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The procedure described by CPT® Code 23044 refers to an arthrotomy of the acromioclavicular and sternoclavicular joints. An arthrotomy is a surgical procedure that involves making an incision into a joint capsule to allow for direct access to the joint space. This procedure is typically performed to explore the joint for various issues, including infection, the presence of foreign bodies, or other pathological conditions. The acromioclavicular joint is located at the lateral aspect of the shoulder, where the acromion of the scapula meets the clavicle, while the sternoclavicular joint is situated at the medial aspect, connecting the sternum and clavicle. The exploration may involve drainage of any accumulated fluid, blood, or pus, which is often indicative of an infection. Additionally, if any foreign bodies are identified within the joint, they can be removed during this procedure. The surgical approach may vary depending on which joint is being addressed, and the procedure typically concludes with the placement of drains to facilitate fluid management and the closure of the incision around these drains to promote healing.
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