CPT® Code 23190

Partial ostectomy of the scapula, as defined by CPT® Code 23190, is a surgical procedure aimed at removing a portion of the scapula, which is the bone commonly referred to as the shoulder blade. This procedure is typically indicated for patients experiencing pain, deformity, lesions, or other pathological conditions affecting the scapula. The superior medial angle of the scapula is a frequently targeted area for resection during this operation. The procedure begins with a skin incision made in the upper back, directly over the affected area of the scapula. Following the incision, the surgeon carefully dissects the soft tissues to access the scapula, ensuring minimal damage to surrounding structures. Once the site of deformity or lesion is adequately exposed, the surgeon excises the diseased bone or any bony overgrowth. This excised tissue is often sent for a pathology examination to assess the nature of the lesion. After the removal of the affected bone, the remaining bone surface is smoothed to promote healing and reduce discomfort. Finally, the overlying soft tissues and skin are meticulously closed in layers to ensure proper healing and minimize scarring.