23420 Repair of shoulder
Also known as: shoulder repair non-RC, soft tissue repair shoulder, deltoid repair
Repair of shoulder (non-rotator cuff). Repair of shoulder structures excluding rotator cuff, such as coracoacromial ligament, deltoid, or other soft tissue repair.
In Plain Language
repair of shoulder tissues (not rotator cuff); shoulder muscle or ligament repair
Clinical Context
Used for deltoid injuries, coracoacromial ligament repair, superior capsular reconstruction without cuff involvement, or other non-cuff shoulder soft tissue injuries.
RVU Breakdown
| Work RVU | 13.20 |
| Total RVU | 13.20 |
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 13.20, this code ranks in the 68th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23420?
CPT 23420 (Repair of shoulder) is a Surgery code. Repair of shoulder (non-rotator cuff). Repair of shoulder structures excluding rotator cuff, such as coracoacromial ligament, deltoid, or other soft tissue repair.
What is the wRVU value for CPT 23420?
The work RVU for CPT 23420 is 13.20. This code is primarily used by Orthopedic Surgery, Sports Medicine. It has a 90-day global period.
When is CPT 23420 used?
Used for deltoid injuries, coracoacromial ligament repair, superior capsular reconstruction without cuff involvement, or other non-cuff shoulder soft tissue injuries.
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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.