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23466 Repair shoulder capsule

Surgery Global 90d

Also known as: capsular repair with RC repair, combined repair, capsulorrhaphy with RC repair

Repair of shoulder capsule (with rotator cuff involvement). Combined capsular and rotator cuff repair in same surgical session.

In Plain Language

repair of both shoulder tightness and muscle tear; combined shoulder repair

Clinical Context

Applied when both capsular pathology (instability or contracture) and rotator cuff pathology coexist requiring concurrent repair in same operative session.

RVU Breakdown

Work RVU15.41
Total RVU15.41

Est. Medicare Payment

$514.69

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 15.41, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Orthopedic SurgerySports Medicine

Frequently Asked Questions

What is CPT code 23466?

CPT 23466 (Repair shoulder capsule) is a Surgery code. Repair of shoulder capsule (with rotator cuff involvement). Combined capsular and rotator cuff repair in same surgical session.

What is the wRVU value for CPT 23466?

The work RVU for CPT 23466 is 15.41. This code is primarily used by Orthopedic Surgery, Sports Medicine. It has a 90-day global period.

When is CPT 23466 used?

Applied when both capsular pathology (instability or contracture) and rotator cuff pathology coexist requiring concurrent repair in same operative session.

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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.