CPT® Code 11008

Add-On Code

Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure)

The procedure described by CPT® Code 11008 involves the surgical removal of prosthetic material or mesh from the abdominal wall due to infection. This infection may be chronic, recurrent, or associated with necrotizing soft tissue infection, which is a severe and rapidly progressing infection that can lead to tissue death. The removal of the infected material is critical to prevent further complications and to promote healing. During the procedure, a surgical incision is made over the area of infection, which typically encompasses the previous surgical scar where the mesh was initially placed. The surgeon then enters the abdominal cavity, either above or below the mesh or other prosthetic material, to access the infected area. The medial borders of the rectus muscle are identified, and blunt dissection is performed to carefully separate the subcutaneous tissue, the mesh, and the abdominal wall scar. This meticulous dissection is essential to ensure that all infected material is removed while preserving surrounding healthy tissue. The posterior abdominal wall is then cleared of all viscera to facilitate the complete removal of the infected mesh and any remnants that may be present. After the removal of the prosthetic material, additional procedures such as debridement, laparotomy, intestinal or fistula repair, and/or abdominal wall reconstruction may be performed as necessary, and these should be reported separately. This comprehensive approach is vital for addressing the infection and restoring the integrity of the abdominal wall.