23455 Repair shoulder capsule
Also known as: complex anterior capsule repair, extended anterior repair, anterior repair with advancement
Repair of shoulder capsule (anterior) with increased complexity or additional procedures. Enhanced anterior capsular repair with additional soft tissue procedures.
In Plain Language
more involved tightening of front shoulder; complex front shoulder stability repair
Clinical Context
Used for anterior instability with additional pathology such as rotator interval involvement, significant tissue laxity requiring capsular advancement, or humeral head defects.
RVU Breakdown
| Work RVU | 14.30 |
| Total RVU | 14.30 |
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 14.30, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23455?
CPT 23455 (Repair shoulder capsule) is a Surgery code. Repair of shoulder capsule (anterior) with increased complexity or additional procedures. Enhanced anterior capsular repair with additional soft tissue procedures.
What is the wRVU value for CPT 23455?
The work RVU for CPT 23455 is 14.30. This code is primarily used by Orthopedic Surgery, Sports Medicine. It has a 90-day global period.
When is CPT 23455 used?
Used for anterior instability with additional pathology such as rotator interval involvement, significant tissue laxity requiring capsular advancement, or humeral head defects.
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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.