CPT® Code 23210

Radical resection of a tumor in the scapula, as described by CPT® Code 23210, is a surgical procedure primarily aimed at removing malignant neoplasms, although it may also be indicated for benign tumors or tumors of indeterminate nature. The procedure begins with the creation of a skin incision directly over the tumor site on the scapula, 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 scapula that is affected by the tumor, ensuring that the tumor is excised en bloc, which means it is removed in one piece along with a wide margin of healthy surrounding tissue. This approach is critical to minimize the risk of residual tumor cells remaining in the body. The procedure also necessitates the excision of all involved soft tissue, which can include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints that may be affected by the tumor. To confirm that the surgical margins are free of tumor cells, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain malignancy, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to manage fluid accumulation, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed if required.