{"id":180127,"date":"2026-08-14T08:30:36","date_gmt":"2026-08-14T08:30:36","guid":{"rendered":"https:\/\/pabau.com\/?p=180127"},"modified":"2026-08-14T09:02:41","modified_gmt":"2026-08-14T09:02:41","slug":"cpt-code-23670","status":"publish","type":"post","link":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/","title":{"rendered":"CPT code 23670: Open treatment of shoulder dislocation with greater tuberosity fracture"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 23670: Open treatment of shoulder dislocation with fracture of greater humeral tuberosity\",\"description\":\"CPT code 23670 covers open treatment of shoulder dislocation with fracture of greater humeral tuberosity, including internal fixation when performed. Learn reimbursement rates, RVU values, modifiers, ICD-10 crosswalk, and related codes.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23670\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-02-15\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 23670 covers open treatment of a shoulder dislocation with a fracture of the greater humeral tuberosity.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Internal fixation placed in the same operative session is bundled into 23670 and cannot be billed separately.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The code carries a 90-day global period, so routine follow-up inside that window is not separately payable.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Fracture site decides the code. 23670 and 23665 cover the greater tuberosity, while 23675 and 23680 cover the humeral neck.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau ties the operative note to the claim, so modifiers and ICD-10 pairings are not lost in between.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT code 23670 covers open treatment of a shoulder dislocation with a fracture of the greater humeral tuberosity. Internal fixation is included when the surgeon performs it. That is the official descriptor maintained by the <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">American Medical Association (AMA)<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code sits in the Musculoskeletal System section of the CPT codebook, under Shoulder, in the 23000-23929 range. You report it when a glenohumeral dislocation comes with a greater tuberosity fracture and the surgeon opens the joint to treat it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The phrase &#8222;includes internal fixation, when performed&#8220; does the billing work here. Hardware placed during the same session is part of 23670, not a second line on the claim.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code element<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Details<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">23670<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Official AMA descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT section<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Musculoskeletal System, Shoulder (23000-23929)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Procedure type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open reduction, major surgical procedure<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">90 days, the major surgery indicator. Verify against the current CMS fee schedule<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Internal fixation bundling<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Included when performed in the same session. Later hardware removal is billed with CPT 20680<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-cpt-23670-fee-schedule-and-medicare-reimbursement\" class=\"wp-block-heading\">CPT 23670 fee schedule and Medicare reimbursement<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare payment for CPT 23670 varies by locality, place of service, and the Medicare Administrative Contractor (MAC) that processes the claim. The <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule (MPFS) lookup tool<\/a> is the authoritative source for current rates.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The figures below are 2026 national average estimates. Check your own locality in the MPFS before you use any of them in a revenue forecast.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Rate type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Estimated 2026 national average<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Facility rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~$780-$850<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Procedure performed in a hospital or ambulatory surgery center<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Non-facility rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~$1,100-$1,250<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Procedure performed in an office or other non-facility setting<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Geographic adjustment<\/td>\n<td style=\"padding:12px 16px;color:#374151\">GPCI applies by MAC locality<\/td>\n<td style=\"padding:12px 16px;color:#374151\">High-cost metro areas are paid more than rural localities<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Geographic Practice Cost Index (GPCI) factors move these national averages up or down by locality. A practice in an expensive metro area is paid more than a rural provider billing the same code. Private payer rates are negotiated separately and usually sit above Medicare, though they vary by contract.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Check CPT 23670 rates against the MPFS for your own MAC locality before using them in revenue cycle projections. National averages hide wide regional variation, especially on major orthopedic surgical codes.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-rvu-breakdown-for-cpt-23670\" class=\"wp-block-heading\">RVU breakdown for CPT 23670<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Relative Value Units (RVUs) decide what Medicare pays for CPT 23670. Three components make up the total. Work RVUs cover physician effort, practice expense RVUs cover overhead, and malpractice RVUs cover liability cost.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Multiply the total RVU by the annual conversion factor to get the base payment before geographic adjustment. CMS publishes that conversion factor each year in the fee schedule final rule.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:center;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Facility value (approx.)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">What it covers<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU (wRVU)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">~11.9-12.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Physician time, skill, mental effort, and stress<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice expense RVU<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">~9.9-10.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supplies, equipment, and staff overhead<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">~2.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Professional liability insurance allocation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU (facility)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">~24.5-26.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiply by the GPCI-adjusted conversion factor for final payment<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">These values are rounded from published CMS figures, so confirm them in the MPFS lookup or the <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-coding-resources\" target=\"_blank\" rel=\"nofollow noopener\">AMA&#8217;s CPT coding resources<\/a> before modeling revenue. Practice expense runs higher outside a facility, because the practice then absorbs overhead the hospital would otherwise carry.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Payment rarely matches the arithmetic exactly. Practices using <a href=\"https:\/\/pabau.com\/features\/reports-software\/\">revenue reporting<\/a> can compare what a payer actually paid against the RVU-based amount they expected, code by code.<\/p>\n\n\n\n<h2 id=\"h-modifiers-for-cpt-code-23670\" class=\"wp-block-heading\">Modifiers for CPT code 23670<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier choice on CPT 23670 depends on the clinical scenario, the payer, and the MAC&#8217;s Local Coverage Determinations (LCDs). No modifier is accepted universally, so confirm the requirement before you submit. The ones below come up most often.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Name<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to apply<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-LT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left side<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Procedure performed on the left shoulder. Many payers require it for laterality<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-RT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right side<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Procedure performed on the right shoulder. Confirm your MAC&#8217;s rule<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Increased procedural services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Work substantially exceeds the typical case, such as severe comminution or revision after a failed closed reduction. Documentation must justify it<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-51<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiple procedures<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A distinct second procedure is performed in the same session. Append it to the secondary procedure<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-62<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Two surgeons<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Two surgeons take distinct roles. Both append -62 to their own claims<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-80<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Assistant surgeon<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A surgical assistant takes part. Payment is typically 16% of the primary surgeon&#8217;s rate<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Payer rules differ on laterality. Some MACs want -LT or -RT on every unilateral procedure, while others ask for it only on bilateral claims. Teams billing several shoulder procedures in one session should also check the National Correct Coding Initiative (NCCI) bundling edits.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier -22 is the one that gets tested. Accurate <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital documentation<\/a> at the point of care is what keeps that claim defensible. A reviewer may ask months later why the case was harder than usual.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-23670\/how-to-mark-injection-points-in-a-treatment-note.webp\" alt=\"Pabau treatment note with an anatomical diagram used to mark the treated area\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s treatment notes include anatomical plotting, so the treated site and laterality reach the claim exactly as the clinician recorded them.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-icd-10-codes-commonly-billed-with-cpt-23670\" class=\"wp-block-heading\">ICD-10 codes commonly billed with CPT 23670<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 23670 needs a supporting ICD-10-CM diagnosis that shows a shoulder dislocation with a fracture of the greater tuberosity. Codes in the S43.0 and S42.2 ranges carry most of these claims.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 7th character is mandatory. Use A for the initial encounter, D for a subsequent encounter, and S for sequela. Make sure the encounter type matches the date of service on the claim.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Pairing notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S43.004A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified dislocation of right shoulder joint, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when the dislocation type is not documented, right shoulder<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S43.005A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified dislocation of left shoulder joint, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when the dislocation type is not documented, left shoulder<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.201A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture of upper end of right humerus, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Pair with a dislocation code when tuberosity detail is missing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.202A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture of upper end of left humerus, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left-sided counterpart, paired with the left dislocation code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.251A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of greater tuberosity of right humerus, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Most specific code when displacement is documented, right shoulder<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.252A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of greater tuberosity of left humerus, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Most specific code when displacement is documented, left shoulder<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Use the most specific code the documentation supports. When the operative note names the greater tuberosity and confirms displacement, S42.251A or S42.252A beats an unspecified fracture code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The subluxation codes are the common mispick. S43.001A and S43.002A describe subluxation of the shoulder joint rather than dislocation, so they do not support an open dislocation repair. A crosswalk reference such as the <a href=\"https:\/\/www.aapc.com\/codify\/icd-10-crosswalk.aspx\" target=\"_blank\" rel=\"nofollow noopener\">AAPC CPT-to-ICD-10 crosswalk<\/a> confirms a valid pairing before submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Shoulder injuries often arrive through a rehabilitation or athletic route rather than an emergency room. Practices running <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine software<\/a> see the same codes across assessment, surgery, and return-to-play follow-up.<\/p>\n\n\n\n<h2 id=\"h-billing-guidelines-and-documentation-requirements-for-cpt-23670\" class=\"wp-block-heading\">Billing guidelines and documentation requirements for CPT 23670<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A clean 23670 claim rests on an operative note that justifies an open approach. Closed reduction is the default treatment for this injury, so payers look for the reason the surgeon opened the joint instead.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Key documentation elements required in the operative note:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Confirmation that closed reduction was attempted or contraindicated, with the rationale for open treatment<\/li>\n\n\n\n<li>Intraoperative identification and description of the greater tuberosity fracture fragment<\/li>\n\n\n\n<li>The dislocation type, whether anterior, posterior, or inferior<\/li>\n\n\n\n<li>If internal fixation was applied, the hardware type, size, and method, such as cannulated screws or suture anchors<\/li>\n\n\n\n<li>If fixation was not applied, an explicit note saying so, which supports the code&#8217;s &#8222;when performed&#8220; language<\/li>\n\n\n\n<li>Laterality, stated as right or left shoulder<\/li>\n\n\n\n<li>Pre- and post-operative neurovascular status of the extremity<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bundled fixation is a pattern across the fracture codes, not a quirk of 23670. <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21365\/\">CPT 21365<\/a> rolls internal fixation into a facial fracture repair in much the same way, and it carries the same duty to describe the hardware.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The 90-day global period means routine follow-up care in the 90 days after surgery is bundled into 23670. An unrelated evaluation and management visit inside that window needs modifier -24. Hardware removal on a later date is billed with <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20680\/\">CPT 20680<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices that also deliver <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy and rehabilitation<\/a> need that global period boundary visible in the record. Otherwise a therapy visit gets billed as postoperative follow-up, or the reverse.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Send a cover letter with any 23670 claim carrying modifier -22. Name the specific factors that made the case harder than typical, such as severe comminution or a failed closed reduction. Payers want that detail before they approve an upward adjustment.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-related-cpt-codes-23650-23655-23665-23675-and-23680\" class=\"wp-block-heading\">Related CPT codes: 23650, 23655, 23665, 23675, and 23680<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Two variables separate this family of codes. The first is the approach, closed or open. The second is where the humerus fractured, if it fractured at all. Reading the group that way turns the most common orthopedic billing error into a two-question check.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor summary<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key differentiator<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23650<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of shoulder dislocation, with manipulation, without anesthesia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No fracture. Closed reduction with no sedation or regional block<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23655<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of shoulder dislocation, with manipulation, requiring anesthesia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No fracture. Closed reduction performed under anesthesia<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23665<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Greater tuberosity fracture reduced without an incision<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23670<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Greater tuberosity fracture treated open, fixation included<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23675<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture at the humeral neck, not the tuberosity. Closed reduction<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23680<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture at the humeral neck treated open, fixation included<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h3 id=\"h-when-to-use-cpt-23670-vs-cpt-23675-and-cpt-23665\" class=\"wp-block-heading\">How to choose between 23670, 23665, and 23675<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Start with the approach. CPT 23670 applies only when the surgeon makes an incision to reach and reduce the fracture-dislocation. If the same injury is reduced without an incision, 23665 is the code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Then read the fracture site. CPT 23675 is not the anesthesia version of 23665, which is where coders slip. It covers closed treatment when the fracture sits at the surgical or anatomical neck of the humerus instead of the greater tuberosity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same site logic separates 23670 from 23680. Use 23680 when the note places the fracture at the surgical or anatomical neck and the surgeon treated it open. Both codes include internal fixation when performed, so hardware never distinguishes them. Fracture site does.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Descriptors change with each annual CPT release. Verify the wording in the codebook or through the <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC CPT code lookup<\/a> when a claim is borderline.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-23670\/fully-integrated-with-pabau-billing.webp\" alt=\"Pabau billing screen matching insurer remittances against individual patient claims\"\/><figcaption class=\"wp-element-caption\"><em>Pabau matches remittances line by line, so an underpaid or rejected 23670 claim surfaces instead of sitting unnoticed in a batch.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Coders working the wider shoulder range meet the same open-versus-closed question elsewhere in the 23000 series. <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23472\/\">CPT 23472<\/a> covers total shoulder arthroplasty, and <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23146\/\">CPT 23146<\/a> covers excision of a bone cyst in the proximal humerus.<\/p>\n\n\n\n<h2 id=\"h-how-practice-management-software-supports-cpt-23670-billing\" class=\"wp-block-heading\">How practice management software supports CPT 23670 billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most orthopedic billing teams work across two screens. A code reference sits in one window and the billing system in the other. The coder reads the operative note, picks 23670, then retypes it. That hand-off is where a laterality modifier gets dropped or an ICD-10 pairing goes unchecked.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/blog\/practice-management-software\/\">Practice management software<\/a> like Pabau keeps the documentation and the claim in one record. Code capture happens inside the encounter, so the code is attached to the note the surgeon actually wrote. Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> then carries that detail through to submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Denials come back sorted by code rather than as one monthly figure. A billing team can see that 23670 rejections cluster around a missing modifier, fix the template, and stop the pattern. On a code paying several hundred dollars a claim, catching that in week two protects meaningful revenue.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce CPT 23670 claim denials with connected billing                <\/h3>\n\n                <p class=\"description\">\n                    Pabau links clinical documentation to claim submission. Orthopedic practices apply the right modifiers, validate ICD-10 pairings, and watch reimbursement on codes like CPT 23670.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard showing billing and claims workflow\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every 23670 claim comes down to two facts in the operative note. The surgeon opened the joint, and the fracture sat at the greater tuberosity. Read those two first, and the modifier, the diagnosis pairing, and the global period all fall into place behind them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The trade-off worth remembering is documentation effort. This code pays well and carries a 90-day global period, so payers read the note closely. A note that states the approach, the fracture site, the laterality, and the fixation method answers the reviewer before they ask.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Keeping that note and the claim in one system is what stops the detail leaking on the way to the payer. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau supports orthopedic billing from operative note through to remittance.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding other shoulder procedures?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23472\/\">CPT 23472<\/a> covers total shoulder arthroplasty billing, from the descriptor through to reimbursement.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Taking the hardware out later?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20680\/\">CPT 20680<\/a> is the deep implant removal code you bill once fixation from a 23670 repair comes out.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Working further down the humerus?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23146\/\">CPT 23146<\/a> covers excision of a bone cyst in the proximal humerus with autograft.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a diagnosis code for a bruised upper arm?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s40022a\/\">ICD-10 S40.022A<\/a> shows how laterality and encounter characters work on a soft tissue injury.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing an open fracture elsewhere?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72041b\/\">ICD-10 S72.041B<\/a> shows how the 7th character changes once a fracture is classified as open.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786693343782\"><h3 class=\"schema-faq-question\">What does CPT code 23670 cover?<\/h3> <p class=\"schema-faq-answer\">CPT code 23670 covers open treatment of a shoulder dislocation with a fracture of the greater humeral tuberosity. Internal fixation is included when the surgeon performs it. The code applies only when the joint is opened surgically, so a closed reduction is never reportable under 23670.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693343783\"><h3 class=\"schema-faq-question\">Is CPT 23670 a surgical procedure code?<\/h3> <p class=\"schema-faq-answer\">Yes. CPT 23670 is a major surgical procedure code in the CPT Musculoskeletal System section. It carries a 90-day global surgery period under Medicare rules. Routine postoperative follow-up inside those 90 days is bundled into the code and is not separately billable.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693343784\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for CPT 23670?<\/h3> <p class=\"schema-faq-answer\">Medicare payment for CPT 23670 varies by locality and place of service. National average estimates for 2026 run from roughly $780 to $850 in a facility, and from $1,100 to $1,250 in a non-facility setting. Geographic adjustment factors apply on top of those figures. Confirm current rates for your own locality in the CMS fee schedule lookup tool.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693343785\"><h3 class=\"schema-faq-question\">How does CPT 23670 differ from CPT 23665 and CPT 23675?<\/h3> <p class=\"schema-faq-answer\">CPT 23670 and CPT 23665 both describe a dislocation with a greater tuberosity fracture. 23670 is the open treatment, and 23665 is the closed treatment. CPT 23675 is a different injury altogether. It covers closed treatment when the fracture sits at the surgical or anatomical neck of the humerus.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693343786\"><h3 class=\"schema-faq-question\">What modifiers apply to CPT code 23670?<\/h3> <p class=\"schema-faq-answer\">The modifiers used most often on CPT 23670 are -LT and -RT for laterality and -22 for increased complexity. Others include -51 for multiple procedures, -62 for co-surgery, and -80 for an assistant surgeon. Modifier rules are payer-specific, so confirm the requirement with your MAC or payer before submitting.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693343787\"><h3 class=\"schema-faq-question\">Can internal fixation be billed separately when performed with CPT 23670?<\/h3> <p class=\"schema-faq-answer\">No. The descriptor includes the phrase &#8222;includes internal fixation, when performed.&#8220; That bundles fixation into the primary code when it happens in the same operative session. Hardware removal on a later date is billed separately, using CPT 20680 for deep implant removal.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786693343788\"><h3 class=\"schema-faq-question\">What ICD-10 codes are used with CPT 23670?<\/h3> <p class=\"schema-faq-answer\">The most specific pairing is S42.251A or S42.252A, for a displaced fracture of the greater tuberosity of the right or left humerus. Add the dislocation code, S43.004A for the right shoulder or S43.005A for the left. S43.001A and S43.002A describe subluxation, so they do not support an open dislocation repair.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>CPT code 23670 covers open treatment of a shoulder dislocation with a fracture of the greater humeral tuberosity. Internal fixation is included when the surgeon performs it. That is the official descriptor maintained by the American Medical Association (AMA). The code sits in the Musculoskeletal System section of the CPT codebook, under Shoulder, in the [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":180126,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"77","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546,1125,1127],"tags":[1162,1602,1236,1666],"class_list":["post-180127","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","category-musculoskeletal-pain-management","category-sports-medicine","tag-cpt-codes","tag-cpt-modifiers","tag-medicare-reimbursement","tag-orthopedic-billing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 23670: RVUs, modifiers, and ICD-10 pairings<\/title>\n<meta name=\"description\" content=\"CPT 23670 is open treatment of shoulder dislocation with greater tuberosity fracture. Fixation is bundled, and the global period is 90 days.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT code 23670: RVUs, modifiers, and ICD-10 pairings\" \/>\n<meta property=\"og:description\" content=\"CPT 23670 is open treatment of shoulder dislocation with greater tuberosity fracture. Fixation is bundled, and the global period is 90 days.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-14T08:30:36+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-14T09:02:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-23670.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Maja Popovska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"12\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"CPT code 23670: Open treatment of shoulder dislocation with greater tuberosity fracture\",\"datePublished\":\"2026-08-14T08:30:36+00:00\",\"dateModified\":\"2026-08-14T09:02:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/\"},\"wordCount\":2341,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-23670.webp\",\"keywords\":[\"CPT Codes\",\"Cpt Modifiers\",\"Medicare reimbursement\",\"Orthopedic Billing\"],\"articleSection\":[\"Billing Codes\",\"CPT Codes\",\"Musculoskeletal &amp; Pain Management\",\"Sports Medicine\"],\"inLanguage\":\"de\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/\",\"name\":\"CPT code 23670: RVUs, modifiers, and ICD-10 pairings\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-23670.webp\",\"datePublished\":\"2026-08-14T08:30:36+00:00\",\"dateModified\":\"2026-08-14T09:02:41+00:00\",\"description\":\"CPT 23670 is open treatment of shoulder dislocation with greater tuberosity fracture. 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It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\",\"name\":\"Maja Popovska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"caption\":\"Maja Popovska\"},\"description\":\"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/blog\\\/author\\\/maja-popovska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343782\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343782\",\"name\":\"What does CPT code 23670 cover?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT code 23670 covers open treatment of a shoulder dislocation with a fracture of the greater humeral tuberosity. Internal fixation is included when the surgeon performs it. The code applies only when the joint is opened surgically, so a closed reduction is never reportable under 23670.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343783\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343783\",\"name\":\"Is CPT 23670 a surgical procedure code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. CPT 23670 is a major surgical procedure code in the CPT Musculoskeletal System section. It carries a 90-day global surgery period under Medicare rules. Routine postoperative follow-up inside those 90 days is bundled into the code and is not separately billable.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343784\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343784\",\"name\":\"What is the Medicare reimbursement rate for CPT 23670?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare payment for CPT 23670 varies by locality and place of service. National average estimates for 2026 run from roughly $780 to $850 in a facility, and from $1,100 to $1,250 in a non-facility setting. Geographic adjustment factors apply on top of those figures. Confirm current rates for your own locality in the CMS fee schedule lookup tool.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343785\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343785\",\"name\":\"How does CPT 23670 differ from CPT 23665 and CPT 23675?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT 23670 and CPT 23665 both describe a dislocation with a greater tuberosity fracture. 23670 is the open treatment, and 23665 is the closed treatment. CPT 23675 is a different injury altogether. It covers closed treatment when the fracture sits at the surgical or anatomical neck of the humerus.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343786\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-23670\\\/#faq-question-1786693343786\",\"name\":\"What modifiers apply to CPT code 23670?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The modifiers used most often on CPT 23670 are -LT and -RT for laterality and -22 for increased complexity. Others include -51 for multiple procedures, -62 for co-surgery, and -80 for an assistant surgeon. 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The code applies only when the joint is opened surgically, so a closed reduction is never reportable under 23670.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343783","position":2,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343783","name":"Is CPT 23670 a surgical procedure code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. CPT 23670 is a major surgical procedure code in the CPT Musculoskeletal System section. It carries a 90-day global surgery period under Medicare rules. Routine postoperative follow-up inside those 90 days is bundled into the code and is not separately billable.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343784","position":3,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343784","name":"What is the Medicare reimbursement rate for CPT 23670?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare payment for CPT 23670 varies by locality and place of service. National average estimates for 2026 run from roughly $780 to $850 in a facility, and from $1,100 to $1,250 in a non-facility setting. Geographic adjustment factors apply on top of those figures. 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It covers closed treatment when the fracture sits at the surgical or anatomical neck of the humerus.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343786","position":5,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343786","name":"What modifiers apply to CPT code 23670?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The modifiers used most often on CPT 23670 are -LT and -RT for laterality and -22 for increased complexity. Others include -51 for multiple procedures, -62 for co-surgery, and -80 for an assistant surgeon. Modifier rules are payer-specific, so confirm the requirement with your MAC or payer before submitting.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343787","position":6,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343787","name":"Can internal fixation be billed separately when performed with CPT 23670?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. The descriptor includes the phrase \"includes internal fixation, when performed.\" That bundles fixation into the primary code when it happens in the same operative session. Hardware removal on a later date is billed separately, using CPT 20680 for deep implant removal.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343788","position":7,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-23670\/#faq-question-1786693343788","name":"What ICD-10 codes are used with CPT 23670?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The most specific pairing is S42.251A or S42.252A, for a displaced fracture of the greater tuberosity of the right or left humerus. Add the dislocation code, S43.004A for the right shoulder or S43.005A for the left. S43.001A and S43.002A describe subluxation, so they do not support an open dislocation repair.","inLanguage":"de"},"inLanguage":"de"}]}},"yoast":{"focus_keyword":"cpt code 23670","seo_title":"CPT code 23670: RVUs, modifiers, and ICD-10 pairings","meta_description":"CPT 23670 is open treatment of shoulder dislocation with greater tuberosity fracture. 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