23605 Cltx prx hmrl fracture mnpj+-tract
Also known as: closed reduction proximal humerus, shoulder fracture reduction with manipulation, manipulation proximal humerus
Closed treatment of proximal humeral fracture (2-part, 3-part, or 4-part) with manipulation and/or traction. Conservative treatment including reduction with manipulation under anesthesia.
In Plain Language
realignment of upper arm fracture without surgery; shoulder fracture reduction
Clinical Context
Performed when proximal humeral fractures require manipulation to achieve acceptable reduction; addresses displacement or rotation amenable to closed reduction.
RVU Breakdown
| Work RVU | 4.93 |
| Total RVU | 4.93 |
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 4.93, this code ranks in the 33rd percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23605?
CPT 23605 (Cltx prx hmrl fracture mnpj+-tract) is a Surgery code. Closed treatment of proximal humeral fracture (2-part, 3-part, or 4-part) with manipulation and/or traction. Conservative treatment including reduction with manipulation under anesthesia.
What is the wRVU value for CPT 23605?
The work RVU for CPT 23605 is 4.93. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 23605 used?
Performed when proximal humeral fractures require manipulation to achieve acceptable reduction; addresses displacement or rotation amenable to closed reduction.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.