Orthopedic Coding Alert
Print Friendly and PDF

Reader Question: Differentiate 23334, 23335 From 23107


- Published on Fri, Jan 22, 2016

Question: Our patient had a total shoulder replacement, and the glenoid component has now deteriorated to the point where the cement cracked and is all over the glenohumeral joint. Our surgeon removed the loose bodies and the rest of the glenoid component. Should we report 23107 or 23331 for this service?

South Dakota Subscriber

Answer: Because the glenoid component of the total shoulder failed and the physician had to remove it, you should report 23334 (Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component) for removal of one-component of a total shoulder or 23335 (Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components [e.g., total shoulder]) for the removal of both components.

The physician’s work picking out the cement fragments would be included in 23334 or 23335. Therefore, 23107 (Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body) won’t meet your coding needs.






Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*