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Closed treatment of an acromioclavicular (AC) dislocation, commonly known as an AC separation or separated shoulder, involves a non-surgical approach to realign the joint. The acromioclavicular joint is a critical connection between the acromion of the scapula and the clavicle, featuring a fibrocartilaginous meniscal disc that aids in joint stability. This joint is supported by various muscles and ligaments, which can be compromised during traumatic incidents. Such dislocations often result from direct impacts to the shoulder or falls onto an outstretched arm, leading to the disruption of the stabilizing structures. To confirm the diagnosis of an AC dislocation, separate radiographic imaging is typically performed. In cases where the dislocation is minimally displaced, as indicated by CPT® Code 23545, the procedure involves manual manipulation to restore the joint to its proper anatomical position. Following the manipulation, additional radiographs may be taken to ensure correct alignment. Post-procedure care includes the application of a sling to support the shoulder, along with instructions regarding activity limitations, and the prescription of pain relief and anti-inflammatory medications as necessary.
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Closed treatment of acromioclavicular dislocation with manipulation is indicated for patients presenting with the following conditions:
The closed treatment procedure for an acromioclavicular dislocation with manipulation involves several key steps:
Post-procedure care for a closed treatment of acromioclavicular dislocation with manipulation includes monitoring the patient's recovery and adherence to activity limitations. The patient is advised to wear the sling for support and to avoid any activities that may strain the shoulder. Follow-up appointments may be scheduled to assess healing and range of motion. The physician will also evaluate the need for further imaging or additional treatments based on the patient's progress and symptom resolution.
| Short Descr | CLTX ACROMCLAV DISLC W/MNPJ | Medium Descr | CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION | Long Descr | Closed treatment of acromioclavicular dislocation; with manipulation | 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) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | 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) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 148 - Other fracture and dislocation procedure |
| 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 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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| 2023-01-01 | Note | Short description changed. |
| Pre-1990 | Added | Code added. |
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