CPT code 23406 identifies a surgical multiple tenotomy procedure of the shoulder, used to incise or divide multiple tendons through a single skin incision to correct painful congenital or acquired shoulder conditions. This code is relevant to orthopedic and hand/shoulder surgeons, surgical facilities, and payers concerned with procedural classification and billing for operative shoulder care. Nationally, accurate coding of tendon-release procedures impacts claims processing, clinical coding consistency, and aggregated utilization reporting for shoulder surgical interventions.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, the typical service setting (operating room or ambulatory surgical center for outpatient or inpatient surgery), and the common modifiers used with this code. The publication outlines where CPT code 23406 fits within surgical service lines, summarizes typical billing considerations, and highlights areas where payers and providers commonly focus—such as correct procedural description and site of service documentation.

This summary equips coding and revenue staff, clinicians, and policy analysts with a clear understanding of the code’s clinical intent, expected service environment, and the payer landscape relevant to national billing and administrative workflows.