23655 Cltx sho dslc with mnpj with anesthesia
Also known as: closed reduction with anesthesia, shoulder reduction under sedation, manipulation with anesthesia
Closed treatment of shoulder dislocation (anterior, posterior, or inferior) with manipulation with anesthesia. Reduction of shoulder dislocation via manipulation under anesthesia.
In Plain Language
putting shoulder back in place with sedation; shoulder reduction under anesthesia
Clinical Context
Performed when shoulder dislocations require anesthesia for muscle relaxation to achieve reduction, particularly in chronic or irreducible dislocations.
RVU Breakdown
| Work RVU | 4.64 |
| Total RVU | 4.64 |
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 4.64, this code ranks in the 32nd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23655?
CPT 23655 (Cltx sho dslc with mnpj with anesthesia) is a Surgery code. Closed treatment of shoulder dislocation (anterior, posterior, or inferior) with manipulation with anesthesia. Reduction of shoulder dislocation via manipulation under anesthesia.
What is the wRVU value for CPT 23655?
The work RVU for CPT 23655 is 4.64. This code is primarily used by Orthopedic Surgery, Emergency Medicine. It has a 90-day global period.
When is CPT 23655 used?
Performed when shoulder dislocations require anesthesia for muscle relaxation to achieve reduction, particularly in chronic or irreducible dislocations.
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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.