23335 Shoulder prosthesis removal
Also known as: complex prosthesis removal, implant removal with reconstruction, complicated prosthesis takedown
Removal of implant (prosthesis) from shoulder with increased complexity; includes extensive soft tissue exposure and management of bone loss. Extraction of shoulder prosthesis with reconstructive considerations.
In Plain Language
removal of shoulder replacement with complicated repair; complex artificial joint removal
Clinical Context
Used for severe periprosthetic bone loss, massive cuff deficiency, or significant soft tissue compromise requiring extended exposure and reconstruction planning during implant removal.
RVU Breakdown
| Work RVU | 18.53 |
| Total RVU | 18.53 |
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 18.53, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23335?
CPT 23335 (Shoulder prosthesis removal) is a Surgery code. Removal of implant (prosthesis) from shoulder with increased complexity; includes extensive soft tissue exposure and management of bone loss. Extraction of shoulder prosthesis with reconstructive considerations.
What is the wRVU value for CPT 23335?
The work RVU for CPT 23335 is 18.53. This code is primarily used by Orthopedic Surgery, Joint Reconstruction. It has a 90-day global period.
When is CPT 23335 used?
Used for severe periprosthetic bone loss, massive cuff deficiency, or significant soft tissue compromise requiring extended exposure and reconstruction planning during implant removal.
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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.