23430 Repair biceps tendon
Also known as: biceps repair, biceps tenotomy and repair, long head biceps repair, shoulder manipulation under anesthesia, frozen shoulder manipulation
Repair of biceps tendon (long head of biceps at shoulder). Repair, reattachment, or reconstruction of biceps tendon at proximal insertion.
In Plain Language
repair of shoulder biceps tendon; biceps muscle reattachment
Clinical Context
Performed for acute proximal biceps tendon rupture, chronic tear, or pulley lesion; may include tenotomy with transfer, anchoring, or direct repair depending on tissue quality.
RVU Breakdown
| Work RVU | 9.92 |
| Total RVU | 9.92 |
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 9.92, this code ranks in the 59th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23430?
CPT 23430 (Repair biceps tendon) is a Surgery code. Repair of biceps tendon (long head of biceps at shoulder). Repair, reattachment, or reconstruction of biceps tendon at proximal insertion.
What is the wRVU value for CPT 23430?
The work RVU for CPT 23430 is 9.92. This code is primarily used by Orthopedic Surgery, Sports Medicine. It has a 90-day global period.
When is CPT 23430 used?
Performed for acute proximal biceps tendon rupture, chronic tear, or pulley lesion; may include tenotomy with transfer, anchoring, or direct repair depending on tissue quality.
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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.