23195 Resection humeral head
Also known as: humeral head resection, hemiartheoplasty preparation, head and neck resection
Resection of humeral head (arthroplasty type resection or hemiartheoplasty preparation). Removal of humeral head for reconstruction or arthroplasty.
In Plain Language
removal of upper arm ball; shoulder ball removal
Clinical Context
Used as preparation for hemiarteroplasty in complex proximal humeral fractures, severe osteoarthritis, or osteonecrosis of the humeral head when anatomic reconstruction is not possible.
RVU Breakdown
| Work RVU | 10.10 |
| Total RVU | 10.10 |
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 10.10, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23195?
CPT 23195 (Resection humeral head) is a Surgery code. Resection of humeral head (arthroplasty type resection or hemiartheoplasty preparation). Removal of humeral head for reconstruction or arthroplasty.
What is the wRVU value for CPT 23195?
The work RVU for CPT 23195 is 10.10. This code is primarily used by Orthopedic Surgery, Joint Reconstruction. It has a 90-day global period.
When is CPT 23195 used?
Used as preparation for hemiarteroplasty in complex proximal humeral fractures, severe osteoarthritis, or osteonecrosis of the humeral head when anatomic reconstruction is not possible.
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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.