23146 Removal of bone lesion
Also known as: humerus lesion excision with cortical reconstruction, bone graft reconstruction, lesion excision with repair
Excision of benign lesion of humerus (proximal, shaft, or distal), with additional reconstruction of bone cortex. Includes cortical bone grafting or reconstruction after lesion removal.
In Plain Language
bone tumor removal with bone repair; lesion removal with bone rebuilding
Clinical Context
Used when benign humeral lesion excision creates a significant bone defect requiring cortical reconstruction through grafting or local advancement to restore structural integrity and strength.
RVU Breakdown
| Work RVU | 7.88 |
| Total RVU | 7.88 |
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 7.88, this code ranks in the 50th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23146?
CPT 23146 (Removal of bone lesion) is a Surgery code. Excision of benign lesion of humerus (proximal, shaft, or distal), with additional reconstruction of bone cortex. Includes cortical bone grafting or reconstruction after lesion removal.
What is the wRVU value for CPT 23146?
The work RVU for CPT 23146 is 7.88. This code is primarily used by Orthopedic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 23146 used?
Used when benign humeral lesion excision creates a significant bone defect requiring cortical reconstruction through grafting or local advancement to restore structural integrity and strength.
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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.