23470 Reconstruct shoulder joint
Also known as: shoulder arthrodesis, shoulder joint reconstruction, shoulder fusion
Reconstruction of shoulder joint (arthrodesis or total joint replacement). Surgical fusion of glenohumeral joint or prosthetic replacement for severe arthropathy.
In Plain Language
fusion of shoulder joint; artificial shoulder joint placement
Clinical Context
Performed for advanced glenohumeral arthritis, failed arthroplasty, or severe joint destruction; choice between arthrodesis and arthroplasty based on patient factors and pathology.
RVU Breakdown
| Work RVU | 17.44 |
| Total RVU | 17.44 |
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 17.44, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23470?
CPT 23470 (Reconstruct shoulder joint) is a Surgery code. Reconstruction of shoulder joint (arthrodesis or total joint replacement). Surgical fusion of glenohumeral joint or prosthetic replacement for severe arthropathy.
What is the wRVU value for CPT 23470?
The work RVU for CPT 23470 is 17.44. This code is primarily used by Orthopedic Surgery, Joint Reconstruction. It has a 90-day global period.
When is CPT 23470 used?
Performed for advanced glenohumeral arthritis, failed arthroplasty, or severe joint destruction; choice between arthrodesis and arthroplasty based on patient factors and pathology.
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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.