Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
CareerCenter
Medical Coding Job Board
Log in Register free account

Need help choosing the right code?

Ask CasePilot about procedures, modifiers, bundling, and coding guidance.

Try CasePilot
CPT®
23221

CPT® Code 23221
Deleted

Official Description

Radical resection of bone tumor, proximal humerus; with autograft (includes obtaining graft)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 23221 involves a radical resection of a bone tumor located in the proximal humerus, which is the upper part of the arm bone. This surgical intervention is necessary when a tumor is present in this area, requiring the removal of not only the tumor itself but also the surrounding soft tissue to ensure complete excision. The term "radical resection" indicates that the surgery is extensive, aiming to eliminate all cancerous cells and minimize the risk of recurrence. Following the removal of the tumor and affected tissue, the procedure includes the use of an autograft, which means that the bone removed is replaced with bone harvested from a donor, typically the patient themselves. This grafting process is crucial for restoring the structural integrity of the humerus and facilitating proper healing. After the graft is placed, the incision made during the surgery is carefully closed to promote recovery and minimize complications.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The radical resection of a bone tumor in the proximal humerus is indicated for patients presenting with specific conditions that necessitate surgical intervention. These indications may include:

  • Bone Tumor Presence The procedure is performed when a tumor is identified in the proximal humerus, which may be benign or malignant.
  • Symptoms of Tumor Growth Patients may exhibit symptoms such as pain, swelling, or limited range of motion in the shoulder area, prompting further investigation and potential surgical treatment.
  • Risk of Tumor Metastasis The surgery is indicated when there is a concern that the tumor may spread to surrounding tissues or other parts of the body.

2. Procedure

The procedure for radical resection of a bone tumor in the proximal humerus involves several critical steps, which are outlined as follows:

  • Step 1: Anesthesia Administration The patient is placed under general anesthesia to ensure comfort and immobility during the surgical procedure.
  • Step 2: Incision Creation A surgical incision is made in the upper arm, allowing access to the proximal humerus. The incision is carefully planned to minimize damage to surrounding tissues.
  • Step 3: Tumor and Tissue Resection The surgeon meticulously removes the tumor along with a margin of healthy tissue to ensure complete excision. This step is crucial to prevent any residual cancerous cells from remaining.
  • Step 4: Graft Harvesting An autograft is obtained, typically from another site in the patient's body, to replace the resected bone. This grafting material is essential for restoring the structural integrity of the humerus.
  • Step 5: Graft Placement The harvested bone graft is then carefully positioned in the area where the tumor was removed, ensuring proper alignment and stability.
  • Step 6: Incision Closure Once the graft is in place, the surgeon closes the incision using sutures or staples, taking care to promote optimal healing and minimize scarring.

3. Post-Procedure

After the radical resection procedure, patients typically require a period of recovery that may involve pain management and physical therapy. Monitoring for any signs of infection or complications is essential during the initial recovery phase. Patients may also need follow-up appointments to assess the healing process and the effectiveness of the bone graft. Rehabilitation exercises will be introduced gradually to restore mobility and strength in the shoulder and arm, ensuring a return to normal function over time.
Short Descr PARTIAL REMOVAL OF HUMERUS
Medium Descr PARTIAL REMOVAL OF HUMERUS
Long Descr RAD RESCJ B1 TUM PROX HUM W/AGRFT
APC Status Indicator Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 142 - Partial excision bone
Date
Action
Notes
2010-01-01 Deleted -
Pre-1990 Added Code added.
Code
Description
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"