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CPT 23532: Open Repair of Sternoclavicular Dislocation with Fascia Graft
CPT code 23532 describes an open surgical procedure for treatment of acute or chronic sternoclavicular dislocation using a fascia graft and internal fixation (pins or screws) to stabilize the joint. This code represents a specialized orthopedic reconstruction procedure that can have significant implications for hospital surgical services, operative resource utilization, and post-operative care. Nationally, accurate coding for complex joint reconstructions like this is important for clinical tracking, quality measurement, and consistent claims processing.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for the procedure, common billing modifiers used with this service line, and how the code maps to surgical setting and resource use. The publication summarizes typical sites of service, service line considerations, and national payer coverage patterns where available. It also outlines benchmarks and policy issues relevant to complex orthopedic reconstructions, and highlights operational items for billing teams and revenue cycle professionals.
Data not available in the input for specific associated taxonomies, ICD-10 diagnosis examples, related codes, and payer-specific reimbursement rates. Those items are noted as unavailable and can be supplemented when data is provided.
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Billing Code Overview
CPT code 23532 describes an open treatment of sternoclavicular dislocation, acute or chronic, using a fascia graft for fixation with internal fixation implants (for example, pins or screws). The procedure addresses a new or recurrent abnormal separation of the sternoclavicular joint and involves surgical reconstruction to restore joint alignment and stability.
Service type: Open surgical reconstruction with graft and internal fixation
Typical site of service: Hospital inpatient or hospital outpatient surgical setting