CPT® Code 23650

The CPT® Code 23650 refers to the closed treatment of a shoulder dislocation, specifically involving manipulation without the use of anesthesia. In this procedure, the physician performs a closed reduction, which is a non-surgical method to realign the dislocated shoulder joint. Shoulder dislocations can occur in various directions, including anterior, posterior, or inferior, and the classification depends on the direction in which the humeral head has moved out of its normal position in the glenohumeral joint. The manipulation technique utilized by the physician is tailored to the specific type of dislocation and may vary based on the physician's preference and experience. Typically, the procedure involves applying a combination of traction and countertraction, along with internal and/or external rotation of the arm, to guide the humeral head back into its proper anatomical position. After successfully reducing the dislocation, the physician conducts a thorough neurovascular examination to assess the integrity of the surrounding nerves and blood vessels. Following this assessment, the shoulder is immobilized using a sling, swathe, or shoulder immobilizer to ensure stability during the healing process. It is important to note that this code is specifically used when the closed reduction is performed without anesthesia; if anesthesia is required, the appropriate code to use would be 23655.