CPT® Code 23675

The procedure described by CPT® Code 23675 involves the closed treatment of a shoulder dislocation that is accompanied by a fracture of the surgical or anatomical neck of the humerus. In simpler terms, this procedure entails the non-surgical realignment of a dislocated shoulder joint while simultaneously addressing a fracture in the upper arm bone, specifically at the neck region. In cases of shoulder dislocation with this type of fracture, the greater and lesser tuberosities, which are bony prominences on the humeral head, remain intact and attached. The dislocation occurs when the humeral head is displaced from its normal position in the glenohumeral joint, and the fracture complicates the injury. The physician employs specific manipulation techniques tailored to the direction of the dislocation and their clinical judgment. These techniques may include the application of traction and countertraction, as well as internal and external rotation of the arm, to restore the humeral head to its proper anatomical position. Following the successful reduction of the dislocation, imaging studies, such as radiographs, are performed to confirm that the dislocation has been properly corrected and to assess the alignment of the fractured neck of the humerus. If necessary, further manipulation of the fracture fragments is conducted to ensure optimal alignment. Once the anatomical alignment is confirmed, the shoulder is then immobilized in a cast to facilitate healing and prevent further injury.