23220 Radical rescj tumor proximal humerus
Also known as: radical proximal humerus resection, en bloc humeral excision, wide local excision proximal humerus
Radical resection of tumor (soft tissue and bone), proximal humerus. En bloc removal of malignant tumor from proximal humerus with surrounding soft tissues maintaining adequate oncologic margins.
In Plain Language
complete removal of cancer from upper arm; wide tumor removal upper arm
Clinical Context
Applied in primary humeral bone sarcomas or metastatic disease, requiring wide margin resection of bone and soft tissues for adequate oncologic control with consideration of reconstruction.
RVU Breakdown
| Work RVU | 29.45 |
| Total RVU | 29.45 |
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 29.45, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23220?
CPT 23220 (Radical rescj tumor proximal humerus) is a Surgery code. Radical resection of tumor (soft tissue and bone), proximal humerus. En bloc removal of malignant tumor from proximal humerus with surrounding soft tissues maintaining adequate oncologic margins.
What is the wRVU value for CPT 23220?
The work RVU for CPT 23220 is 29.45. This code is primarily used by Orthopedic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 23220 used?
Applied in primary humeral bone sarcomas or metastatic disease, requiring wide margin resection of bone and soft tissues for adequate oncologic control with consideration of reconstruction.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA 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.