How To Use CPT Code 23044

CPT code 23044 describes the procedure of arthrotomy, specifically for the acromioclavicular or sternoclavicular joint. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 23044?

CPT 23044 is a code used to describe the surgical procedure of arthrotomy for the acromioclavicular or sternoclavicular joint. This procedure involves making an incision over the joint, exploring the structures inside, and performing any necessary interventions such as drainage or removal of foreign bodies. The purpose of this procedure is to relieve pain and restore mobility to the joint.

2. Official Description

The official description of CPT code 23044 is: ‘Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body.’

3. Procedure

During the arthrotomy procedure, the healthcare provider begins by preparing the patient and administering anesthesia. Once the patient is appropriately prepped and anesthetized, the provider makes an incision over the acromioclavicular or sternoclavicular joint. The incision is extended down to the joint capsule, allowing the provider to view the structures within the joint. If any loose or foreign bodies are present, such as pieces of cartilage, the provider removes them. Afterward, the area is irrigated, bleeding is checked, any instruments are removed, and the incision is closed.

4. Qualifying circumstances

CPT 23044 is used for patients who require arthrotomy of the acromioclavicular or sternoclavicular joint. This procedure is typically performed to address conditions that cause pain and limited mobility in these joints. The decision to perform arthrotomy is made based on the patient’s symptoms, physical examination findings, and diagnostic imaging results. The procedure is performed by a qualified healthcare provider who has the necessary training and expertise in performing arthrotomies.

5. When to use CPT code 23044

CPT code 23044 should be used when the healthcare provider performs an arthrotomy procedure on the acromioclavicular or sternoclavicular joint. This code is appropriate when the provider explores the joint, performs drainage if necessary, or removes any foreign bodies. It is important to note that CPT code 23044 should not be used for arthrotomy procedures on other joints or for different types of interventions.

6. Documentation requirements

To support a claim for CPT code 23044, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for arthrotomy
• Location of the arthrotomy (acromioclavicular or sternoclavicular joint)
• Details of the procedure, including exploration, drainage, or removal of foreign bodies
• Date of the procedure
• Start and end time of the procedure
• Any complications or unexpected findings
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 23044, ensure that the procedure performed is specifically an arthrotomy of the acromioclavicular or sternoclavicular joint. It is important to accurately document the details of the procedure and any additional interventions performed, such as drainage or removal of foreign bodies. CPT code 23044 should not be reported with other codes unless there are separate and distinct procedures performed on different joints. It is crucial to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT code 23044 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Similar codes to CPT 23044

There are several similar codes to CPT 23044 that describe arthrotomy procedures on different joints or for different purposes. Some examples include:

• CPT 23030: Arthrotomy, shoulder, with exploration, drainage, or removal of foreign body
• CPT 23035: Arthrotomy, shoulder, with synovectomy
• CPT 23040: Arthrotomy, elbow, with exploration, drainage, or removal of foreign body
• CPT 23075: Arthrotomy, wrist, with exploration, drainage, or removal of foreign body
• CPT 23076: Arthrotomy, wrist, with synovectomy

9. Examples

1. A patient with chronic shoulder pain undergoes arthrotomy of the acromioclavicular joint to explore and remove loose cartilage.
2. A patient presents with an infected sternoclavicular joint and requires arthrotomy for drainage and removal of pus.
3. An athlete sustains a shoulder injury during a game and undergoes arthrotomy of the acromioclavicular joint to remove a foreign body.
4. A patient with a history of recurrent shoulder dislocations undergoes arthrotomy of the glenohumeral joint to repair damaged structures.
5. A patient with osteoarthritis in the sternoclavicular joint undergoes arthrotomy for synovectomy to alleviate pain and improve joint function.