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Official Description

Biopsy, soft tissue of shoulder area; deep

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Biopsy of the soft tissue in the shoulder area involves the extraction of a tissue sample from deeper structures within the shoulder, which may include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and the tissues surrounding the joints. This procedure is essential for diagnosing various conditions, including infections, tumors, or other abnormalities present in the soft tissues. The biopsy is performed under local, regional, or general anesthesia, or conscious sedation, depending on the specific site and depth of the biopsy. Prior to the procedure, the area over the intended biopsy site is thoroughly cleansed to minimize the risk of infection. A surgical incision is made, and the surgeon carefully dissects the tissue down to the mass or lesion, ensuring that surrounding blood vessels and nerves are protected during the process. Once the tissue sample is obtained, it is sent to a laboratory for histological evaluation, which is reported separately. After the sample is collected, the incision is closed with sutures, completing the procedure. It is important to note that CPT® Code 23065 is used for superficial biopsies, while CPT® Code 23066 is designated for deeper tissue biopsies that require more extensive dissection of the overlying tissues.

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