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The procedure described by CPT® Code 23332 involves the removal of a complicated foreign body from the shoulder, specifically in cases where a total shoulder prosthesis is involved. This procedure is typically indicated when there is a need to extract a foreign object that has become problematic, such as an implanted device or a penetrating object resulting from trauma. The process begins with a skin incision made over the shoulder joint, allowing access to the underlying structures. The surgeon dissects through the soft tissues to expose and open the joint capsule, which is crucial for visualizing the components of the shoulder joint. During the procedure, the humeral head or prosthesis is dislocated to facilitate inspection of the joint structures. If a foreign body is present, it may include either a deep foreign body from a traumatic injury or an implanted device like a total shoulder prosthesis. The removal process involves careful extraction of the foreign body, ensuring that any associated materials, such as bone cement, are also addressed. Post-removal, the bony surfaces are smoothed to promote healing and prepare for any potential subsequent procedures, such as the placement of a new prosthesis or the insertion of a drain in cases of infection. This comprehensive approach ensures that the procedure is thorough and addresses all aspects of the foreign body removal, particularly in complex cases involving total shoulder prostheses.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 23332 is indicated in specific scenarios where the removal of a complicated foreign body from the shoulder is necessary. The following conditions may warrant this procedure:
The procedure for the removal of a complicated foreign body from the shoulder, as outlined in CPT® Code 23332, involves several critical steps:
Post-procedure care following the removal of a complicated foreign body from the shoulder involves monitoring for any signs of infection or complications. Patients may require follow-up visits to assess the healing process and ensure that the surgical site is recovering appropriately. If a drain was placed, it will need to be monitored and managed according to the physician's instructions. Additionally, rehabilitation may be necessary to restore function and strength to the shoulder joint, depending on the extent of the procedure and the patient's overall condition.
Short Descr | REMOVE SHOULDER FOREIGN BODY | Medium Descr | REMOVAL FOREIGN BODY SHOULDER COMPLICATED | Long Descr | Removal of foreign body, shoulder; complicated (eg, total shoulder) | 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 | Not applicable/unspecified. | CCS Clinical Classification | 162 - Other OR therapeutic procedures on joints |