23616 Optx prx hmrl fracture fix repair rpl
Also known as: complex proximal humerus ORIF, ORIF with RC repair, proximal humerus ORIF with reconstruction
Open treatment of proximal humeral fracture with internal fixation and repair of rotator cuff and/or repair/replacement of articular surface. Complex proximal humerus ORIF with associated reconstructive procedures.
Clinical Context
Used for proximal humeral fractures with rotator cuff tear, significant soft tissue injury, or articular surface damage requiring additional repair or replacement.
RVU Breakdown
| Work RVU | 17.91 |
| Practice Expense RVU | 11.97 |
| Malpractice RVU | 3.70 |
| Total RVU | 33.58 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.