{"id":183389,"date":"2026-08-18T11:54:54","date_gmt":"2026-08-18T11:54:54","guid":{"rendered":"https:\/\/pabau.com\/?p=183389"},"modified":"2026-08-18T12:24:05","modified_gmt":"2026-08-18T12:24:05","slug":"cpt-code-23462","status":"publish","type":"post","link":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/","title":{"rendered":"CPT code 23462: Reimbursement, RVUs, modifiers, and billing guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 23462: Reimbursement, RVUs, modifiers, and billing guide\",\"description\":\"Complete billing reference for CPT code 23462 (anterior capsulorrhaphy with coracoid process transfer). Covers RVUs, Medicare reimbursement, modifiers, ICD-10 crosswalk, NCCI edits, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23462\/\",\"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\":\"2026-08-10\",\"dateModified\":\"2026-08-18\"}<\/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 23462 describes an open anterior capsulorrhaphy with coracoid process transfer, the code used for Latarjet and Bristow shoulder stabilization.<\/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 29.26 total RVUs and pays roughly $977 under Medicare, before your locality adjustment is applied.<\/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>Modifier -LT or -RT is required on every claim, and leaving it off is the leading cause of rejection.<\/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>Recurrent anterior dislocation is coded M24.411, M24.412, or M24.419, and the laterality must match the modifier on the claim.<\/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 helps orthopedic practices track modifier use and catch coding errors before a claim leaves the building.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT code 23462 reports an open anterior capsulorrhaphy with coracoid process transfer. The official long descriptor reads: Capsulorrhaphy, anterior, any type; with coracoid process transfer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code belongs to the Musculoskeletal System section of the CPT set, which 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> maintains. Within that section it sits under repair, revision, and reconstruction procedures on the shoulder joint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two elements define the code. The first is an anterior capsulorrhaphy, where the surgeon repairs or tightens the anterior joint capsule to reduce the risk of another dislocation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The second is a coracoid process transfer. The coracoid tip and the conjoined tendon are detached and repositioned to the anterior glenoid rim. That creates a bony and soft-tissue barrier against repeat subluxation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This combination is the hallmark of the Latarjet and Bristow procedures, both of which fall under 23462.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Several coding references describe CPT 23462 as an arthroscopic rotator cuff repair. That is wrong. CPT 23462 is an <strong>open<\/strong> anterior stabilization procedure involving the capsule and the coracoid. Arthroscopic rotator cuff repairs sit in the 29800s range.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Check that the operative report confirms an open approach and a coracoid transfer before you submit this code. Practices using <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> can flag the distinction during pre-submission review.<\/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-23462\/automate-claims-through-healthcode.webp\" alt=\"Automate claims and billing with Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s claims management tools automate submission, so shoulder reconstruction claims leave the practice with modifiers and authorization details already attached.<\/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<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-procedure-description-and-clinical-indications\" class=\"wp-block-heading\">Procedure description and clinical indications<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 23462 is indicated for recurrent anterior glenohumeral instability. It applies to patients who have failed conservative management, or who have bone loss that makes a soft-tissue-only repair insufficient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Latarjet procedure is the most common variant. Surgeons reach for it when glenoid bone loss exceeds 20% to 25%, or in high-risk athletes with engaging Hill-Sachs lesions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The surgical sequence typically includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Open anterior approach to the glenohumeral joint<\/li>\n\n\n\n<li>Identification and release of the subscapularis muscle<\/li>\n\n\n\n<li>Osteotomy of the coracoid process with preservation of the conjoined tendon<\/li>\n\n\n\n<li>Transfer of the coracoid graft to the anterior glenoid rim with fixation, typically two screws<\/li>\n\n\n\n<li>Anterior capsulorrhaphy or capsular repair to complete the stabilization<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Because the procedure is open and involves a bony transfer, it differs from arthroscopic Bankart repair under 29806. It also differs from capsulorrhaphy alone, without coracoid transfer, under 23455 or 23460.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The operative note must confirm every one of those steps, especially the coracoid osteotomy and the fixation. Orthopedic and <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine practices<\/a> running Latarjet cases should build a documentation checklist into the pre-operative workflow.<\/p>\n\n\n\n<h2 id=\"h-cpt-code-23462-rvu-breakdown\" class=\"wp-block-heading\">CPT code 23462 RVU breakdown<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Relative Value Units (RVUs) form the basis of Medicare reimbursement for CPT 23462. The table below reflects 2026 values from the Medicare Physician Fee Schedule. Verify current figures with the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule lookup<\/a>, or with an RVU tool such as <a href=\"https:\/\/fastrvu.com\/tools\/rvu-lookup\" target=\"_blank\" rel=\"nofollow noopener\">FastRVU<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The conversion factor and Geographic Practice Cost Index (GPCI) adjustments mean actual payment varies by locality.<\/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:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Value<\/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\">Work RVU (wRVU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">15.33<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Identical in facility and non-facility settings<\/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 (PE)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">10.67<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Confirm the setting-specific figure in the current CMS file<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU (MP)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.26<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Identical in facility and non-facility settings<\/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<\/td>\n<td style=\"padding:12px 16px;color:#374151\">29.26<\/td>\n<td style=\"padding:12px 16px;color:#374151\">wRVU plus PE plus MP<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">RVU values are updated annually through the Medicare Physician Fee Schedule Final Rule. Confirm the 2026 conversion factor and any RVU adjustments before you bill.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GPCI locality multipliers adjust PE and MP RVUs further. A practice in San Francisco will see different payment than one in rural Mississippi billing the same code.<\/p>\n\n\n\n<h2 id=\"h-reimbursement-rates-and-medicare-fee-schedule-for-cpt-23462\" class=\"wp-block-heading\">Reimbursement rates and Medicare fee schedule for CPT 23462<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 23462 reimbursement under Medicare is the total RVUs multiplied by the conversion factor, with GPCI adjustments applied. The procedure is almost always performed in a hospital or ambulatory surgery center, so facility rates matter most for physician payment.<\/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\">Payer 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\">Approximate rate (facility)<\/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 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\">Medicare (national average)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~$977<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify your locality rate via the CMS lookup, since figures change annually<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Commercial payers<\/td>\n<td style=\"padding:12px 16px;color:#374151\">100-200% of Medicare<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varies by contracted rate and payer, so negotiate individually<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicaid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varies by state<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Some states pay below Medicare, so check your state fee schedule<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Commercial rates for CPT 23462 are negotiated through provider contracts and often exceed Medicare. Most commercial plans require prior authorization before a Latarjet procedure. Document the medical necessity determination and keep the authorization number in the patient record.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Without an authorization tracking workflow, a practice can perform the procedure before coverage is confirmed, which usually ends in a denial. <a href=\"https:\/\/pabau.com\/blog\/practice-management-software-features\/\">Practice management software features<\/a> that include authorization tracking reduce that exposure.<\/p>\n\n\n\n<h2 id=\"h-modifiers-for-cpt-code-23462\" class=\"wp-block-heading\">Modifiers for CPT code 23462<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifiers change how a claim is processed without changing what the code means. These are the ones that come up most often on CPT 23462 claims:<\/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\">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\">When to use<\/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<\/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<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\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\">Reported alongside another procedure in the same session, applied to the secondary procedure<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-78<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unplanned return to the OR during the global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Related complication requiring a return procedure inside the 90-day global period<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-79<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unrelated procedure during the global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Separate, unrelated surgical procedure performed inside the 90-day global period<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Laterality modifiers are mandatory for shoulder procedures. Submitting CPT 23462 without -LT or -RT is one of the most common reasons a clean claim rejects.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some payers also want modifier -22 when operative time runs well beyond typical, with documentation attached. Confirm modifier requirements with each payer before you submit.<\/p>\n\n\n\n<h2 id=\"h-icd-10-diagnosis-codes-that-support-cpt-23462\" class=\"wp-block-heading\">ICD-10 diagnosis codes that support CPT 23462<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medical necessity for CPT 23462 has to be established with an appropriate ICD-10-CM diagnosis code. The table below lists the codes most often linked to anterior shoulder instability procedures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Payer LCD policies vary, so verify coverage with the specific plan. <a href=\"https:\/\/crosscoder.com\/\" target=\"_blank\" rel=\"nofollow noopener\">CrossCoder<\/a> and the <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC CPT lookup<\/a> both cross-reference current crosswalk data.<\/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\">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\">M24.411<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Recurrent dislocation, right shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary indication for a coracoid transfer<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M24.412<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Recurrent dislocation, left shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Pair with the -LT modifier on CPT 23462<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M24.419<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Recurrent dislocation, unspecified shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use only when laterality is undocumented, and specify wherever possible<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S43.006A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified dislocation of unspecified shoulder joint, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Acute dislocation context, used when surgery follows an acute injury<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M25.311<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other instability, right shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supports instability not classified as recurrent dislocation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M75.81<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other shoulder lesions, right shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Secondary code when additional structural pathology is documented<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Specificity matters. M24.411 and M24.412 are preferred over M24.419, because laterality-specific codes reduce audit risk and line up with the modifier on the CPT claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Not every shoulder girdle code supports this procedure. <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s43121s\/\">S43.121S<\/a> and <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s43312s\/\">S43.312S<\/a> both describe sequelae elsewhere in the shoulder girdle, and neither one supports a coracoid transfer claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices with a high volume of shoulder instability cases benefit from standardized <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a>. Capturing laterality and prior treatment history at consultation creates a documentation trail that runs from assessment to claim.<\/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-23462\/how-to-mark-injection-points-in-a-treatment-note.webp\" alt=\"How to mark injection points in a treatment note\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s injection plotting tool marks the treated site in the note, giving coders the documented laterality that -LT and -RT modifiers must match.<\/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-ncci-bundling-edits-and-unbundling-rules\" class=\"wp-block-heading\">NCCI bundling edits and unbundling rules<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The National Correct Coding Initiative (NCCI) bundles certain procedure codes with CPT 23462. Billing a bundled code alongside 23462 without a qualifying modifier triggers an automatic denial. NCCI edits are updated quarterly, so verify current pairs before you submit a complex shoulder claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Codes commonly bundled with CPT 23462 include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>23455<\/strong> covers anterior capsulorrhaphy with labral repair, the open Bankart procedure. There is no coracoid transfer, so it is typically not billable with 23462<\/li>\n\n\n\n<li><strong>23460<\/strong> covers anterior capsulorrhaphy with a bone block. Choose the code that matches the documented technique, not both<\/li>\n\n\n\n<li><strong>29806<\/strong> is arthroscopic Bankart repair, and it cannot be reported with the open 23462 for the same shoulder in the same session<\/li>\n\n\n\n<li>Evaluation and management (E\/M) services on the day of surgery are bundled into the global period when they relate to the procedure<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A separate, distinct procedure that does not overlap with the work of CPT 23462 can be unbundled. Use modifier -59, or one of the XS, XE, XP, and XU modifiers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Support it with a clear statement in the operative note naming the separate anatomical site or indication. An NCCI review step in the submission workflow catches these pairs before the claim reaches the payer.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-billing-cpt-23462\" class=\"wp-block-heading\">Documentation requirements for billing CPT 23462<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Insufficient operative documentation is the main reason CPT 23462 claims fail on audit. Every element of the procedure has to appear in the operative report, not be inferred from the diagnosis code.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Approach:<\/strong> Confirm an open anterior approach, not arthroscopic<\/li>\n\n\n\n<li><strong>Anatomy addressed:<\/strong> Name the coracoid process, conjoined tendon, and anterior glenoid rim explicitly<\/li>\n\n\n\n<li><strong>Osteotomy and transfer:<\/strong> Describe the coracoid osteotomy technique and the method of fixation, such as two cortical screws<\/li>\n\n\n\n<li><strong>Capsulorrhaphy:<\/strong> Document the anterior capsule repair or imbrication separately from the bony transfer<\/li>\n\n\n\n<li><strong>Medical necessity:<\/strong> Reference pre-operative imaging showing glenoid bone loss or a failed prior repair<\/li>\n\n\n\n<li><strong>Pre-authorization number:<\/strong> Include it in the claim when the commercial payer requires one<\/li>\n\n\n\n<li><strong>Laterality:<\/strong> State right or left shoulder in both the diagnosis and the operative note<\/li>\n\n\n\n<li><strong>ICD-10 linkage:<\/strong> The diagnosis on the claim must match the clinical documentation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices with high surgical volumes often use <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">structured clinical records<\/a> so operative note templates capture every required element. A templated note cuts transcription time and the risk of leaving out a billable detail.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Incomplete records also create exposure during commercial payer audits and Medicare Advantage post-payment reviews.<\/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-23462\/detailed-client-records-in-pabau.webp\" alt=\"Detailed client records in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s client records hold imaging findings, laterality, and prior treatment in one place, so the operative note and the claim tell the same story.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\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>Run a pre-submission checklist on every CPT 23462 claim. Check that the laterality modifier matches the operative note, that the authorization number is attached, and that the ICD-10 code matches the indication. Hold any claim missing one of the three.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-common-billing-errors-and-how-to-avoid-them\" class=\"wp-block-heading\">Common billing errors and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Shoulder surgery coding produces predictable error patterns. Knowing where other practices go wrong is a practical way to bring down your own denial rate on CPT 23462.<\/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\">Error<\/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\">Why it happens<\/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\">How to prevent it<\/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\">Missing laterality modifier<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Claim submitted without -LT or -RT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Build a modifier check into the claim scrubbing workflow<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Wrong code for the arthroscopic variant<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Coder uses 23462 for an arthroscopic Bankart repair, which is 29806<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Confirm the operative approach in the note before assigning 23462<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Bundling 23460 with 23462<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Both the bone block and coracoid transfer codes billed together<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Select the single code that best describes the documented technique<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">No pre-authorization documented<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Commercial payer required auth, and the practice did not attach the number<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Track authorization numbers in the patient record and confirm before scheduling<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Vague operative note<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Note does not explicitly describe the coracoid osteotomy and fixation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use a procedure-specific operative note template with mandatory fields<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The most expensive error is coding 23462 when the operative report describes an arthroscopic Bankart repair. The two procedures carry different RVUs and fall under different NCCI rules. Read the approach description first. If it says arthroscopic, 23462 does not apply.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Denial management costs staff time on top of the delayed payment. <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-software\/\">HIPAA-compliant clinical documentation<\/a> workflows built into your software stack lower both the audit risk and that administrative cost.<\/p>\n\n\n\n<h2 id=\"h-global-period-for-cpt-23462\" class=\"wp-block-heading\">Global period for CPT 23462<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 23462 carries a 90-day global period under Medicare, the same as other major surgical procedures. The Medicare fee for 23462 therefore includes routine post-operative care for 90 days after the surgery date.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Services included in the 90-day global period, and therefore not separately billable without a modifier:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Post-operative office visits related to the shoulder procedure, typically one to three during recovery<\/li>\n\n\n\n<li>Routine dressing changes and suture removal<\/li>\n\n\n\n<li>Post-operative pain management directly related to the procedure<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Online digital E\/M services, such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-99421\/\">99421<\/a>, also fall inside the global period when they relate to the shoulder procedure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Services that can be billed separately during the global period:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Physical therapy or occupational therapy, billed by the treating therapist rather than the surgeon<\/li>\n\n\n\n<li>Unrelated E\/M visits, using modifier -24<\/li>\n\n\n\n<li>New or unrelated problems requiring separate evaluation, using modifier -25 on the E\/M<\/li>\n\n\n\n<li>Return to the OR for complications, using modifier -78 on the subsequent procedure<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Physical therapy ordered after a Latarjet is a common source of global period confusion. The therapist bills independently, and the surgeon does not add therapy codes to the global bundle. <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">Physical therapy EMR<\/a> platforms that integrate with practice management software make it clear which services belong on which provider&rsquo;s claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Check the current global period indicator for 23462 in the CMS MPFS lookup tool, since indicators can change with annual rule updates.<\/p>\n\n\n\n<h2 id=\"h-related-cpt-codes-23455-23460-and-23472\" class=\"wp-block-heading\">Related CPT codes: 23455, 23460, and 23472<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Coders working anterior shoulder instability cases need to separate CPT 23462 from adjacent codes in the same family. The choice depends on what the operative report documents, not on the diagnosis.<\/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\">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\">Key distinction from 23462<\/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\">23455<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capsulorrhaphy, anterior; with labral repair (e.g., Bankart procedure)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open soft-tissue labral repair, with no coracoid transfer or bone 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\">23460<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capsulorrhaphy, anterior, any type; with bone block<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A bone block such as iliac crest, rather than a coracoid process transfer<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23462<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capsulorrhaphy, anterior, any type; with coracoid process transfer<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The defining element is the coracoid transfer, as in Latarjet and Bristow<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23472<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Joint replacement rather than stabilization, for end-stage arthritis or instability arthropathy<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">29806<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthroscopy, shoulder, surgical; with capsulorrhaphy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arthroscopic Bankart repair, a completely different approach from 23462<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The pairing most often confused is 23460 versus 23462. Both add bone to the anterior glenoid, but the source of that bone differs. If the surgeon harvested iliac crest or another graft site, 23460 applies. If the surgeon transferred the patient&rsquo;s own coracoid with the conjoined tendon attached, 23462 is correct.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same logic runs through the rest of the 23000 shoulder series, including <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23073\/\">23073<\/a>. Comparing operative reports against each other is a useful quality step when you audit <a href=\"https:\/\/pabau.com\/blog\/best-ehr-for-private-practice\/\">private practice EHR<\/a> documentation.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-supports-orthopedic-billing-accuracy\" class=\"wp-block-heading\">How Pabau supports orthopedic billing accuracy<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Orthopedic practices billing complex shoulder procedures carry a documentation burden that grows with case volume. One missed modifier or one incomplete operative note turns a correctly performed procedure into a denied claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Today most of that checking happens by hand, with a biller reading each operative note against the claim before it goes out. Practice management software like Pabau moves the check into the record itself, so modifier requirements, authorization numbers, and ICD-10 linkage are verified before submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consultation notes are the other weak point. <a href=\"https:\/\/pabau.com\/features\/ai-medical-scribe\/\">Pabau Scribe<\/a>, our AI scribe, drafts the note as the consultation happens. Laterality, prior treatment, and imaging findings are captured as they are said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/compliance-management-software\/\">Compliance management tools<\/a> keep the audit trail in one place, so a payer records request does not become a week of file hunting. The result is a continuous documentation trail from the first consultation to the submitted claim.<\/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 orthopedic billing errors before they reach the payer                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&rsquo;s claims management tools help surgical practices track modifier requirements, authorization status, and documentation completeness across every CPT code, including complex shoulder reconstruction procedures.                <\/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 claims management dashboard\"\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\">CPT 23462 is a narrow code with a wide margin for error. The approach, the coracoid osteotomy, the laterality modifier, and the ICD-10 link all have to agree with each other.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Handle those four consistently and 23462 stops being a denial risk. Handle them case by case and you pay for it in appeals, staff hours, and delayed payment. That is an expensive outcome for a procedure the surgeon already performed correctly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The trade-off worth remembering is that the checking has to happen before submission, not after the denial. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau builds those checks into shoulder and musculoskeletal billing workflows.<\/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>Need to document the shoulder exam behind the referral?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/neers-test\/\">Neer&rsquo;s test<\/a> covers how to perform the test and record what you find.<\/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>Coding the conservative care that came first?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20550\/\">20550<\/a> walks through tendon sheath injection billing, including the modifiers payers look for.<\/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>Biceps pathology in the same shoulder?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s46191a\/\">S46.191A<\/a> explains how to document a long head of biceps injury on the right arm.<\/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 a tenodesis in the same episode of care?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-24340\/\">24340<\/a> sets out the biceps tenodesis rules, with its own RVUs and modifiers.<\/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 the wider upper extremity list?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-24076\/\">24076<\/a> covers subfascial soft tissue tumor excision in the upper arm and elbow.<\/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-1787038762154\"><h3 class=\"schema-faq-question\">What is CPT code 23462 used for?<\/h3> <p class=\"schema-faq-answer\">CPT code 23462 reports an open anterior capsulorrhaphy with coracoid process transfer. That is most often the Latarjet or Bristow procedure, used to treat recurrent anterior glenohumeral instability. The code covers both the anterior capsule repair and the bony stabilization from the coracoid transfer. It applies only to open approaches, not arthroscopic techniques.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038762155\"><h3 class=\"schema-faq-question\">What is the reimbursement rate for CPT code 23462?<\/h3> <p class=\"schema-faq-answer\">Medicare facility reimbursement for CPT code 23462 is roughly $977 nationally, based on 29.26 total RVUs. Exact payment depends on your locality GPCI adjustment and the current conversion factor. Commercial payer rates typically run from 100% to 200% of Medicare. Verify current figures with the CMS Physician Fee Schedule lookup tool, since rates update annually.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038762156\"><h3 class=\"schema-faq-question\">What modifiers apply to CPT code 23462?<\/h3> <p class=\"schema-faq-answer\">Modifier -LT or -RT is required on every CPT 23462 claim to identify the operative shoulder. Leaving the laterality modifier off is one of the most common causes of rejection. Modifier -51 applies when 23462 is the secondary procedure in a multi-procedure session. Modifiers -78 and -79 cover return-to-OR situations inside the 90-day global period, for related and unrelated procedures.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038762157\"><h3 class=\"schema-faq-question\">What ICD-10 codes support CPT 23462?<\/h3> <p class=\"schema-faq-answer\">The primary ICD-10-CM codes supporting CPT 23462 are M24.411 for the right shoulder and M24.412 for the left. Both describe recurrent dislocation. M25.311 covers other instability of the right shoulder when the presentation does not meet recurrent dislocation criteria. Use laterality-specific codes wherever the documentation allows, and check payer LCD policies before you assume coverage.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038762158\"><h3 class=\"schema-faq-question\">Is CPT 23462 subject to NCCI bundling edits?<\/h3> <p class=\"schema-faq-answer\">Yes. CPT 23462 is subject to NCCI edits. Those edits bundle the adjacent capsulorrhaphy codes 23455 and 23460, plus arthroscopic Bankart repair under 29806, on the same claim for the same shoulder. When a genuinely separate and distinct service is performed, modifier -59 or an X modifier can override the edit. Supporting operative documentation is required. Verify current NCCI tables quarterly, since edits update regularly.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038762159\"><h3 class=\"schema-faq-question\">What is the global period for CPT code 23462?<\/h3> <p class=\"schema-faq-answer\">CPT 23462 carries a 90-day global period under Medicare. The procedure fee therefore includes routine post-operative care for 90 days from the surgery date. Separately billable services in that window include physical therapy billed by the treating therapist and unrelated E\/M visits under modifier -24. Return-to-OR procedures use modifier -78 for related complications and -79 for unrelated ones.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>CPT code 23462 reports an open anterior capsulorrhaphy with coracoid process transfer. The official long descriptor reads: Capsulorrhaphy, anterior, any type; with coracoid process transfer. The code belongs to the Musculoskeletal System section of the CPT set, which the American Medical Association (AMA) maintains. Within that section it sits under repair, revision, and reconstruction procedures [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":183387,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"89","_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":[1659,1602,1666,2777],"class_list":["post-183389","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-cms-rvu-assignment","tag-cpt-modifiers","tag-orthopedic-billing","tag-orthopedic-surgery"],"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 23462: RVUs, modifiers, and how to avoid denials<\/title>\n<meta name=\"description\" content=\"CPT 23462 covers open anterior capsulorrhaphy with coracoid transfer. It carries 29.26 total RVUs and pays roughly $977 under Medicare.\" \/>\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\/fr\/procedure-codes\/cpt-code-23462\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT code 23462: RVUs, modifiers, and how to avoid denials\" \/>\n<meta property=\"og:description\" content=\"CPT 23462 covers open anterior capsulorrhaphy with coracoid transfer. It carries 29.26 total RVUs and pays roughly $977 under Medicare.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/\" \/>\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=\"2026-08-18T11:54:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T12:24:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-23462.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=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"14 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"CPT code 23462: Reimbursement, RVUs, modifiers, and billing guide\",\"datePublished\":\"2026-08-18T11:54:54+00:00\",\"dateModified\":\"2026-08-18T12:24:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/\"},\"wordCount\":2845,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-23462.webp\",\"keywords\":[\"Cms Rvu Assignment\",\"Cpt Modifiers\",\"Orthopedic Billing\",\"Orthopedic surgery\"],\"articleSection\":[\"Billing Codes\",\"CPT Codes\",\"Musculoskeletal &amp; Pain Management\",\"Sports Medicine\"],\"inLanguage\":\"fr-FR\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/\",\"name\":\"CPT code 23462: RVUs, modifiers, and how to avoid denials\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-23462.webp\",\"datePublished\":\"2026-08-18T11:54:54+00:00\",\"dateModified\":\"2026-08-18T12:24:05+00:00\",\"description\":\"CPT 23462 covers open anterior capsulorrhaphy with coracoid transfer. It carries 29.26 total RVUs and pays roughly $977 under Medicare.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762154\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762155\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762156\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762157\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762158\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762159\"}],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-23462.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-23462.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"width\":736,\"height\":195,\"caption\":\"Pabau\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Pabau\\\/\",\"https:\\\/\\\/x.com\\\/pabaucrm\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/pabau-ltd\\\/\",\"https:\\\/\\\/www.instagram.com\\\/pabausoftware\\\/\"],\"description\":\"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. 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\\\/fr\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\",\"name\":\"Maja Popovska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@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\\\/fr\\\/blog\\\/author\\\/maja-popovska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762154\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762154\",\"name\":\"What is CPT code 23462 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT code 23462 reports an open anterior capsulorrhaphy with coracoid process transfer. That is most often the Latarjet or Bristow procedure, used to treat recurrent anterior glenohumeral instability. The code covers both the anterior capsule repair and the bony stabilization from the coracoid transfer. It applies only to open approaches, not arthroscopic techniques.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762155\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762155\",\"name\":\"What is the reimbursement rate for CPT code 23462?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare facility reimbursement for CPT code 23462 is roughly $977 nationally, based on 29.26 total RVUs. Exact payment depends on your locality GPCI adjustment and the current conversion factor. Commercial payer rates typically run from 100% to 200% of Medicare. Verify current figures with the CMS Physician Fee Schedule lookup tool, since rates update annually.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762156\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762156\",\"name\":\"What modifiers apply to CPT code 23462?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Modifier -LT or -RT is required on every CPT 23462 claim to identify the operative shoulder. Leaving the laterality modifier off is one of the most common causes of rejection. Modifier -51 applies when 23462 is the secondary procedure in a multi-procedure session. Modifiers -78 and -79 cover return-to-OR situations inside the 90-day global period, for related and unrelated procedures.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762157\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762157\",\"name\":\"What ICD-10 codes support CPT 23462?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The primary ICD-10-CM codes supporting CPT 23462 are M24.411 for the right shoulder and M24.412 for the left. Both describe recurrent dislocation. M25.311 covers other instability of the right shoulder when the presentation does not meet recurrent dislocation criteria. Use laterality-specific codes wherever the documentation allows, and check payer LCD policies before you assume coverage.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762158\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762158\",\"name\":\"Is CPT 23462 subject to NCCI bundling edits?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. CPT 23462 is subject to NCCI edits. Those edits bundle the adjacent capsulorrhaphy codes 23455 and 23460, plus arthroscopic Bankart repair under 29806, on the same claim for the same shoulder. When a genuinely separate and distinct service is performed, modifier -59 or an X modifier can override the edit. Supporting operative documentation is required. Verify current NCCI tables quarterly, since edits update regularly.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762159\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/cpt-code-23462\\\/#faq-question-1787038762159\",\"name\":\"What is the global period for CPT code 23462?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT 23462 carries a 90-day global period under Medicare. The procedure fee therefore includes routine post-operative care for 90 days from the surgery date. Separately billable services in that window include physical therapy billed by the treating therapist and unrelated E\\\/M visits under modifier -24. Return-to-OR procedures use modifier -78 for related complications and -79 for unrelated ones.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"CPT code 23462: RVUs, modifiers, and how to avoid denials","description":"CPT 23462 covers open anterior capsulorrhaphy with coracoid transfer. It carries 29.26 total RVUs and pays roughly $977 under Medicare.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/","og_locale":"fr_FR","og_type":"article","og_title":"CPT code 23462: RVUs, modifiers, and how to avoid denials","og_description":"CPT 23462 covers open anterior capsulorrhaphy with coracoid transfer. It carries 29.26 total RVUs and pays roughly $977 under Medicare.","og_url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-08-18T11:54:54+00:00","article_modified_time":"2026-08-18T12:24:05+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-23462.webp","type":"image\/webp"}],"author":"Maja Popovska","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"\u00c9crit par":"Maja Popovska","Dur\u00e9e de lecture estim\u00e9e":"14 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/"},"author":{"name":"Maja Popovska","@id":"https:\/\/pabau.com\/fr\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db"},"headline":"CPT code 23462: Reimbursement, RVUs, modifiers, and billing guide","datePublished":"2026-08-18T11:54:54+00:00","dateModified":"2026-08-18T12:24:05+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/"},"wordCount":2845,"publisher":{"@id":"https:\/\/pabau.com\/fr\/#organization"},"image":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-23462.webp","keywords":["Cms Rvu Assignment","Cpt Modifiers","Orthopedic Billing","Orthopedic surgery"],"articleSection":["Billing Codes","CPT Codes","Musculoskeletal &amp; Pain Management","Sports Medicine"],"inLanguage":"fr-FR"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/","url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/","name":"CPT code 23462: RVUs, modifiers, and how to avoid denials","isPartOf":{"@id":"https:\/\/pabau.com\/fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-23462.webp","datePublished":"2026-08-18T11:54:54+00:00","dateModified":"2026-08-18T12:24:05+00:00","description":"CPT 23462 covers open anterior capsulorrhaphy with coracoid transfer. It carries 29.26 total RVUs and pays roughly $977 under Medicare.","mainEntity":[{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762154"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762155"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762156"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762157"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762158"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762159"}],"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#primaryimage","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-23462.webp","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-23462.webp","width":1200,"height":630},{"@type":"WebSite","@id":"https:\/\/pabau.com\/fr\/#website","url":"https:\/\/pabau.com\/fr\/","name":"Pabau","description":"Clinic Software for your Business | Go Paperless Today","publisher":{"@id":"https:\/\/pabau.com\/fr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/pabau.com\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/pabau.com\/fr\/#organization","name":"Pabau","url":"https:\/\/pabau.com\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/pabau.com\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","width":736,"height":195,"caption":"Pabau"},"image":{"@id":"https:\/\/pabau.com\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Pabau\/","https:\/\/x.com\/pabaucrm","https:\/\/www.linkedin.com\/company\/pabau-ltd\/","https:\/\/www.instagram.com\/pabausoftware\/"],"description":"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. 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\/fr\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db","name":"Maja Popovska","image":{"@type":"ImageObject","inLanguage":"fr-FR","@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\/fr\/blog\/author\/maja-popovska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762154","position":1,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762154","name":"What is CPT code 23462 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT code 23462 reports an open anterior capsulorrhaphy with coracoid process transfer. That is most often the Latarjet or Bristow procedure, used to treat recurrent anterior glenohumeral instability. The code covers both the anterior capsule repair and the bony stabilization from the coracoid transfer. It applies only to open approaches, not arthroscopic techniques.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762155","position":2,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762155","name":"What is the reimbursement rate for CPT code 23462?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare facility reimbursement for CPT code 23462 is roughly $977 nationally, based on 29.26 total RVUs. Exact payment depends on your locality GPCI adjustment and the current conversion factor. Commercial payer rates typically run from 100% to 200% of Medicare. Verify current figures with the CMS Physician Fee Schedule lookup tool, since rates update annually.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762156","position":3,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762156","name":"What modifiers apply to CPT code 23462?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Modifier -LT or -RT is required on every CPT 23462 claim to identify the operative shoulder. Leaving the laterality modifier off is one of the most common causes of rejection. Modifier -51 applies when 23462 is the secondary procedure in a multi-procedure session. Modifiers -78 and -79 cover return-to-OR situations inside the 90-day global period, for related and unrelated procedures.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762157","position":4,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762157","name":"What ICD-10 codes support CPT 23462?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The primary ICD-10-CM codes supporting CPT 23462 are M24.411 for the right shoulder and M24.412 for the left. Both describe recurrent dislocation. M25.311 covers other instability of the right shoulder when the presentation does not meet recurrent dislocation criteria. Use laterality-specific codes wherever the documentation allows, and check payer LCD policies before you assume coverage.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762158","position":5,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762158","name":"Is CPT 23462 subject to NCCI bundling edits?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. CPT 23462 is subject to NCCI edits. Those edits bundle the adjacent capsulorrhaphy codes 23455 and 23460, plus arthroscopic Bankart repair under 29806, on the same claim for the same shoulder. When a genuinely separate and distinct service is performed, modifier -59 or an X modifier can override the edit. Supporting operative documentation is required. Verify current NCCI tables quarterly, since edits update regularly.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762159","position":6,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/cpt-code-23462\/#faq-question-1787038762159","name":"What is the global period for CPT code 23462?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT 23462 carries a 90-day global period under Medicare. The procedure fee therefore includes routine post-operative care for 90 days from the surgery date. Separately billable services in that window include physical therapy billed by the treating therapist and unrelated E\/M visits under modifier -24. Return-to-OR procedures use modifier -78 for related complications and -79 for unrelated ones.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"}]}},"yoast":{"focus_keyword":"CPT code 23462","seo_title":"CPT code 23462: RVUs, modifiers, and how to avoid denials","meta_description":"CPT 23462 covers open anterior capsulorrhaphy with coracoid transfer. It carries 29.26 total RVUs and pays roughly $977 under Medicare.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"23462 rvu","score":61},{"keyword":"cpt code 23462 modifiers","score":61},{"keyword":"cpt code 23462 reimbursement","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/183389","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/comments?post=183389"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/183389\/revisions"}],"predecessor-version":[{"id":183911,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/183389\/revisions\/183911"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media\/183387"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media?parent=183389"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/categories?post=183389"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/tags?post=183389"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}