CPT® Code 23605

Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction

The CPT® Code 23605 refers to the closed treatment of a fracture located at the proximal humeral region, specifically involving the surgical or anatomical neck of the humerus. This procedure is characterized by the manipulation of the fracture fragments, which may be accompanied by the use of skeletal traction, although the latter is not mandatory. In this context, "closed treatment" indicates that the procedure is performed without the need for surgical incisions, relying instead on external manipulation to realign the fractured bone segments. The proximal humerus is a critical area of the upper arm, and fractures here can significantly impact shoulder function. To confirm the presence and alignment of the fracture, radiographs (X-rays) are obtained as part of the diagnostic process. This code is distinct from CPT® Code 23600, which pertains to the treatment of nondisplaced fractures that do not require manipulation. In cases coded under 23605, the fracture is minimally displaced, necessitating manual reduction to restore proper anatomical alignment. Following the manipulation, the fracture site is typically immobilized using a splint or cast to facilitate healing and prevent further injury.