CPT® Code 23552

The procedure described by CPT® Code 23552 involves the open treatment of an acromioclavicular (AC) dislocation, which can be either acute or chronic in nature. An AC dislocation, commonly known as an AC separation or shoulder separation, occurs at the AC joint, a critical joint in the shoulder that connects the acromion of the scapula to the clavicle. This joint is supported by a fibrocartilaginous meniscal disc and is stabilized by surrounding muscles and ligaments. Dislocations of the AC joint typically result from traumatic incidents, such as a direct impact to the shoulder or a fall onto an outstretched arm, which can compromise the integrity of the ligaments and muscles that support the joint. During the procedure, a fascial graft is utilized to provide additional stability to the joint. This involves harvesting a strip of fascia, which is a connective tissue, and configuring it appropriately to reinforce the joint structure. The surgical approach requires an incision over the AC joint, allowing the surgeon to access the area for treatment. The procedure also includes obtaining separate radiographs to confirm the dislocation prior to intervention. Post-surgery, the arm is placed in a sling, and the patient receives instructions regarding activity limitations to ensure proper healing and recovery.