23145 Removal of bone lesion
Also known as: periosteal elevation, humerus lesion with periosteal stripping, extensive bone lesion removal
Excision of benign lesion of humerus (proximal, shaft, or distal), with periosteal elevation and bone cortex thickness assessment. More extensive than 23140, involving lifting of periosteum for better visualization.
In Plain Language
removal of bone tumor with tissue membrane lift; deeper bone lesion removal
Clinical Context
Used when benign humeral lesions require more extensive exposure through periosteal elevation to achieve complete excision, particularly for larger lesions or those with cortical involvement.
RVU Breakdown
| Work RVU | 9.17 |
| Total RVU | 9.17 |
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 9.17, 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 23145?
CPT 23145 (Removal of bone lesion) is a Surgery code. Excision of benign lesion of humerus (proximal, shaft, or distal), with periosteal elevation and bone cortex thickness assessment. More extensive than 23140, involving lifting of periosteum for better visualization.
What is the wRVU value for CPT 23145?
The work RVU for CPT 23145 is 9.17. This code is primarily used by Orthopedic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 23145 used?
Used when benign humeral lesions require more extensive exposure through periosteal elevation to achieve complete excision, particularly for larger lesions or those with cortical involvement.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.