23020 Capsular contracture release
Also known as: Capsular release, Contracture release
Capsular contracture release (includes any arthrotomy) subsequent to initial shoulder joint arthroplasty.
In Plain Language
Removal of scar tissue in shoulder; Shoulder motion improvement surgery
Clinical Context
Used when post-arthroplasty stiffness develops; release of tight capsule restores shoulder motion.
RVU Breakdown
| Work RVU | 9.13 |
| Total RVU | 9.13 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 9.13, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23020?
CPT 23020 (Capsular contracture release) is a Surgery code. Capsular contracture release (includes any arthrotomy) subsequent to initial shoulder joint arthroplasty.
What is the wRVU value for CPT 23020?
The work RVU for CPT 23020 is 9.13. This code is primarily used by Orthopedic Surgery, Shoulder Surgery. It has a 90-day global period.
When is CPT 23020 used?
Used when post-arthroplasty stiffness develops; release of tight capsule restores shoulder motion.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.