23474 Revis reconst shoulder joint
Also known as: revision shoulder with graft, complex revision shoulder, arthrodesis revision with reconstruction
Revision of shoulder joint reconstruction (with osseous grafting). Complex revision of prior shoulder joint procedure requiring bone grafting or significant structural reconstruction.
In Plain Language
redo of previous shoulder surgery with bone graft; complex revision shoulder
Clinical Context
Applied in complex revision cases with bone loss, non-union, malposition requiring substantial osseous reconstruction for successful outcome.
RVU Breakdown
| Work RVU | 26.53 |
| Total RVU | 26.53 |
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 26.53, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23474?
CPT 23474 (Revis reconst shoulder joint) is a Surgery code. Revision of shoulder joint reconstruction (with osseous grafting). Complex revision of prior shoulder joint procedure requiring bone grafting or significant structural reconstruction.
What is the wRVU value for CPT 23474?
The work RVU for CPT 23474 is 26.53. This code is primarily used by Orthopedic Surgery, Joint Reconstruction. It has a 90-day global period.
When is CPT 23474 used?
Applied in complex revision cases with bone loss, non-union, malposition requiring substantial osseous reconstruction for successful outcome.
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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.