23920 Disarticulation shoulder
Also known as: shoulder disarticulation, glenohumeral disarticulation, shoulder amputation
Disarticulation of shoulder (glenohumeral disarticulation). Amputation of upper extremity via disarticulation at shoulder joint.
In Plain Language
removal of arm from shoulder joint; shoulder joint separation
Clinical Context
Performed for severe shoulder pathology including massive tumors, severe infection, or extensive tissue destruction not amenable to limb salvage.
RVU Breakdown
| Work RVU | 15.82 |
| Total RVU | 15.82 |
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 15.82, this code ranks in the 75th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 23920?
CPT 23920 (Disarticulation shoulder) is a Surgery code. Disarticulation of shoulder (glenohumeral disarticulation). Amputation of upper extremity via disarticulation at shoulder joint.
What is the wRVU value for CPT 23920?
The work RVU for CPT 23920 is 15.82. This code is primarily used by Orthopedic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 23920 used?
Performed for severe shoulder pathology including massive tumors, severe infection, or extensive tissue destruction not amenable to limb salvage.
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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.