CPT® Code 23400

The procedure described by CPT® Code 23400, known as scapulopexy, involves the surgical fixation of the scapula to the underlying ribs. This procedure is typically indicated in cases of scapular deformities, such as Sprengel's deformity, or in instances where there is paralysis affecting the shoulder girdle. The primary goal of scapulopexy is to stabilize the scapula, which can improve shoulder function and alleviate associated symptoms. During the procedure, a surgical incision is made along the medial aspect of the scapula, allowing access to the underlying structures. The trapezius muscle is then exposed, and the supraspinatus and infraspinatus muscles are elevated to fully visualize the scapula. The surgical approach may require incising the lateral trapezius muscle to access the supraspinatus fossa. The procedure involves careful dissection and manipulation of various muscles and ribs to achieve proper alignment and fixation of the scapula. Ultimately, the scapula is secured to the ribs using internal fixation techniques, which may include the use of wires and a reconstruction plate, ensuring that the scapula remains in a stable position during the healing process.