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The CPT® Code 23575 refers to the closed treatment of a scapular fracture that requires manipulation, which may be performed with or without the use of skeletal traction. A scapular fracture involves a break in the scapula, commonly known as the shoulder blade, which can occur due to trauma or injury. The closed treatment approach means that the fracture is treated without the need for surgical incision. In this procedure, the physician will manually manipulate the displaced fracture fragments to restore them to their proper anatomical alignment. This manipulation is crucial for ensuring that the bones heal correctly and functionally. Additionally, the procedure may involve the use of skeletal traction, particularly in cases of severely comminuted fractures, where multiple fragments are present. The manipulation and immobilization of the fracture are essential steps in the healing process, and the use of a sling helps to stabilize the shoulder during recovery. Radiographs, or X-rays, are obtained to confirm the presence of the fracture and to verify that the manipulation has successfully restored the alignment of the bone fragments.
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The closed treatment of a scapular fracture with manipulation, as described by CPT® Code 23575, is indicated for specific conditions related to the scapula. The following are the primary indications for this procedure:
The procedure for the closed treatment of a scapular fracture with manipulation involves several key steps, which are detailed below:
Post-procedure care for a scapular fracture treated with manipulation involves monitoring the patient for any signs of complications and ensuring proper healing. The patient is typically advised to keep the arm in the sling for a specified period to maintain immobilization. Follow-up appointments are necessary to assess the healing process through physical examinations and additional radiographs. Patients may also receive instructions on pain management and rehabilitation exercises to restore shoulder function once the fracture has sufficiently healed. It is important for the patient to adhere to the follow-up schedule to ensure optimal recovery and to address any concerns that may arise during the healing process.
| Short Descr | CLTX SCAP FX W/MNPJ +-TRACTJ | Medium Descr | CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION | Long Descr | Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) | 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 | 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) | 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. | 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. | 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) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2023-01-01 | Note | Short and medium descriptions changed. |
| Pre-1990 | Added | Code added. |
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