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CPT 23552: Open Reconstruction for Acromioclavicular Dislocation with Fascia Graft
CPT code 23552 represents an open surgical reconstruction for acute or chronic acromioclavicular dislocation using a fascia graft and internal fixation implants. This code is used to report definitive operative management of acromioclavicular joint separation when soft-tissue reconstruction and hardware fixation are required. Nationally, procedures coded with CPT code 23552 are relevant to orthopedic surgical practice patterns, device utilization, and inpatient/outpatient surgical resource planning.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context explaining the procedure and typical sites of service, guidance on common billing modifiers (listed separately), and a summary of payer coverage considerations. The publication also outlines benchmarks and policy-relevant points for coding consistency, authorization requirements, and device-related billing implications where applicable.
This summary is intended for billing managers, orthopedic surgeons, clinical coders, and policy analysts seeking a clear statement of what CPT code 23552 represents, which payers are typically involved, and what topics are covered in the full publication, including reimbursement benchmarks, clinical indications, and coding best practices. Data not available in the input is noted where applicable throughout the document.
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Billing Code Overview
CPT code 23552 describes an open surgical treatment of an acute or chronic acromioclavicular dislocation using a fascia graft with internal fixation (for example, pins or screws). The procedure addresses abnormal separation of the acromioclavicular joint by reconstructing stabilizing soft tissues and securing the clavicle to the acromion or coracoid process with implants.
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Service type: Open orthopedic reconstructive surgery
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Typical site of service: Inpatient or outpatient hospital operating room; ambulatory surgery center