23615 Optx proximal humeral fracture with int fix
Also known as: ORIF proximal humerus, open shoulder fracture repair, proximal humerus ORIF
Open treatment of proximal humeral fracture with internal fixation. Open reduction internal fixation via plate, screw, or intramedullary fixation of proximal humeral fracture.
In Plain Language
surgery to fix upper arm fracture; shoulder fracture plating
Clinical Context
Indicated for displaced proximal humeral fractures (3-part, 4-part), fracture-dislocations, or in patients requiring early mobilization; provides stable fixation.
RVU Breakdown
| Work RVU | 11.99 |
| Total RVU | 11.99 |
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 11.99, this code ranks in the 65th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23615?
CPT 23615 (Optx proximal humeral fracture with int fix) is a Surgery code. Open treatment of proximal humeral fracture with internal fixation. Open reduction internal fixation via plate, screw, or intramedullary fixation of proximal humeral fracture.
What is the wRVU value for CPT 23615?
The work RVU for CPT 23615 is 11.99. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 23615 used?
Indicated for displaced proximal humeral fractures (3-part, 4-part), fracture-dislocations, or in patients requiring early mobilization; provides stable fixation.
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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.