CPT® Code 23200

Radical resection of a tumor in the clavicle, as described by CPT® Code 23200, is a surgical procedure primarily indicated for the removal of malignant neoplasms. However, it may also be applicable for benign tumors or tumors of indeterminate nature that necessitate extensive surgical intervention. The procedure begins with the creation of a skin incision directly over the tumor site on the clavicle, or alternatively, a skin flap may be elevated to provide access. During the operation, the surgeon meticulously dissects the overlying tissue to expose the tumor. The radical resection involves the complete removal of all bone and cartilage in the clavicle that is affected by the tumor, ensuring that the tumor is excised en bloc, which means it is taken out in one piece along with a generous margin of healthy surrounding tissue. This approach is critical to minimize the risk of residual tumor cells remaining in the body. The procedure also encompasses the excision of all involved soft tissues, which may include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints that are affected by the tumor. To confirm that the surgical margins are free of malignancy, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain tumor cells, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to prevent fluid accumulation, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed if required.