CPT® Code 23525

1. Indications

The closed treatment of sternoclavicular dislocation with manipulation, as described by CPT® Code 23525, is indicated for specific conditions related to the dislocation of the sternoclavicular joint. The following are the primary indications for this procedure:

• Dislocation of the Sternoclavicular Joint This procedure is performed when there is a dislocation of the joint between the clavicle and the sternum, which may occur due to trauma or injury.
• Recurrent Dislocation It is also indicated for patients who experience recurrent dislocations of the sternoclavicular joint, necessitating manipulation to restore proper alignment.

2. Procedure

The closed treatment of sternoclavicular dislocation with manipulation involves several key procedural steps that ensure the effective realignment of the dislocated joint. The following steps outline the procedure:

• Initial Assessment The physician begins with a thorough assessment of the patient's condition, including a physical examination and imaging studies, if necessary, to confirm the diagnosis of sternoclavicular dislocation.
• Preparation for Manipulation Once the dislocation is confirmed, the patient is positioned comfortably, and the area around the sternoclavicular joint is prepared for manipulation. This may involve the application of local anesthesia to minimize discomfort during the procedure.
• Manual or Traction Manipulation The physician then employs manual techniques or traction to carefully manipulate the clavicle back into its proper position within the joint. This step requires skill and precision to ensure that the joint is realigned without causing further injury.
• Stabilization After successful manipulation, the joint may be stabilized using a sling or other supportive devices to maintain the position of the clavicle and allow for healing.

3. Post-Procedure

Following the closed treatment of sternoclavicular dislocation with manipulation, the patient will typically be monitored for any immediate complications. Post-procedure care may include recommendations for rest and limited movement of the affected shoulder to facilitate healing. The physician may provide instructions on the use of a sling for stabilization and advise on pain management strategies. Follow-up appointments are essential to assess the healing process and ensure that the joint remains properly aligned. Patients are usually encouraged to gradually resume normal activities as tolerated, with specific guidance on rehabilitation exercises to restore strength and range of motion in the shoulder joint.