CPT® Code 23545

Closed treatment of an acromioclavicular (AC) dislocation, commonly known as an AC separation or separated shoulder, involves a non-surgical approach to realign the joint. The acromioclavicular joint is a critical connection between the acromion of the scapula and the clavicle, featuring a fibrocartilaginous meniscal disc that aids in joint stability. This joint is supported by various muscles and ligaments, which can be compromised during traumatic incidents. Such dislocations often result from direct impacts to the shoulder or falls onto an outstretched arm, leading to the disruption of the stabilizing structures. To confirm the diagnosis of an AC dislocation, separate radiographic imaging is typically performed. In cases where the dislocation is minimally displaced, as indicated by CPT® Code 23545, the procedure involves manual manipulation to restore the joint to its proper anatomical position. Following the manipulation, additional radiographs may be taken to ensure correct alignment. Post-procedure care includes the application of a sling to support the shoulder, along with instructions regarding activity limitations, and the prescription of pain relief and anti-inflammatory medications as necessary.