23900 Interthoracoscplr amputation
Also known as: interthoracoscapular amputation, interscapulothoracic amputation, shoulder girdle amputation
Interthoracoscapular amputation (amputation through shoulder disarticulation and chest wall). Disarticulation of upper extremity at glenohumeral joint with chest wall reconstruction.
In Plain Language
removal of arm and shoulder blade; shoulder and chest wall amputation
Clinical Context
Rare procedure for massive shoulder girdle tumors, severe brachial plexus injuries, or large infected/necrotic shoulder girdle tissue; addresses extensive pathology.
RVU Breakdown
| Work RVU | 20.20 |
| Total RVU | 20.20 |
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 20.20, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23900?
CPT 23900 (Interthoracoscplr amputation) is a Surgery code. Interthoracoscapular amputation (amputation through shoulder disarticulation and chest wall). Disarticulation of upper extremity at glenohumeral joint with chest wall reconstruction.
What is the wRVU value for CPT 23900?
The work RVU for CPT 23900 is 20.20. This code is primarily used by Orthopedic Surgery, Surgical Oncology, Plastic Surgery. It has a 90-day global period.
When is CPT 23900 used?
Rare procedure for massive shoulder girdle tumors, severe brachial plexus injuries, or large infected/necrotic shoulder girdle tissue; addresses extensive pathology.
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.