23156 Removal of humerus lesion
Also known as: humerus lesion with cortical repair, bone graft reconstruction, lesion excision with bone reconstruction
Excision of benign lesion of humerus with cortical bone reconstruction. Removal of lesion with subsequent repair of bone cortex through grafting or local tissue rearrangement.
In Plain Language
bone tumor removal with bone rebuilding; lesion removal with structural repair
Clinical Context
Applied when benign humeral lesion excision results in a significant cortical defect requiring reconstruction to maintain bone strength and prevent pathologic fracture.
RVU Breakdown
| Work RVU | 8.88 |
| Total RVU | 8.88 |
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 8.88, this code ranks in the 54th 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 23156?
CPT 23156 (Removal of humerus lesion) is a Surgery code. Excision of benign lesion of humerus with cortical bone reconstruction. Removal of lesion with subsequent repair of bone cortex through grafting or local tissue rearrangement.
What is the wRVU value for CPT 23156?
The work RVU for CPT 23156 is 8.88. This code is primarily used by Orthopedic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 23156 used?
Applied when benign humeral lesion excision results in a significant cortical defect requiring reconstruction to maintain bone strength and prevent pathologic fracture.
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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.