23395 Muscle transfer shoulder/arm
Also known as: muscle transfer shoulder, local flap transfer, rotator cuff reconstruction
Muscle transfer to shoulder and arm (local transfer). Transfer of muscle or musculocutaneous flap for rotator cuff reconstruction, deltoid replacement, or functional restoration of shoulder.
In Plain Language
moving muscle to repair shoulder; muscle rearrangement for function
Clinical Context
Performed for irreparable rotator cuff tears, brachial plexus injury, or massive rotator cuff deficiency where muscle transfer can restore active motion and stability.
RVU Breakdown
| Work RVU | 18.08 |
| Total RVU | 18.08 |
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 18.08, this code ranks in the 79th 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 23395?
CPT 23395 (Muscle transfer shoulder/arm) is a Surgery code. Muscle transfer to shoulder and arm (local transfer). Transfer of muscle or musculocutaneous flap for rotator cuff reconstruction, deltoid replacement, or functional restoration of shoulder.
What is the wRVU value for CPT 23395?
The work RVU for CPT 23395 is 18.08. This code is primarily used by Orthopedic Surgery, Plastic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 23395 used?
Performed for irreparable rotator cuff tears, brachial plexus injury, or massive rotator cuff deficiency where muscle transfer can restore active motion and stability.
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.