CPT® Code 23615

Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed;

An open treatment of a proximal humeral fracture, specifically at the surgical or anatomical neck, involves a surgical procedure aimed at realigning and stabilizing the fractured bone. This procedure may include internal fixation techniques, which are utilized to secure the bone fragments in their proper anatomical position. Additionally, if necessary, the repair of tuberosity fragments—small bony protrusions that serve as attachment points for muscles—may also be performed during this operation. The surgical approach typically requires creating an osteoperiosteal flap, which involves detaching the deltoid muscle from the clavicle to gain access to the fracture site. Once the fracture is exposed, the surgeon will debride, or clean, the fracture ends and any loose bone fragments to ensure optimal healing conditions. The alignment of the bone fragments is crucial for proper recovery and function. If internal fixation is indicated, various devices such as pins, screws, wires, or plates may be employed, depending on the specific characteristics of the fracture. Techniques such as the screw tension band method or the use of dynamic compression plates may be utilized to enhance stability and promote healing. The choice of fixation method is tailored to the fracture's configuration and the surgeon's preference, ensuring that the best possible outcome is achieved for the patient.