Medical code 23650 specifically identifies the procedure for treating a shoulder dislocation without manipulation. This code is utilized in medical documentation and billing to denote instances where a dislocated shoulder is managed through non-invasive methods, without requiring significant manual manipulation by a healthcare professional to reduce (return) the joint to its proper position.
This procedure typically applies to less complex dislocations or situations where the joint spontaneously returns to its socket. Understanding such codes is crucial for accurate medical billing, reimbursement, and record-keeping within healthcare systems.
Details of Medical Code 23650
When it comes to the billing and administrative aspects of medical procedures, codes like 23650 are assigned specific global periods by Medicare. These global periods define the timeframe during which post-operative care is included in the initial payment for the procedure.
The table below provides details on code 23650 and other related orthopedic procedures, including their descriptions and Medicare's assigned global days:
| Code | Description | Medicare Global Days |
|---|---|---|
| 23650 | Treat shoulder dislocation, without manipulation | 90 |
| 23665 | Treat shoulder dislocation with fracture and manipulation | 90 |
| 26755 | Treat finger or thumb fx, with manipulation | 90 |
| 28510 | Treat toe fracture, without manipulation | 90 |
As indicated, for medical code 23650, Medicare assigns 90 post-operative days. This means that the payment for the procedure generally encompasses all routine follow-up care for that 90-day period, such as office visits, dressing changes, and other related services, provided they pertain to the original procedure. This bundling helps streamline the billing process and ensures comprehensive care is accounted for within a single payment.
For more detailed information on orthopedic fracture and dislocation management, including further insights into Medicare's global periods for various procedures, you can consult comprehensive resources such as the Orthopedic Fracture / Dislocation Management FAQ from ACEP.
