CPT® Code 11006

Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure

Debridement of skin, subcutaneous tissue, muscle, and fascia for necrotizing soft tissue infection (NSTI) is a critical surgical procedure aimed at removing infected and necrotic tissue from affected areas. Specifically, CPT® Code 11006 pertains to the debridement of the external genitalia, perineum, and abdominal wall. NSTI is a severe and rapidly progressing infection that can lead to significant tissue damage and systemic complications if not addressed promptly. The procedure involves making incisions in the skin to access the infected area, allowing for thorough exploration to assess the extent of tissue involvement. During the debridement process, all necrotic tissue is meticulously removed, extending beyond the skin to include subcutaneous tissues, fascia, and muscle, ensuring that only viable tissue remains. This aggressive approach is essential to prevent the spread of infection and promote healing. Additionally, cultures are collected during the procedure to identify the infectious organisms responsible for the NSTI and to guide appropriate antibiotic therapy. It is important to note that this procedure is distinct from other debridement codes, such as CPT® Code 11005, which is used for similar debridement of the abdominal wall. The careful execution of this procedure is vital for patient recovery and the prevention of further complications associated with necrotizing infections.