconstruction.
| Short Descr | RESECT CLAVICLE TUMOR | Medium Descr | RADICAL RESECTION TUMOR CLAVICLE | Long Descr | Radical resection of tumor; clavicle | 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 | Inpatient Procedures, not paid under OPPS | 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). | 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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| 2010-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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