CPT® Code 23000

The procedure described by CPT® Code 23000 involves the open removal of subdeltoid calcareous deposits, which are calcium deposits that can accumulate in the shoulder region, particularly affecting the supraspinatus tendon. This condition often leads to pain and restricted movement in the shoulder, necessitating surgical intervention. The procedure begins with an incision in the skin over the shoulder, allowing access to the subdeltoid area through a deltoid incision. Once the area is exposed, a synovectomy of the bursal floor is performed to facilitate the removal of the deposits. The surgeon then identifies the calcium deposits located within the supraspinatus tendon. The tendon is incised to access these deposits, which can vary in consistency from soft and paste-like to hard. The removal process involves 'milking' the softer deposits out using a curette, while harder deposits are scraped away. The procedure is thorough, continuing until all identified calcium deposits are successfully removed, thereby alleviating the symptoms associated with this condition.