CPT code 23395 refers to a surgical procedure that involves moving muscle, usually around the shoulder or upper arm, to a new location to help improve function and movement. CPT 23395 represents “Muscle transfer, any type, shoulder or upper arm; single”. CPT 23395 is often used for Pectoralis Major Transfer surgery. It is also used when moving the latissimus dorsi tendon for massive rotator cuff reconstruction.
Procedure Explanation:
This surgery, known as muscle transfer, involves moving a muscle from one part of the body to another around the shoulder or upper arm. It helps restore movement when other treatments cannot repair muscle function. The procedure focuses on a single muscle. It does not include transferring multiple muscles at one time.
Common Names:
- Shoulder Muscle Transfer
- Upper Arm Muscle Transfer
- Single Muscle Transfer for Shoulder or Arm
Relative Value Units (RVU):
The RVUs associated with this code are 18.54.
How This Procedure Appears:
- Operating Room Schedule Name: Muscle Transfer – Shoulder/Arm, Single
- Operating Room Schedule Name: Pectoralis Major Transfer
- Surgical Consent Form Name: Muscle Transfer for Shoulder or Arm, Single Muscle
Typical Patients and Diagnoses:
This procedure is common among patients who have lost muscle function in the shoulder or upper arm due to injury, nerve damage, or certain medical conditions. For example, if someone has had a severe shoulder injury or a nerve condition that affects their arm strength, they might benefit from this surgery to regain mobility and strength in the affected area.
Associated ICD-10 Codes:
- M62.81: Muscle weakness (generalized) – This code is used when a patient has widespread weakness that might require muscle transfer.
- M75.2: Bicipital tendinitis – Refers to inflammation of the tendon around the biceps, which can compromise shoulder function, necessitating a muscle transfer.
- S46.101A: Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder – This code applies when shoulder injuries are so advanced that surgical intervention is required.
Summary
In summary, code 23395 describes a procedure to move a single muscle around the shoulder or upper arm to help restore function. Typical ICD-10 codes associated with 23395 include M62.81 (general muscle weakness) and M75.2 (bicipital tendinitis).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.