Overview of CPT Code 23030: Excision of shoulder bursa
CPT Code 23030 refers to the surgical procedure for the excision of the shoulder bursa, a fluid-filled sac that reduces friction between tissues in the shoulder joint. This procedure is typically performed to alleviate pain and improve mobility in patients suffering from chronic shoulder conditions.
When CPT Code 23030 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic shoulder pain not responding to conservative treatments.
- Recurrent bursitis causing significant discomfort.
- Impingement syndrome with associated bursal inflammation.
- Limited range of motion due to bursal swelling.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Persistent shoulder pain, especially during movement.
- Swelling and tenderness over the shoulder joint.
- Difficulty lifting the arm or performing overhead activities.
- A sensation of grinding or catching in the shoulder.
Causes and Risk Factors
Understanding the underlying causes can help in prevention and management.
- Repetitive overhead activities or sports.
- Age-related degeneration of shoulder structures.
- Previous shoulder injuries or trauma.
- Inflammatory conditions such as rheumatoid arthritis.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for this procedure.
- X-rays to rule out fractures or bone spurs.
- MRI to assess soft tissue structures and bursal inflammation.
- Ultrasound to visualize the bursa and surrounding tissues.
- Physical examination to evaluate range of motion and pain.
Procedure Description
The excision of the shoulder bursa involves several key steps.
- Administer anesthesia to ensure patient comfort.
- Make an incision over the affected area of the shoulder.
- Identify and carefully excise the inflamed bursa.
- Inspect surrounding tissues for any additional issues.
- Close the incision with sutures and apply a sterile dressing.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Discuss any medications with your doctor, especially blood thinners.
- Avoid eating or drinking for a specified period before surgery.
- Arrange for transportation to and from the procedure.
- Wear loose-fitting clothing on the day of the surgery.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest the shoulder and avoid strenuous activities for several weeks.
- Follow up with your doctor for suture removal and assessment.
- Apply ice to reduce swelling and manage pain.
- Take prescribed pain medications as directed.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the surgical site.
- Persistent pain or stiffness in the shoulder.
- Nerve damage leading to weakness or numbness.
- Recurrence of bursitis or other shoulder issues.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Regular follow-up is important for monitoring recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Additional visits as needed to assess healing and function.
- Physical therapy may be recommended to restore strength and mobility.
Alternative Treatments
There are non-surgical options available for managing shoulder issues.
- Physical therapy to strengthen shoulder muscles.
- Corticosteroid injections to reduce inflammation.
- Non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief.
- Activity modification to avoid aggravating the condition.
Home Care Tips
Simple home care can aid in recovery.
- Keep the surgical area clean and dry.
- Use ice packs to manage swelling and discomfort.
- Follow your doctor's instructions regarding activity restrictions.
- Engage in gentle range-of-motion exercises as advised.
Patient Education & Prevention
Education is key to preventing recurrence.
- Maintain a healthy weight to reduce stress on joints.
- Engage in regular shoulder-strengthening exercises.
- Avoid repetitive overhead activities when possible.
- Seek early treatment for shoulder pain to prevent worsening.
Billing and Coding Information
CPT Code: 23030
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $3,000 to $7,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on individual insurance plans.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a shoulder bursa?
A shoulder bursa is a small fluid-filled sac that helps reduce friction between shoulder tissues.
How long is the recovery period?
Recovery typically takes several weeks, depending on individual healing.
Will I need physical therapy after surgery?
Yes, physical therapy is often recommended to restore strength and mobility.
Are there risks associated with this procedure?
As with any surgery, there are risks such as infection and nerve damage.
