How To Use CPT Code 23625

CPT code 23625 describes the closed treatment of a greater humeral tuberosity fracture with manipulation. 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 23625?

CPT 23625 is used to describe the closed treatment of a greater humeral tuberosity fracture with manipulation. This code is used when a healthcare provider performs a procedure to adjust or realign the fractured bone in the greater tubercle, which is the rounded projection at the upper end of the humerus bone.

2. Official Description

The official description of CPT code 23625 is: ‘Closed treatment of greater humeral tuberosity fracture with manipulation.’

3. Procedure

In this procedure, the healthcare provider performs a closed treatment of a greater humeral tuberosity fracture with manipulation. The patient is appropriately prepped and anesthetized before the procedure. The provider then adjusts the fractured fragment by exerting a pushing or pulling force on the humerus to reduce or realign the fracture. After the manipulation, the patient is placed in a sling or brace for a period of four to six weeks to aid in the healing process. The provider may also perform an X-ray examination of the upper end of the humerus bone to confirm the reduction of the fracture.

4. Qualifying circumstances

CPT 23625 is used for patients with a greater humeral tuberosity fracture that requires closed treatment with manipulation. The fracture must be in the greater tubercle, which is the lateral projection at the upper end of the humerus near the shoulder. The procedure must be performed by a qualified healthcare provider and involve the manipulation of the fractured bone.

5. When to use CPT code 23625

CPT code 23625 should be used when a healthcare provider performs a closed treatment of a greater humeral tuberosity fracture with manipulation. It should not be used if the manipulation is not performed. In such cases, CPT code 23620, which describes closed treatment without manipulation, should be used instead.

6. Documentation requirements

To support a claim for CPT code 23625, the healthcare provider must document the following information:

• Patient’s diagnosis of a greater humeral tuberosity fracture
• Details of the manipulation procedure performed
• Date of the procedure
• Start and end time of the procedure
• Confirmation of reduction of the fracture through an X-ray examination, if performed
• Any additional relevant information or complications

7. Billing guidelines

When billing for CPT code 23625, ensure that the procedure involves the closed treatment of a greater humeral tuberosity fracture with manipulation. It should not be reported if the manipulation is not performed. There are no specific guidelines regarding reporting this code with other codes.

8. Historical information

CPT code 23625 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 23625

There are no similar codes to CPT code 23625.

9. Examples

1. A healthcare provider performs a closed treatment of a greater humeral tuberosity fracture with manipulation for a patient who fell and injured their shoulder.
2. A patient presents with a greater humeral tuberosity fracture, and the healthcare provider performs a closed reduction procedure to realign the fractured bone.
3. A healthcare provider treats a patient with a greater humeral tuberosity fracture by manipulating the fractured fragment back into its proper alignment.
4. A patient with a greater humeral tuberosity fracture undergoes a closed treatment procedure with manipulation to aid in the healing process.
5. A healthcare provider performs a closed reduction procedure for a patient with a greater humeral tuberosity fracture, ensuring proper alignment of the fractured bone.
6. A patient with a greater humeral tuberosity fracture receives closed treatment with manipulation to promote healing and restore normal function.
7. A healthcare provider performs a closed treatment procedure with manipulation for a patient with a greater humeral tuberosity fracture caused by a sports injury.
8. A patient with a greater humeral tuberosity fracture undergoes a closed reduction procedure to realign the fractured bone and facilitate healing.
9. A healthcare provider treats a patient with a greater humeral tuberosity fracture by manipulating the fractured fragment, ensuring proper alignment and stability.
10. A patient with a greater humeral tuberosity fracture receives closed treatment with manipulation to alleviate pain and restore normal shoulder function.