CPT® Code 23130

The procedure described by CPT® Code 23130 involves a surgical intervention known as acromioplasty or acromionectomy, which can be performed partially and may include the release of the coracoacromial ligament. This operation is typically indicated for patients experiencing shoulder pain or dysfunction due to impingement or other conditions affecting the acromion, a bony structure on the shoulder blade. During the procedure, the surgeon makes an incision along the Langer's lines, which are natural skin creases that help minimize scarring, starting from the anterior edge of the acromion and extending laterally near the coracoid process of the scapula. The deltoid muscle, which covers the shoulder, is carefully split to access the underlying structures. The surgeon then shaves the undersurface of the acromion to alleviate any impingement and may remove a wedge-shaped piece of bone from the acromion to create more space for the shoulder joint. If necessary, the coracoacromial ligament, which can contribute to shoulder impingement, is released from its attachment. Finally, the deltoid muscle is repaired and reattached to ensure proper function and stability of the shoulder post-surgery.