23585 Optx scapular fracture with int fixation
Also known as: ORIF scapular fracture, open scapula reduction, scapular ORIF
Open treatment of scapular fracture with internal fixation. Open reduction internal fixation of displaced scapular fracture via direct visualization and plate/screw fixation.
In Plain Language
surgery to fix shoulder blade break; shoulder blade plating
Clinical Context
Indicated for displaced glenoid or scapular body fractures with significant articular involvement or in polytrauma patients requiring early mobilization.
RVU Breakdown
| Work RVU | 13.87 |
| Total RVU | 13.87 |
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 13.87, this code ranks in the 70th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23585?
CPT 23585 (Optx scapular fracture with int fixation) is a Surgery code. Open treatment of scapular fracture with internal fixation. Open reduction internal fixation of displaced scapular fracture via direct visualization and plate/screw fixation.
What is the wRVU value for CPT 23585?
The work RVU for CPT 23585 is 13.87. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 23585 used?
Indicated for displaced glenoid or scapular body fractures with significant articular involvement or in polytrauma patients requiring early mobilization.
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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.