Find policies, billing codes, payers, states, and providers
CPT 23400: Scapular Fixation for Shoulder Deformity
CPT code 23400 represents surgical fixation of the scapula to a rib or vertebra to correct shoulder asymmetry and restore function, commonly used for conditions such as Sprengel deformity. This reconstructive orthopedic procedure matters nationally because it addresses congenital or acquired scapular malposition that can significantly impair shoulder range of motion and quality of life, and it involves operative, perioperative, and rehabilitation resources.
Key payers in this coverage analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical intent of the code, typical sites of service, and the service type. The publication also highlights expected benchmarks and coverage considerations relevant to national payers, summarizes procedural context for coding and billing teams, and outlines areas where policy updates or utilization guidelines may affect reimbursement and prior authorization practices.
This summary provides clinicians, coding specialists, and policy analysts with the clinical context and payer scope needed to interpret CPT code 23400 in national billing and coverage discussions. Data not available in the input is noted where relevant in supporting sections.
Customize your policy alerts
Sign up for cpt 23400 policy alerts
Get alerted when payer policies referencing 23400 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 23400 describes a surgical procedure in which the provider attaches the patient's scapula to a rib or vertebra to correct shoulder asymmetries or deformities that impair motion. This procedure is performed to address conditions such as Sprengel deformity, a congenital elevation of one scapula that can limit shoulder function and cause cosmetic asymmetry.
Service type: Surgical reconstruction of the shoulder girdle to reposition and stabilize the scapula.
Typical site of service: Hospital operating room or ambulatory surgical center for orthopedic/plastic reconstructive surgery.