CPT codes · By region
Shoulder CPT codes
136 CPT codes for shoulder procedures. Each page has RVU values, Medicare rates, documentation requirements, modifiers, and related ICD-10 diagnoses.
- Codes
- 136
- Avg RVUs
- 19.7
- RVU range
- 0.7–73.4
136 codes (sorted by total RVU)
- 20802Soft tissue repair
Surgical reattachment of a completely severed arm, spanning from the surgical neck of the humerus through the elbow joint.
$2,452.2973.42 RVUs - 23220Soft tissue repair
Surgical removal of a tumor originating at or involving the proximal humerus, requiring radical resection of bone and surrounding tissue.
$1,737.5152.02 RVUs - 23210Soft tissue repair
Radical resection of a tumor from the scapula (shoulder blade), removing the lesion with wide margins of surrounding normal tissue.
$1,589.2147.58 RVUs - 23474Joint replacement
Revision of total shoulder arthroplasty involving removal and replacement of both the humeral and glenoid components, with allograft use when required.
$1,552.1446.47 RVUs - 23473Joint replacement
Revision of a prior total shoulder arthroplasty involving replacement or repair of either the humeral or glenoid component, with allograft use when required.
$1,440.2543.12 RVUs - 23200Soft tissue repair
Radical resection of a clavicle tumor, removing the neoplastic lesion along with a margin of surrounding bone and soft tissue.
$1,365.4340.88 RVUs - 23078Soft tissue repair
Radical resection of a malignant soft tissue tumor in the shoulder region, where the tumor plus required margins measure 5 cm or greater.
$1,325.6839.69 RVUs - 23472Joint replacement
Surgical replacement of both the humeral head and glenoid components of the glenohumeral joint, including traditional total shoulder arthroplasty and reverse total shoulder arthroplasty.
$1,300.3038.93 RVUs - 23900Soft tissue repair
Surgical removal of the entire upper extremity including the scapula and clavicle — the forequarter amputation — typically performed for bone or soft tissue sarcomas that cannot be managed by limb-salvage surgery.
$1,256.8837.63 RVUs - 23802Fusion
Surgical fusion of the glenohumeral joint using bone graft harvested from the patient's own body, permanently eliminating motion at the shoulder.
$1,182.3935.4 RVUs - 23395Soft tissue repair
Single muscle transfer to the shoulder or upper arm, moving a muscle from its origin to restore lost function in the affected region.
$1,177.7235.26 RVUs - 23335Joint replacement
Removal of a total shoulder prosthesis, covering both the humeral and glenoid components, including any debridement and synovectomy performed at the same time.
$1,148.3234.38 RVUs - 23616Joint replacement
Open treatment of a proximal humeral fracture involving the surgical or anatomical neck, with or without internal fixation, tuberosity repair, and/or humeral head prosthetic replacement.
$1,121.6033.58 RVUs - 23470Joint replacement
Surgical reconstruction of the proximal humerus using an implant (hemiarthroplasty), including resurfacing techniques such as the Copeland or Global CAP prosthesis.
$1,087.8732.57 RVUs - 23077Soft tissue repair
Radical resection of a soft tissue tumor smaller than 5 cm from the shoulder area, including wide excision of surrounding tissue and structures suspected of involvement.
$1,051.4631.48 RVUs - 23397Soft tissue repair
Surgical transfer of multiple muscles to the shoulder or upper arm to restore function impaired by injury, disease, or prior surgery.
$1,042.7831.22 RVUs - 23466Soft tissue repair
Open capsulorrhaphy of the glenohumeral joint for multidirectional instability, involving capsular repair and tightening to correct hyperlaxity.
$1,034.7630.98 RVUs - 23920Soft tissue repair
Surgical removal of the entire upper extremity through the glenohumeral joint, separating the arm from the scapula and clavicle without cutting through bone.
$1,034.4330.97 RVUs - 23465Soft tissue repair
Open posterior capsulorrhaphy of the glenohumeral joint, performed with or without a bone block augmentation, to correct posterior shoulder instability.
$1,024.7430.68 RVUs - 23460Soft tissue repair
Anterior capsulorrhaphy of the shoulder with bone block augmentation to stabilize a chronically unstable or recurrently dislocating glenohumeral joint.
$1,000.6929.96 RVUs - 23462Soft tissue repair
Open capsulorrhaphy of the shoulder with coracoid process transfer, performed anteriorly to address severe glenohumeral instability.
$977.3129.26 RVUs - 29827Arthroscopy
Arthroscopic surgical repair of the rotator cuff, performed entirely through the shoulder joint via endoscopic technique.
$976.3129.23 RVUs - 23334Joint replacement
Surgical removal of a single shoulder prosthesis component — either the humeral or glenoid side — including debridement and synovectomy when performed.
$975.9729.22 RVUs - 29806Arthroscopy
Arthroscopic surgical repair or tightening of the shoulder joint capsule to correct instability or recurrent dislocation.
$972.9729.13 RVUs - 29807Arthroscopy
Arthroscopic surgical repair of a superior labrum anterior and posterior (SLAP) lesion of the shoulder joint.
$951.9328.5 RVUs - 23800Fusion
Surgical fusion of the glenohumeral joint using internal fixation to permanently immobilize the shoulder, without bone graft harvesting.
$946.5828.34 RVUs - 23491Soft tissue repair
Prophylactic fixation of the proximal humerus using nails, plates, screws, or similar implants, with or without methylmethacrylate bone cement, to prevent pathologic fracture or structural failure.
$937.5628.07 RVUs - 23420Soft tissue repair
Open reconstruction of a complete, chronic rotator cuff avulsion with acromioplasty included
$906.5027.14 RVUs - 23400Soft tissue repair
Surgical fixation of the scapula to the thorax, anchoring the shoulder blade to adjacent rib or vertebral structures to correct positional deformity or winging.
$898.8226.91 RVUs - 23585Fracture care
Open surgical repair of a scapular fracture — body, glenoid, or acromion — with internal fixation hardware such as plates or screws.
$895.4826.81 RVUs - 23455Soft tissue repair
Open anterior capsulorrhaphy of the shoulder with labral repair, including procedures such as the Bankart repair, performed to correct anterior instability and reattach a torn labrum to the glenoid rim.
$880.4526.36 RVUs - 23450Soft tissue repair
Open anterior capsulorrhaphy of the shoulder using the Putti-Platt or Magnuson-type technique to eliminate pathologic laxity and restore glenohumeral stability.
$871.7626.1 RVUs - 23485Soft tissue repair
Clavicle osteotomy with bone graft for nonunion or malunion, with or without internal fixation — graft harvest and any necessary fixation are included in this code.
$871.4326.09 RVUs - 23680Fracture care
Open surgical treatment of a shoulder dislocation combined with a fracture of the humeral neck, with internal fixation performed as needed.
$865.0825.9 RVUs - 29828Arthroscopy
Arthroscopic shoulder surgery involving tenodesis of the long head of the biceps tendon — the tendon is detached from its origin and reanchored to a new fixation point, performed entirely through arthroscopic portals.
$843.7125.26 RVUs - 23615Fracture care
Open surgical treatment of a proximal humeral fracture at the surgical or anatomical neck, with internal fixation and tuberosity repair when performed.
$823.6724.66 RVUs - 23670Fracture care
Open treatment of a shoulder dislocation combined with open reduction of a greater tuberosity fracture, with or without internal fixation.
$817.6524.48 RVUs - 23490Soft tissue repair
Prophylactic reinforcement of the clavicle using internal fixation hardware or bone cement to prevent pathological fracture.
$800.6223.97 RVUs - 24516Fracture care
Surgical treatment of a humeral shaft fracture using an intramedullary implant (such as a nail or rod), with or without cerclage wiring and/or locking screws.
$797.6123.88 RVUs - 23412Soft tissue repair
Open surgical repair of a chronic rotator cuff tear — one or more tendon components, with the tendon secured into bone via suture through drilled holes or anchors.
$791.6023.7 RVUs - 23410Soft tissue repair
Open surgical repair of a freshly torn rotator cuff, performed within a clinically acute timeframe following injury.
$764.8822.9 RVUs - 23480Soft tissue repair
Surgical cutting and realignment of the clavicle, with or without internal fixation using plates or screws.
$763.8822.87 RVUs - 23155Soft tissue repair
Surgical excision or curettage of a bone cyst or benign tumor located in the proximal humerus, involving removal of the lesion from the upper arm bone.
$748.5122.41 RVUs - 64713Soft tissue repair
Open neuroplasty of a major peripheral nerve in the arm, specifically the brachial plexus, involving incision of scar tissue or decompression to relieve nerve tension.
$745.1722.31 RVUs - 23630Fracture care
Open surgical repair of a greater humeral tuberosity fracture, with or without internal or external fixation hardware such as screws or pins.
$734.1521.98 RVUs - 23174Soft tissue repair
Surgical removal of necrotic or infected bone (sequestrum) from the humeral head and surgical neck region, typically performed to treat osteomyelitis or a bone abscess at the proximal humerus.
$724.8021.7 RVUs - 24900Soft tissue repair
Surgical removal of the upper arm by transection through the humerus, with wound closure using remaining muscle and skin layers.
$720.1221.56 RVUs - 23195Joint replacement
Surgical removal of the humeral head — the ball-shaped proximal end of the humerus — typically performed for osteomyelitis, avascular necrosis, tumor, or severe trauma that makes joint preservation or replacement unfeasible.
$709.7721.25 RVUs - 23440Soft tissue repair
Open resection or transplantation of the long head of the biceps tendon at the shoulder, performed to relieve pain and restore function by either removing the damaged tendon segment or reattaching it to a new bony anchor point.
$701.4221 RVUs - 23184Soft tissue repair
Partial excision of the proximal humerus to treat infected or diseased bone, typically performed for osteomyelitis or bone abscess at the shoulder-level humerus.
$696.4120.85 RVUs - 23430Soft tissue repair
Surgical tenodesis of the long head of the biceps tendon, anchoring it to the proximal humerus after debridement of the damaged tissue.
$696.4120.85 RVUs - 23515Fracture care
Open surgical repair of a broken clavicle with internal fixation devices such as plates, screws, or pins to stabilize the fracture.
$679.0420.33 RVUs - 23406Soft tissue repair
Open tenotomy of the shoulder involving multiple tendons divided through a single incision.
$674.0320.18 RVUs - 23040Soft tissue repair
Open arthrotomy of the glenohumeral joint for exploration, drainage of fluid or infection, and/or removal of a foreign body.
$673.0320.15 RVUs - 23125Soft tissue repair
Open surgical removal of the entire clavicle, performed for malignant tumors, extensive trauma, or severe infection where partial resection is insufficient.
$669.0220.03 RVUs - 21616Soft tissue repair
Surgical removal of the first and/or cervical rib combined with sympathectomy, performed to relieve thoracic outlet syndrome or related neurovascular compression.
$666.0119.94 RVUs - 23073Soft tissue repair
Surgical removal of a deep (subfascial/intramuscular) soft-tissue tumor of the shoulder measuring 5 cm or greater in its greatest dimension.
$658.6719.72 RVUs - 23415Soft tissue repair
Open release of the coracoacromial ligament, with or without acromioplasty, performed to relieve impingement or restore motion in a stiff or frozen shoulder.
$658.3319.71 RVUs - 23145Soft tissue repair
Excision or curettage of a bone cyst or benign tumor of the clavicle or scapula, with autogenous bone graft harvested from a separate donor site to fill the defect.
$657.0019.67 RVUs - 23180Soft tissue repair
Partial excision of the clavicle for bone disease, including craterization, saucerization, or diaphysectomy techniques targeting infected or diseased bone tissue.
$654.9919.61 RVUs
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