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CPT 23031: Incision and Drainage of Infected Shoulder Bursa
CPT code 23031 represents the surgical incision and drainage of an infected shoulder bursa. This procedure is performed to evacuate purulent material and decrease pain and pressure from bursitis with infection. Nationally, accurate coding and documentation for this code affect quality reporting, payment adjudication, and clinical records for musculoskeletal and infectious care.
Key payers commonly involved in coverage decisions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for the procedure, typical sites of service, and the coding elements that drive billing recognition. The publication summarizes benchmark payment constructs, common modifier usage where relevant, and typical clinical indications tied to the code. It also highlights billing nuances that influence claim acceptance and coding audits.
The article is intended for clinicians, coding professionals, and revenue cycle staff seeking a concise reference on CPT code 23031, including how the procedure is described, where it is commonly performed, and what to expect in payer interactions and documentation requirements. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 23031 describes the incision and drainage of an infected bursa in the shoulder. The procedure involves making an incision to evacuate pus and inflammatory fluid from a bursae to treat infection and relieve pain and pressure.
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Service type: Surgical procedure for infection management
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Typical site of service: Ambulatory surgical center or hospital operating room; may also be performed in an urgent care or emergency department setting when clinically indicated