CPT code 23472 represents a total shoulder arthroplasty, a surgical procedure that replaces the humeral head and the glenoid cavity with prosthetic components to treat severe shoulder arthritis. Nationally, this procedure is a common intervention for end-stage glenohumeral joint disease and has substantial implications for surgical utilization, postoperative rehabilitation, and device supply chains.

Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The report summarizes coverage patterns, utilization benchmarks, and the clinical context that informs coding and billing for total shoulder replacement.

Readers will learn: clinical indications and the typical care setting for CPT code 23472; how major payers approach coverage and authorization (high-level overview); common benchmarking metrics such as utilization rates and site-of-service trends; and recent policy or coding considerations affecting billing for total shoulder arthroplasty. Data limitations are noted where input fields were not provided. The summary provides a concise reference for administrators, payers, and clinical coding staff seeking an overview of the code’s clinical purpose, typical service delivery, and payer relevance.